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` – — i � <br /> PERMIT APPLICATIUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-P_S10– F.4X 425-257-8857–w�nnv.everettwa.ory <br /> APPLIC.ATIONS ARE ACCE�TED FROM 8 AM 70 4 PM <br /> SITE ADDRESS PAf2CEL TA7S I.D.# PERMIT k � <br /> .� <br /> ?_%t"1 C_„11, � <br /> ,,P . 1 c7,713'11 f:G'�o��nD y ,- %n� 7��.'Z <br /> LEGNL LOTNO. BLOCK T_TRACT <br /> DESC. , t S __ i _� Y � <br /> OWNER =^)RE55 GITY2IP PHONE <br /> '�K�;,1da.� Kac,� FS�c�e <br /> TENMIT NAME I CONTACT FOR PERMIT PHONE <br /> I � 11 / k I ,�'.� �Q� ,�I(�r.r �W�.J�.�JZ" �� 11. <br /> lJ�I.�S V�.1 `. }MMJV���V� BGM �____I .'L_• <br /> CONTRACTOR M�l'.��1{�� ra, �-'-,�•'�•�-`•S Qp $,Y �4S[.�1 CITY2IPS��{l..�PHONE (���7LL-3311 <br /> �eizy <br /> CON'fR.LICEN5Ep MCK!�1�L94�tila <br /> USE OF BUILDING � r HEAT SOURCE CO�wTRACT PRICE OP WORK <br /> Elechic __Gas�Other I � ���, 9y 1�� <br /> �,,M�, r. . , I pf . : I <br /> WOF:K DESGRIPTION ir -;.:�1 bn -}c., �.,-S1.r F1�:� ��Qf n..A �I� orr..�ia� p...lr, �a-�.r� rk:,�� Re�I.,LL �Sj fAJ�,4� <br /> J�[ 6'„r� �3'�.Cl�...' �i�S �fv..� (I�"1.S-1n�� /,_'�(�>r: (1)s-��r.� 8ert++[�� : 11�5'�a..� IJ� �`1�7tc�� Ca{d�9—on�y Ha^� Pvm�t <br /> ���A CI,.� � U�ii�'i.� � 1��'1.5-4e,.j �..!CI.r �. l��s-��..; &�tr«nw{. ���5'i�..�� �M�..fl c.11 �r�nl,u� c�^+.�anuv ..�a4!.r lWP <br /> (��:��•� � Dzw.� nnJ� c.� 2n�;l.lJ, tl{� iu.'�•r S+.,rn-� Pe�s1�1, Vn�11� Qrwi.�t tr�kf G.lr clu<�.,.�.,k 1+, 411 C�n.r F��Ifi.unt <br /> v.,:t ' MECHk1JICAL <br /> PLUMBING <br /> NO. 7YPE OF FI%7URE OR ITEM NO. TYPE OF FIXTI.IRE OR ITEM--_ <br /> Toilet _ �+/C-air handling un!ts <br /> Bathtub _ Forced air sys[ems <br /> Lavatory(wash basin) _ Gas pipng <br /> Shower _ Water heater <br /> Kitchen sink&disposal _ Gas 4replace <br /> Dishwasher _ Gas range <br /> ClMhes washer � _ Ctothes dryer <br /> Laundrytrey _ Rangehood <br /> Sink(servicelbar/mopJetc.) Ezhaust fan <br /> = Backllow preventet / : � � Heat pump <br /> Urinal _ Unit heatet <br /> _ DrinWng Fountain _ Boiler <br /> _ Floor drain ��, _ Refrigeration <br /> — Grease trap / Woodstove <br /> � Rootnrains � other,$o.�1�� (T�Nd �=••=�e� <br /> � I — Other � / _ _ <br /> � CITY OF EVERE'IT LOCAL SALES TA%CO�E IS 3105 <br /> I hereby ceriti(y that I have read an7 exammed this application and know the same to be true and coned. NI provisions uf lavrs and <br /> ordinaces 6oveminp this type o(work will be complied wilh vfiether specifietl herein or not.The granting ol a permit does not presume <br /> to give authority to violate or cancel the provision of any other state or local iaw regulating construc'ion or the performance of <br /> ilconstrudion. That I am auihorized by the owner of this property to pedorm the work for which application is matle and 1 comply with the <br /> State�ontra/�)} r�s/law 18 27 W and 296200 WAC. <br /> /7 °' ` L�/ l Lr�I Z�2-JO'7 ` <br /> Signatu of OwnedGontract dAuthonzed gent Date ` � <br />