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Pri�MIT APPLICATIUfv <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- fAX 425-257-8857-www.everettwa.org <br /> /0 - �4 -0,6 <br /> � '� '' APPUCATIONS ARE ACCEPTED FROM 8 Ahl TO 4 PM <br /> SITE ADDRESS PARCEL TA7(I.D.# PERMIT N ,.) <br /> '�7 �� / n t� 1� — ------�i�C�/U -U �/X <br /> LEGAL LOTNO. BLOCK 7RACT <br /> DESC. <br /> OWNER ADDRESS � CITYIZIP PHONE 1�Zr��32- 5� S <br /> � & B �NVES? MENTS 2115� II(� 5-t . ►JE. Tu�A��P q8z�i �125-232-IS / <br /> TENANT NAME CONTACT FC�R PERMIT PHONE <br /> I gALB1� SiNGu �-125 —Z32— 15S f <br /> CONTRACTOR ADDRESS CITV/ZIP PHONE <br /> CONTR. LICENSE p ��� I <br /> USE OF [iUILDING — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> [loctric Gas Olhrr I <br /> WORK DESCRIPTION <br /> /1��� �� � � - �� <br /> , � , , « � <br /> —._. _- - --- --------- <br /> PLUMBING MECHANICAL <br /> NO. TVPE JF fIXTUR[OR IT[M N0. TYPE OF FIXTURE OR ITEM <br /> _ Toilel AIC-air handlinc� units <br /> __ f3nthlub Forced air syslems <br /> -- Lavnlnry �wash basin) __ Gas piping <br /> _ Shower Wa�er heatcr <br /> __ _ Kllchmi sinY.8 disposal Gas lirepince <br /> -- �ishwasher _ Gasran�e <br /> ___ Clolhes washer __ Clolhos dryei <br /> _ Walr,r healm _ Rongc hood <br /> _ Smk(servicclbar/mu�i'elr, 1 [ahausl lan <br /> __ �ac4.11ow prevenlor Heat pump <br /> _, Urinal Unit healer <br /> Drinkinc� Fountain �ailer <br /> _ Floor drain Re(ri�cra�ion <br /> Greaso Irap Woodslove <br /> Rool drains Olhcr <br /> Olher -- - -- <br /> CITY OF EVERETT LOCAL SALES TPX CODE IS 7105 <br /> I hereby cerilily th�l I h.rce reaA and examined Ihis applicalion and know Ihe same to be true and correcl. All provisions ol laws and <br /> ordinaces c�overning Ihis lypr ul work v.ill be complied wilh whelhor speci(ied hr,rein a noL Thr. granling o(a permit does not presume <br /> to givo aulhority lo viol�tc or canr.et Ihe provisicn ot any other slate or local law rsqulnlinc7 construclion or Iho podormance ol <br /> r.onstruclion. That I am aulhorize+tl by Ihe owner ol Ihis property lo peAorm Ihe«-ork lor wliich applir.ation is maAe and I romply wilh Ihe <br /> Slab Con!rar.�ors Law 18.27 RCW anA 29fi.2U0 WAC. i <br /> I <br /> `��� . Ie1��6 <br /> Signatuio ol OwnorlContrar.lodAulhorized Aqenl U�(e <br /> l I <br />