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Mer 05 11 02:20p Weshington Weter Healere 4255726781 p.2 <br /> ( ( <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT S�RVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.everettwa.org <br /> APPUCATIONS ARE ACCEPTED FROM 6 Aul TO 4 PM 3J7/�I <br /> 5(TEJ�1DDij�SS PARCEL TAX I.D.X p�q�r� <br /> �'0�— (�C��'�C�(' �l'l�� �"� J � �c;3j�i�icti'r">�Z� - OD <br /> iLE LOT NO. BLOCK TpqCT OR SUBdVISION 0 <br /> DESC. <br /> /� ^ O <br /> �_ C�' �Ill� �-��/1 r.�> 13 ,` �, PMONE t �:7J <br /> TENANTNAME C � G c 0.�nr(<� �h-��� S r�� /� %S'7C3 3e/ -?�JlL3 <br /> IFONTACT fl PEPNR. pHp�E Qa� 7 . <br /> VQ.CCI �Q�71�S E.a�ai.l'ib{WCt�P./"�/ Ou e tt/! <br /> WASN'111iGrTDIJ l�1fF?F•2Y��/� /S�fXJ �hCv' S �,c���_ 'Om <br /> coNrn.uceN ��g <br /> u���'��- 9S�o oP ���vu� l.va. 9�ia5 <br /> I USE OF BUILDING HEAT SOURCE ��,O ACl'PAtCE OF WORK <br /> �S�L.k_Q�tl_�Cd�� �Electr� _Qas otner I W' ��-�O <br /> WORK DESCMPTION <br /> �'��� c�t�� 6��I� l 2 �-�c.►�-ze_ ��f�,�.��l�a�j <br /> PLUMBING MECHANICAL <br /> �• T'PE OF FlIRUqE OR f1EM N0. TVpE OF FlX7URE Op ITq1 <br /> _ Dathtub _. NC—airhandlingunils <br /> _ Lavatory(wash besin) — F�Qd air systems <br /> _ Shower _ Gas pid�0 <br /> Kltchen sink d disposal _ Wptnr heater <br /> � Dishwasher _ �es fireplace <br /> Clolhes washer -- ��npe <br /> = Wator hoeler _ Clolhes dryer <br /> _ Sink(seMcelbar/mop/elc.) _ Range hood <br /> , Dackliow p�even�er _ E�ausl len <br /> UAnal _ Heat pump <br /> ^ p����M�eM _ Unh hnater <br /> Floordrain _ Boller <br /> _ Grease trap _ Relrigeretfon <br /> Rooldrains _ Woodctovs <br /> _ Olher _ Ottqr <br /> CRY OF EVERETT LOCpL SALES TAI(CODE IS 3105 <br /> I hereby cerfUty Ihat I have read end eneminod this appllcetion and know the same b be true end torreM. All provisions of laws and <br /> ordinaces goveming thls typo ol work will be comp�iod with wfiether specMied herain or not.ihe grenling ol e permit does not prasume <br /> to give authorlly to vidafa or cancel the prpyialon ol arty aUier slate or local law repulaUng wnahuctlon or Iha porlormar�co ol <br /> constructbn.Ttiat I am authoAzed by the owncr of Ihk prpnerty�o perfortn the wak for whidi applicatlan is made and I comply with tha <br /> Sta tr 9�:27 CW nd 200 W/�C / <br /> L---1 �' "" " �.� La� �-�- l/ <br /> Signa o o O�med Irac[odA Ihonza pent e1O <br />