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— <br /> PERMIT APPLICATIOnI <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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM !D - /6 - �g <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT q <br /> ZGio W, C�Si,�v/Zvrv� �r,ci l0 -c)U,,� <br /> LEGAI LOT NO. BIOCH TRACT OR SUBDIVISION# <br /> UESC. <br /> OWNER ADDRE55 CITYIZIP PHONE �i(� 7S�j <br /> l��zi2s���f,�,�,�.�i„��,�5 2?1x� G�//��i'�'�E�.�,CLt DFGU.�in-/�o�7 Tx <br /> TENANT NAME CONTACT FOR PERMIT PHONE � SL7- 8 5/S <br /> ��.v_/ �iv GArtT �[:i3✓c� Ci.'11!�� � ut'A.t�r�w <br /> � E�MAIL L��A�/U�.CU�'t <br /> C[G'i9�vi(1.��f�crW.�icil� r,t.� c�f?.jl ,aY�n�iVC Scilr�<<� ��ii5 Zv6 SL7 <br /> �3��5 <br /> CONTR. LICENSE p �L���yl.����q <br /> USE OF BUILDING HEA7 S�OURCE CONTRACT PRICE OF WORK <br /> i�UA/,'LC�kxi'Cl - /�<<'/�i'��2 c:a�/f _Elociric ✓Gas_O�hAr_ � 2�, G�G1� <br /> WORK DESCRIPTION y / 7yt�,i,��.� �pA„�5, <br /> �G��t�C�lTi�c'i T1.�cK G+iditii� `'ilCicir w <br /> (�/L Irv 'iYi��_'[Jl/•�iQ'7 liU!( � Sr.�H/� ��� /_`irI!'�� . C.�' S ��QD ��I�N-C U.A//T <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> T,�i��,� � A�C-air handliny unils <br /> _ p�p��ii�� � Forcod air syst�ms )� <br /> Lavalory(wash basin) Gas piping — �K�.O s✓G ^'� � !.I^-� <br /> Showcr _ Watcr hoatcr �/ <br /> Kitchun smk d dispusal _ Gas lirop�ace <br /> _/ {AJwe�hr.r /U,t rRA :!�':-r_' /.'tSl+� _ Gas range <br /> Golhes w;�sher Clolhes dryer <br /> J_ Walan c�alcr _ Rango hood <br /> � Sink(sen�icc�lb:idmop/olc.) _ Exhausl fan <br /> �ar.kllow prevontcr --— Heal pump <br /> Urin�l Unil hoalor <br /> Drinkiny Founlain Boilor <br /> Floor drain Rolrigeration <br /> Grease Uap _ Woodslovo <br /> _ Roo�dr�lns � _ Olher <br /> _� Olhor ��-/•�i�C:/ i � /�;ti -- <br /> � _ L�;<_ ,.-l.���_Q;t��{'.,�v i --- <br /> . in.•J/' / /'�iPt/�`> <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS�105 <br /> I herr.by cerdity thal I havo read,nA examined Ihis applicalion and know�he same to be Irue and conoct. All provislons ol laws and <br /> ordinaccs yovorning Ihis typr,o�werk will be compliod wilh whother spociliod horein or not.Tho prenling o(a permil doos nol presume <br /> to givo authority lo viola� ur cancol Ihe provision ol any oUicr stal�or local law regulating construclion or lhe podormancn of <br /> consiruclion. Tha�I nm �Riorized by the ow)wqf lhis proporty lo pertorm Ihe work lor which applicalion is mado a�d I cromply wilh Ihe <br /> Sla�o Coidracturs � 1N27 RCW and�j0�1-(NAC. <br /> • ' i'�.� /D-/6 O% <br /> Si ialur�ul fwF CunfrecludAu�horized AcJent Da�o <br />