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I � ( <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICE;S <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 <br /> SITE ADDRESS PARCEL TAl(I.D.M PERMIT N <br /> 2(o I 0 W C,as'�no Rou� � UO3� ��C <br /> LEGA LOT NO. BLOCN TRACT OR SUBDIVISION/ <br /> DESC. <br /> OWNER ADDRESS CfTY2P P E <br /> �ro��;ei Ca✓�Mt,rn�cc,}-,�n5 3 Htbh Q�d� P4�k S�a�.(�rd�Cr o6yo5 5►p-b1�-1667 <br /> TENANT NAME CONTACT FOR PEFMR PHONE S I a '�I E – I/p(7�J <br /> F�on1-�e� Gor�r��nicui-;onS I��--�tt�.' �il�'*G E�IAAILMNH-lo� BnuHo�W; pern�F <br /> ��p M <br /> -�.�-e�6-�-:�'.'� �e iu,��� u��,o� s� , � 5ia- eia-i,�� <br /> CONTR.UCEN9E• � <br /> - �� �� i (ll� �l.•�Jl <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORI< <br /> (pMMWA�<Q��OAS Elettric _Ges Other � Z � OOO <br /> WORK DESCRIPTION <br /> LJ���� `�� �-v� <br /> PLUMBING MECHANICAL <br /> NO. iYPE OF FIXTURE OR ITEM NO. TYPE Of flXTURE OR REM <br /> Toilat __ NC–eir hendling units <br /> 8alhtub Forced air syslems <br /> I.n.etory(wash basm) Gns piping <br /> Showar Water heater <br /> __ Kitchen sink 8 disposal Gas fireplace <br /> _ Dlshwasher Gas range <br /> _ Clothes washer Clothes dryer <br /> Water heater Range hood <br /> Sink (service�/badmop�etc � E�heust lan <br /> BackOow preveNer _ Heat pump <br /> Urinal Uni�healer <br /> Drinkmg FooNain F3dler <br /> � Flror droin Ref�geretion <br /> Grease�rop __ Woodstove <br /> Roof Ar;,ms Olhor <br /> Uther <br /> CITV OF EVERET f LOCAL SALES TA%CODE IS J105 <br /> I hareby certdy Ihat I have rend and examined this app6calion and know the snma;o be Irue nnd co�d. All provisions of laws and <br /> orAinan�;es govemmg Ihis lypa ol work vnll be comphed with whether speclfied herein or not. The granting of a pertnit does not presume <br /> to gwe��dhon�y In violate or cancel ihe provislon ol eny other state o�local law regulating consiruction or the peAormance at <br /> construction That I am autho�ized by the owner ol this propeAy to,^eAortn iha vrork lor which applicalion is made end I wmply wlth Ihe <br /> Slete C�o�n`acto�;�`' 18 27 RCW and 298 200 WAC. <br /> /"l ..�%6��„�'�� 7�Z-! <br /> Signal�bwner/ onlrac nzed Aganl al�— �/ <br /> 7 <br /> � <br />