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► <br /> 1 <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES \ <br /> 3200 CEDAR STREET, EVERETT, WA 98201 . 1 ' � <br /> 425-257-8810-FAX 425-257-8857-www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM E AM TO 4 PM <br /> SITE ADDRESS PARCEL TAIt I.D.N PERMpIT N n <br /> Z211 WCb�' CU5\Y�U RUGC+ UO C� • UU�1C)ZyG '� ��ODIZ V ��? <br /> I.EGA LOT NO. BLOCK TRACT <br /> DESC. <br /> ER ADDRE 8 CITY/Z1P PM E l{'�S�3K-�I10� <br /> �\G�t.e, p(z>t�e� i�e`., \ 6 �04 l�`1� P�Gce W Mv,u.��tc� ��t15 <br /> TENANT NAME I CONiAGi FOR PERMIT PMONE <br /> M Gqr�um �.merU�, <br /> CONTRACT R ADDRE88 CITY/ZIP W.ONE <br /> �1�\� P1uma�.,c� ,\r�C, \1'.;1� � yC `�t Se ,�y Yy�onr-oe 3�c-'1��4 4•vti <br /> coHrn.ucewne� <br /> WU�C L- P iv33c. z <br /> U8E OF BUILDINO HEAT 90URCE CONTRACT PRICE OF WORK <br /> I �Electric _Gea_Other �'����v�� <br /> WORKDESCRIPTIONf rrrun� WtYf�� Rt�l�<�1+ 11� «n� TRUi-j �J/«.�y�6j��J <br /> � <br /> PLUMBING MECHANICAL <br /> NO. I TYPE OF FIIfTURE OR ITEM NO. TYPE OF FU(TURE GR ITEM <br /> 10 Toilet fUC–elrhendlinpunfls <br /> I Bathtub Forced eir syslems <br /> $ Levatory(waeh basin) _ Ges pipinp <br /> Shower Water healer <br /> ,Z Kitchen sink 8 disposal Gas fireplace <br /> �, Dishwasher Gas renpe <br /> Clothes washer Clothee dryer <br /> laundry tray Ranpe hood <br /> � Sink(servicePoarl(r,r �etc.) _ Exhauat fan <br /> Beckllow preventeT' _ Heat pump <br /> � Urinel _ Unft heater <br /> Drinking Fountain Boiler <br /> � Floor drein Relrigeratlon <br /> _ Grease trap Wcwdstove <br /> P.00l draina Olher <br /> 1 Other�f�} i � �Itt ���i'�� — <br /> CITY OF EVERETT LOCAL BALEB TA%CODE IB J106 <br /> I hereby ceritily that I have read and exemined this epplication end know the sama to be true end co:recl. All provisiona ol lewe and <br /> ordinacea goveminp Ihis lype ol work will be complied with whether specifled herein or not. The grenting ol a pertnit doee not presume <br /> to give euthodty to violate or�ancel Ihe provision o1 any other atate or local law regulaling conalruclbn or Ihe pedormance ol <br /> w Wction.That I em authdrizdd by the owner ollhia property to peAorm the work for which epplicalion le made and I comply with iM <br /> S�at Contractors Law 18 274gEW a d 288 200 WAC. <br /> _ —� 1-- �---- 1 L � L'r <br /> n ture o ner! ontrec orl ut onz gent ale <br />