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Pf RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425�257-8810- FAX 425-257•8857 -www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS 3� / PARCEL TA%I.D.p PERMIT 7f <br /> .2U �S 1 Ct�s, .. �, Q �� F<q <br /> � -G <br /> LEGA LOT NO. BIOCK TRACT OR SUBUIVISION N <br /> DESC. — <br /> OWNEH AODRESS CITY2IP PMONE <br /> > 13u Il� NC Z��� S� ����eo'wc' `)d (kl �/1J'_ SIT ` �� <br /> �0.r'`x,lti � �c���c.r� �r '> <br /> TENANTNAME CONTAC7FOHPERMIT PMONE 7p� � IG < 1ie�I <br /> (� r I �i��,�. .� <br /> 1"w�t+t_ 1-�a�t4 �nNwl. � tlt,..:w-lZ E-MAILAn..,a�.{��.:e,�(a�� c.c.�l.c� arri <br /> '�6ATpAtTdFi �' 1�1��sT n.��.1 � <br /> A►.�ti�t .,i Cr�.��z�� Aull,iiv. 'il4^� 2r�. S76 �433 <br /> CONTR.LICENSE N �l <br /> �-1 ►..� lU i Ft-c tc� � P 1� . ��_ . <br /> USE OF BUILDING I HEAT SOURCE I CONTRACT PRICE OF WORK <br /> � O 4ttY�lw't�L l�.1 v ElecVic _._Gas---Olher IZ U 7 �l <br /> WORK DESCRIPTION � � k��.. r <br /> .�r,.��,L,� ►1vbL :;�s��.ti ,,;r �`� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUNE Oli ITEM N0. TYPE OF FI%TURE OR ITEM <br /> Toilet / . A�C-air handling units <br /> � BathNb _ Forc��l n�r sy5tems <br /> Lavatory(wash basn) . Gas oiping <br /> - � _... Water I�ealer <br /> Shower <br /> � Kitchen sink 8 disposal __ _ Gas fvep'ace <br /> Dishwasher ___ Gas ranac <br /> Clothes vvasher ___ Clothe:dryer <br /> VJaler healer _ . _ Range 100� <br /> S nk Iserviceibar'mop�elc.) _. � Evhausl la�' <br /> BacHllow preveNvr / __- Heat punp <br /> . . Unnal __ Unil healei <br /> DrinkinG Founinin __ _ coder <br /> Floordram . Relrgeiatio�� <br /> Grease Irap _ Woodtlove <br /> Hoof drains _ _ _ Ol:�er__, _____ _ <br /> _.. . O�her . . . . __ —_—_____—_.__ <br /> CITY OF EVERETT LOCAL SALES TA%COOE IS 9105 __ <br /> I hereby ceritdy Iha� I have read and examined this applicalion and hnow Ihe same to be Irue and corwct. All provisions Of laws and <br /> � oidinaces goveming ihis type of work wdl be comphed wilh whether specilied heiein or noL The grnnUna o'a pF�rmi�does no�presume <br /> lo give authorily to violate or cancel Ihe provis�on ol any other slate or local law regulating coostructioc or Ihe p��formance ol <br /> co sVuclion. lhat I am�;tlhorized by Ihe owner of Ihis pmperty to perlorm ihe work for which application is made�nd I comply with�he <br /> Sta Conlrac�ors La 18.'7 RCW and 296200 WAC. <br /> r / <br /> �...�, --3�.—___�_—�. �t•/at,[c.9 <br /> S�gnatu�e a� wneriConlractocFuO�o�ized Agenl ���e �-- �G 71 U - I b � <br /> ----� <br />