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��x��� <br /> �, /a� �cL <br /> � 2� 77g'►53� <br /> PERMIT APPLICATItJN i9 � <br /> CITY OF EVERETT PERMIT SEE2@/ICES �,p A�h;�cr <br /> 3200 CEDAR STREET, EVERETT, WA 90201 �5y S. 5�� AvE <br /> 425-257-8810–FAX 425-257-8857–www.evEreliwa.org EOM�NOf; p/A <br /> APPLICATIONS ARE ACCEPTED FRl)M 8 AM TO 4 PM <br /> 9�aZ° <br /> SITE ADDRESS PARCEL TAX I.D.N PERMIT# <br /> 3 Z(o 8¢oADWAY �JfiLS zo! Zo1� ooy3�39Z�a� f _ � O�C�'j �03? <br /> LEGAL LQTNO. BLOCK TR�A7CT ( <br /> DESC. S � OF 9Z5 I IC � C`�. 1 ` l�'�'��' <br /> OWNER AODRESS CITY2IP PMONE <br /> EVE�Eii 6kTEl�Ay�(,'E7►�1F.��C Z7/� RoGKEaF�'utn �t✓E �►'��lJ� y25-2/2-2z/Z <br /> TENANT NAME CONTACT FOR PERMIi '��N��9 AHONE <br /> I Sfe�r�i� t1NP/GI�P�IES I210 Qa�cRwa�vE,S��rE 22o w,� _ 3�a- �3�o-a928 <br /> CON7RACTOR. ADDRESS CITY2IP PHONE � <br /> ,Q[pr2,(�/ s ArSaG��}7E5 8�o ZyDf�+ S'` 5� ��u- y25- �183-/3/3 I <br /> CONTR.LICENSE B <br /> 1f2230/ ,!� f}LDQI/��E;'-OZRII <br /> USE OF BUILDING � HEA1 50URCE CONTRACT PRICE OF WORK II <br /> /p, HEDIL�{G �i-lN/G I �I �C.O� GGD • 0o I <br /> " � DUTPNTI�I T S(/��C�y —E�ectric �Gas_Other <br /> WORK DESCRIPTION Q I �^/ Z�rp �.Q�,C eF ,4 ! <br /> �/Ew rE7JAlilT l'�NS!/�1/G7/oN ��4ppX. l�G,B SF� I <br /> NEltl /��Tfl/�eFF/CE BU/GO//�!G- <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> Toilet _ A/C-airhandlin�units <br /> Bathtub _ Forced air systems <br /> Lavatory(wash basin) __ Gas piping <br /> �— Water heater <br /> Showe� — <br /> Kitchen sink R disposal _ Gas freplace <br /> Dishwasher _ Gasrange <br /> Cloih�s washer _ Clothes dryer <br /> Laurdry tray _ Range hood <br /> Sink(service/bar/mop/etc.) Exhaustfan <br /> Backflow preventer _ Heat pump <br /> Urinal _ Unit heater <br /> Drinking Fountain _ Boiler <br /> Floordrain _ Refrigeration <br /> Grease trap __ Woodstove <br /> Roof drains _ Other <br /> Other — — <br /> CITY OF EVEREIT LOCAL SALES TA%CODE IS 3105 <br /> I hereby ceritify that I have read and examined this application and know the same to be lrue and cortect. All provisions of laws and <br /> ordinaces goveming lhis type o(work will be compiied with whether specifed herein or nol.The granting o(a Fermit does not presume <br /> to give authority to violate or cancel tha provision of any other state or lowl law regulaling construction or the peAormance o( I <br /> construction.That I am authorized by the owner ol this property to perform'�e work for which application is made and I comply with the <br /> State Contractors Law 18.27 RCW and 296.200 WAC. � <br /> �--r-���.�— `f- 12'd�a <br /> Signature of Own /Contract Authonzed—Agent Date �1� <br />