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� <br /> PERMIT APPLICATION q ' � , � ` � � � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � � I DC."1 <-�Z� <br /> SITE ADDRESS `�. �'�`'���I(� \ PARCEL TAX I.D.� PERMIT k <br /> � / �'%I C/� �� i<<✓ �%C��r� nn�>�,"an���l[i���7G��� <br /> LE LOTNO. BLOCK iRACTORSUBDIVIS10N�i7 <br /> DESC. If//�� I_� ���� <br /> OWNER ADDRESS CI7YILP PFpNE �as- <br /> ��ir`fz.�rr�m� //G/� ,�1,���i� ��✓ �d�r���r y,�.r��� a�a ��9r- <br /> TENANT NAME CONTACT FOR PERMpT P�E /��S��y y�I/ <br /> `���?1�1"C'S G ���c'� % � ��rC! �i✓� �Drn�r" eauu� �Of�Yll <br /> � . �C'� �� 1Gx.�_��O L¢�iG fGf'Y,� /1��i1%VJ. /rl'.�ry� <br /> f"l%�'a2��� �ilur� <br /> ca, c�,se. i.�'rJ ���� �/,�s 33����� <br /> l I� � L-'TN�-��' �/�%� <br /> USE OF BUILDING I — HEAT SOURCE CONTRACT PRICE OF WORK <br /> Elechic I�as Otlier �7��� <br /> WORK DESCRIPTION • <br /> �G�T ll�J i.�/l( l; G%i�./X �/7l/r ✓�C'G�Z``' -"�i''%97 /./i'�/�"�' <br /> PWMBING MECHANICAL <br /> Np, TYPE OF fl%TURE OR ITEM NO. TYVE OF FI%TURE OR 1TEM <br /> Talet A/C-air handlirg�untts <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower � Water heater <br /> Kitcheii sink&disposal �'ias fireplace <br /> Dishwdsher Gas range <br /> Clothes washer CloMes dryer <br /> Water fieater Range hood <br /> Sink(service/barlmop/etc.) _ Exhaust fan <br /> BackNow preventer Heat pump <br /> Unnal Unit heater <br /> Drinking Fountain Ba�e� <br /> Floor drain ReMgeration <br /> Grease trap W�d§t�e / ,(-� <br /> Roof drains ✓ O[her n!L(��GG'U r'\ <br /> — ar�� — <br /> CITY OF EVER€Tf LOCAL SALES 7Alf CODE 18 3105 <br /> 1 hereby certfry that I have read and examint,W this application and kraw the same to be true ars'd corred. All provisions of laws an0 <br /> ordfnances qoveming this type of work will be complied wi[h whether specifietl herein or na�t.The grantirg of a pem�it dces nM presume <br /> � to give autharilv to�olate or pncel the provision of any other state or local law regulating constnicUon or the peAormance of <br /> construdion.That I am authorized by Me owrrer af this property to perfam t�e work for which application is made.anO I a+mply with the <br /> Stat oMractors Law 1827 RCW a�,C 296200 WAC. <br /> ��'rr� /�i; �;� ����;,��:�_� �- ��y- ��� <br /> S�i n re of OwnedContractodAuthonzed Agent Date �f <br /> r � <br />