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-- - - _ _ -- _-- ---( -- -___ _ _ _ _- -- - - ' --- ---- - <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425 257-8810 - FAX 425�257-8857 -www everetiwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 7 .�� S�_ <br /> SITE ADDRESS PARCEL TAX I.D.p PERMIT k <br /> � GG�-S i�l O i'�L c7 'a J O ���J2 <br /> LEGAI LOT N0. BLOCK TRACT OR SUBDIVISION M <br /> DESC. <br /> OWNER ADDRE55 CITY2IP PNOYf <br /> N f� C�IC'� �.�C � e_�� �• �Ct �7/ Gf.f7 G��� <br /> TENANT NAME CONTACT FOR PERMIT PHONE,��� <br /> �.�,�j�� �� �1rc�CL� 4-c�r � T� E•MAIL �fGt CFl2�SU�� �'t <br /> Z�6FTifAi. � �i 5 LG.,u+'�✓ 7�" � ��� �'7 <br /> Ctti- � $v� s� <br /> CONTR.IICENSE N���-� .�SG�y.Z D1 __ <br /> ��E OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> �`tU��, . .X' ___ Eiecvic kGas _ othci <br /> �a��� v�-��� <br /> WORK DESCRIPTION <br /> S,��k�..�,c ��,� �,a ' 7Y�< � �x lt�r �/�0 �5�-�,� �/ <br /> ��� �- U �'v� <br /> PLUMBING MECHANICAL <br /> NO._. TYPE OF FIXTURE OR ITEM NO. TVPE OF FIXTURE OR ITEM <br /> Toi Pl A C -an handling units <br /> g�p��i�� � Forcnd air systems <br /> Leva�ory �h basinl Gas piping <br /> � ShOwCr W.IICr hC7IC� <br /> Kdchen 5ink R d�s s01 . Gas I�replace <br /> Uishwishei Gas r�ngc <br /> Clothes washer Clothes dryer <br /> lNalei healer - i Range hood <br /> Sink�service bar mop�eta) � � E■haust lan <br /> Backfluw preventor� Heal pump <br /> Urinal Und heater <br /> , Urinking Fouhtain �1������ <br /> I F�a�������� � Helrigr.ia�ion <br /> �, GreasP trap �� WooAstov A <br /> ' Roold•ains ' ��\ � Oihcr ��'/1 U�.1� t <br /> I , Olher . . . ._ .. \ . . . <br /> _/ _ <br /> I � __ <br /> CITV OF EVERETf LOCAL SALES TA%COOE IS 7105 <br /> iI hereby cen�dy Ih;fl I I�ave reaA and e*amined livs applica�ion .�ntl krow U�c samn ��t�e true and correct All nrowsions ol laws and <br /> ordinaces governing ihis lype al work will be complieA wdh whelher speGhetl herei�or nol lhe granling ol a pe�mil does nol presume <br /> lo grve authonly to wolate or cancel�he provision of any olher slate or local law reyula6ng conSVuction v Ihe pedormance ol <br /> � construchon. 1 ha1 I a��uLionzed by Ihe owner ol Ihis pioper�y lo perlo�m ihe work lo�which apphcabon is made and I comply wlth ihe <br /> I Slaif COniraC{yrS�Law 18 27 RCW encl f�9B.�W�C <br /> �, j�-- �-� �� 7c?� <br /> Signalure o�OwnenCondactorAulho�ired Agent Date <br /> `/2 <br />