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�; . , <br />; <br />; <br />': ; <br />�. � <br />� ; ., t <br />�. . <br />� � <br />SIT[ ADORESS <br />LEGA ' LOi�NO, <br />DES0. � _ Q <br />' � .TENANTNAh1E/�,� <br />� <br />' . j (>l/ -1>5�' <br />. • coNraar.rnn <br />�- ERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 � <br />425-257-8810 — FAX 425-257-8657 — ��n�v.everethva.org <br />APPLICAT�ONS ARE ACCEPTED FROM 8 AM TO q PM <br />PARCELTAXi�,#t������ <br />i� inl. 1Zbnn�iuMl I \���---..._7CC <br />BLOCK <br />TRACT <br />�5 Ce�an, �.'U� <br />CONTACi FOR PERhtli <br />',���-,.I � CONTR. LICENSE ii � /� /� / I . <br />CU �L M� Si" <br />USE Of OUILDING HEAT SOURCE <br />�� �5 �-OY 1 l �ty ' �Ya� �E�ectric _Gas_Othcr <br />CITY2IP. <br />PHONE <br />4�'. <br />PHONE <br />� <br />CONTRACT PRICE OF WORK <br />�. � <br />WORK DESCRIPTION �'7� �_ <br />., t�Y�=Re.��" � � �3 <br />�f'-{11D�1`=� � ��- ;j,���(`:, ' <br />��� rp -e�► �.Oc�'. 1 .� Ist'rX� _ _'� 1 <br />PLUMBING MECHANICAL <br />.� NO. .�. 1YpE OF FD(TURE OR ITEM � NO.� I � � IYPE�OF FIXNRE-OR ITEhi' ' "-� � <br />; Toilet <br />' _ 6athlub <br />Lavalory (Wasli tiasln) <br />Shower <br />�� - <br />Kilchon sink & disposal <br />,:'`; ^ DislnS'ashef _ _ _ . <br />_ lotheswasher <br />_ lNater hr.atcr � � -� <br />Slnk (acrvicc/hadmopletc.) <br />. f3acktiow provenlr.r . . . _ . ._ . � <br />Jriital <br />��,C` _y_ OrinkinpFountain . ,. . . .,.._ � � <br />� �=loordraln <br />, �• � Grer.so (rap + ,i' ,� <br />I',;:. ( �_ Roof dralns <br />. . O;her <br />A/C - air handling units <br />Foroed al� systems ; <br />Gas piping ' <br />Water heater <br />Gas firc�laco � i':i �,o,t: ;; _ <br />Gas r5nc�c i <br />Clolhes drycr <br />J2anc�e hood <br />[xhaust(an <br />Heal pump _ i;.1, <br />Unil healcr <br />Boller , _ _ _ _:. ' '�'�" ' <br />'.'a, <br />Refrigeretlon ..: , , i � : ;y <br />Woodslova �� <br />Olher � <br />._ _--- . . <br />._ � � b�.fti: i. . , . . <br />� ,�a <br />. . _.. _. ,. , � � ��� <br />CITY OP E-VC2[TT LOCAL SALES TAX COOE IS 3105 - __. . . .. . . . � � ���'�'•'� <br />I heroby c, rili(y that I(iavo read and examined lhis applicalion and knovr the s2mo lo be lrue and.correcL All provislons ot laws'and •' �'' <br />ordinac oveminr� Ihl; lypo of v:ork will bo complied �cith whether specifod herein or not. Tho grantin� o( n permit does not presumo <br />lo giv �uth �nly to violate or cancel lhe provision of any other stato,or local Iaw rogulating constructlon or Iho pe�fomiance of . t:r r, ;: <br />con• ,n .tio . That I a i autlio�ized b`y lhe otidno� ot Ihis property lo pedorm lho work for which applicaGon Is made and I comply wilh lhe. <br />Sl e��>nt ,�7or� La�� 10.2]�2ClV and 2�JG.?.00VJAC. <br />