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P�RMIT ApPLICATIUN , -, , � <br /> CITY OF EVERETT PERMIT SERVICES � � <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810– FAX 425-257-8857–www.evareltwa.org <br /> APPLICATIONS ARE ACCEPTEO FROM 8 AM TO 4 PM <br /> SIT ADDRESS PARCEL TN(I.D.N PERMIT M <br /> GlU . .� ' 8J �� OU I Po�lo`1 - �'�' <br /> LEGAL LOT N0. BLOCK TRACT OR SUBDIVISION M <br /> DFSC. <br /> OWNER ADORESS CITY2IP PHONE 9yq ��T-'�jt� <br /> �� � A Ttl ��N� �lI C, l7�(pl Ve�4 w+i. �,.r STc:�Sb�uu�ur� �'2� iY <br /> TENANT NAME CONTACT FOR PERMIT PH NE ap� . j r t �e+))L <br /> � � �Y C'b Sh GC i�l b- E�MIAIIa..���1�M..4.,..lJtiq�,cc <br /> G�j/��L N^,v�c N L L`ITV21� �FfBR�—� <br /> � �ar /9/ �- �;;a� `i�o,'7 �oG 37t -03� <br /> CONTR.LICENSE M _ <br /> C� �1Ez.r�L9�8RK _-�.1��.,1,Y� <br /> USE OF BUILDIN� HEAT SQUR( E CONTRACT PRICE OF WORK <br /> ✓ Eloctric _Gas_Other ��U a �l <br /> oC-r�c t -,p��t�w,t,tE No��sc <br /> WORK DESCnRIPTION <br /> /Ue. � Ic�S�rcr,�. � �� WC � 7 ��.J� T'O� BRt;AKRon�., ��NK <br /> PLUMBING MECHANICAL <br /> NO.� TYPE OF FI%TURE OR ITEM — NO. — TYPE OF FI%TI1RE OR ITEM <br /> �; 1 ollul __ _ NC-air handling units <br /> A,�������� _ ForcoJ air systoms <br /> �_ Lavalory(wash basin) Gas piping <br /> Shower W alcr healer <br /> � I<itchon sink 8 dis�ws�l _ Gas lir�place <br /> Dishwashor __ Gas rangn <br /> Clolhes washui Clolhes dryer <br /> -- - Walcr hoalr.r _ Rznge hood <br /> Sink(servicnlbadmup/etr..) _ ExhausUan <br /> �acklluw prevenicr _ Hoal pump � <br /> Urinal Unil healor <br /> � Drinkin9 Foun��in Boller ' <br /> 7 Puor drain Refrigeration <br /> . Gre�se Irap _. Wcodslove <br /> Roof dralns ,_ Olher <br /> OU�ar _ <br /> CITY OF EI�ERETT LOCAL SALES TAl(CODE IS 3105 � <br /> I hemby ceri�ily ihal I have read and examinod this applicalion and know Ihe same�n be irue and correcl. All provisions ol laws and <br /> ordivar.es,yovominy Ihis lype ol work will bo compliod with whelhor specified horein or nol.The prantiny ol a pennit does nol presume <br /> Ito�iw aulhority�o violaln or cancel the provisinn of any oltrer st2le or local law repulaung construction or Ihe porlormance of <br /> construclion. Thal I am aulhorized by Ihe owner ol this propnrly lo pedorm lha work,or which application is made and I comply wi�h lhe <br /> ISla�o Contractors Law 1827 RCN.� and<"9C.200 WAC. <br /> �� � � �� I <br /> Signa! re o wne I'onlrar,todA lhonz�d Ayenl D te i <br /> _ --- -- __.—_J <br />