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l <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR S'rREET, EVERETT,WA 98201 <br /> 425-257-8810— FAX 425-257-8857—vnvw.evereriwa.org <br /> �Cl?C/ APPLICATIONS ARE ACCEPTEU FROM 8 AIA TO 4 PM S -2-8--0$ <br /> � <br /> SITE ADDRESS PARCEL TAIf I.D.R PER I <br /> 2ft18 C.ot.BY r'4V�� �39t68zea.8m so+31H.e U'j:� <br /> LEGA LOT N0. OLOCK TAACT OR SUBdVIS10N! <br /> oEsc. 20 L �A (og2 D-oa <br /> NER RESS <br /> �iNoNoMlgy �• c.a,psY �An+iu� 7f?�" f?o. J3aX 5�3 Y�wvwaop <br /> TENANT NAME COHTAC FOR PEpM1T ��pMpNE <br /> �Y��TT �R 7lT"°ILTC�I}G1EI C-t�Y � 4u�� .�+fIT�75 �}25-2S2-zl�3 <br /> ttD hc.?�aN� e�«N�4�e4�,�ki�s«,. <br /> QI, Try�/��/�/�.� �•/' ',/� -�--- <br /> {'�� 1• '/�"�iV�' "^I' 1 (N` ' 2qzo coc..f3Y�4v� g/VK'�/ �✓b��.7✓�V�� <br /> CONTR.LICENSE� 4ct1TG' (Sa 1s2v/ <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> � / o =° <br /> �r(�G ,�Electric _Gas_Olher `�' p) � <br /> WOAI:DESCRIPTION <br /> —I�cNT Iti1"PJ�`�M�-�T <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE OR rtEM N0. TYPE OF FlXTURE OR ITEM <br /> _ Toilel A/C—air handling units <br /> _ Bathtub Forced air syslems <br /> _ Lavatory(wash basin) Gas pipinp <br /> Shower Water iieater <br /> _ Kilclien sink 8 disposal _ Gas tireplace <br /> _ Dishwasher Gas ranpe <br /> _ Clothes washer Clolhes dryer <br /> _ Water heater Range hood <br /> _ Sink(servicelbar/mop/etc.) Exliaust fan <br /> _ Eackllow preventer Heal pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> _ Floor drain Ralrigeralion <br /> _ Grease trap W��o� <br /> Roof drains Other <br /> Olher — <br /> CITY OF EVEREiT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritity Ihat I have read and examined this application and know the same lo be Irue and correct. All provisions of laws and <br /> ordinaces governing this type of work will be complied with whelher specified herein or not.The granting ot a permit does nol presume <br /> to give authority to violate or cancel Ihe provision ol any other state or local law regulating construction or the performance ol <br /> construclion. Th t I am authori d yt e owner ol this property[o peAorm the work for which applicafion is made and I comply with lhe <br /> Stale Contrac s Law 1 27 an 29�0 WAC. <br /> �•Za�O� <br /> Si li o1 ner/ o raclor/Authorized Agenl Date <br /> '�L � <br /> � <br />