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r----'--.._--__— _ __--__ .—. <br /> __— '--'—'-- � <br /> ! PtRMIT APPLICATIGN � <br /> � CITY OF EVERETT PERMIT SERVICES <br /> � 3200 CEDAR STREET, EVERETT, WA 98201 <br /> � 425-257-8810 - FAX 425•257-8857 - www.everettwa.org I <br /> I APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> i ---- <br /> � SITE ADORESS PARCEL TAJ(I.D.k PERMIT N <br /> � f; ,n� i S� C�'C.'k-Gff i�l�.�� ' /��'�I�CC`t'O�CC` ���'•� ;.'--; <br /> � �C(3AL LOT NO. I BLOCK TRl��;T OR SUBDIVISION p <br /> UFSC. I <br /> i OWNER ADDRE55 CITY2IP PHONE <br /> �'1 1 <br /> � -! ?,i'a.�;' f' ` l�C il�l� 16 �.''�'V III�`i 1��1}�i!'-r-l�� `I�i>� ��?,. c,��� <br /> TENANTNAME COMTACTFORPERMIT PHONE ���. ,��,y� Vnyp <br /> 1 . I <br /> �J.�U 6'.�^��, b�`,�.�, --- ---- 11�t1�1 � I�I i; "C ' � bc <br /> LII� E-MALL ( l�� - ��.. � ist- �Tt'�CC � <br /> �11�7� � '��`.� [cN� <br /> i CONTR. LICENSF.M <br /> — __ _ . _. _ _ _--.___. - —__--_ ' <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK � <br /> �1Li�,Ii�1�i�d.lA���16d�,�J����,�.��,��� — tlecinc _ Gas__Other � ���'� � <br /> � 'NORK �ESCRIPTION "� ����� --- <br /> i I C�li�'laS vn Pitr�4�7✓� �6�� <br /> � �;�� Illt�i(lu r� , . <br /> , . . , <br /> "�i�UiU ��i� �7��i�r�ll IU���_� i �.� I(�"�_� � 1'� ' `� � ' n� '`��:�- <br /> � -- — -- <br /> I.'�I II� <br /> PLUMBING MECHANICAL <br /> � NO. TYPE OF F�XTURF OR ITEM NO. I TYPE OF FIXTURE OR ITEM <br /> . __ __. . —...—_—_ __. .— __ _ _._._._. . . . ____— .—_j_—___. <br /> ' ___ _ luJeA __ ti'C - av hand6ng unds I <br /> BaQilub _ Forc�A air syslems <br /> � ___ Lavalory(wash basin) Gas pipmy � <br /> . Shownr Water healer i <br /> Kdchun sinF R Ais�iosal _.. .- Gas fireplacc ' <br /> Dishwatihcr � <br /> Clothes washnr ___ vas range <br /> Waler heatr,r ___ Clolhes drycr <br /> --- Ranye hood <br /> _ __ Smk(servlcerbar�moprelr..) Exhausl lan <br /> O�ackOow preventm ---- Heal pump � <br /> Unnal Unl�hca�cr <br /> Drinkmq Fuun�am Botler <br /> _ __ Floor<irain RehigeraUon <br /> Grease trap Vloodstove <br /> _ Roof diains Uthar <br /> Othor �--- �. <br /> � CITY OF EVERETT LOCAL SALES TAI(CODE IS 7f05 <br /> I nerr.by cenlily Qiat I have mad anA examined Ihis application and know the same to bu Irue and correcl. All provisions of laws and <br /> �ndmaces c�ovemmg Ihis type ul wurk wdl be complied with whether specified herein or nol. The yrantiny of a permit does not presume ' <br /> t�� q,w�aulhonty Io violalo or��.ai�crl thn f�o���,ion ul any olher statc or local law re�ulalinp conslrur.tion or the performance ol <br /> � ��n,lruchnn.That I�m authnri�ed by lNr u�tnor o�Ihis Property to peAunn tl�e work lor whlch application Is m�de and I Gomply wi�h ihe <br /> ��� '.:U COnIleC�MS LlW :1 la'CbV IIn1I :4hl :�PII W AC � <br /> ' �� <br /> `�, n�alUre of OW�euCon aclun� tho ����d Aue:it ��-�- �--- �--` D;� <br /> -� _ _ -- <br /> �lz <br />