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r- -. . `��s�'����.� ( —�lc�—`'���-- ______ <br /> PERMIT APPLICATION <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 E AM TO 4 PM � ._.()Q—( <br /> SITE ADDRESS PARCEL TAX I.D.N PERMIT p <br /> �� n �����D���D ���5 <br /> � 1 CGAL LOT N0. BLOCK TRACT OR SUBDIVISION N <br /> i DFSC <br /> iOWNER AODRESS CITV2IP PHONE <br /> I �'.ir� t�'71?Z�S.1 F� S[stM?�!(ZYc 2l1 L•Z5J•�S3b <br /> � TENANf �E 1� <br /> CONTACT FOR PERMIT PHONE �(�.Z S O-<-(S�I O <br /> ����I V���C'C �y A �! � E•MA1 � <br /> ( CO T C R � s ` DRESS C ll ON <br /> CONTR.LICENSE N <br /> _ t�o►,.�pPrs�aao Y�ao s �3cr" P� �j�c_�'C�1( teGzsoK�� <br /> USE OF BUILDING HEAT SOURCE CONTRAC7 PRICE OF WORK <br /> I <br /> � � Eleciric Gas Olher <br /> '' W DESCRIPTION <br /> a a�+vs, � Fc.,.� � n�. , 3 a ��a-�.�,�s - <br /> ' a Re.4' ha,e�Os 6�,�,��wer� �. <br /> � (YQ.b'S `�'O tCfvt �cc <br /> ------- �'{��.e.�s- — I <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FI%TURE OR ITEM NO. TYPE OF FI%TURE OR 17EM <br /> .. 7aJr.t -...— - --� - '� A/C-nir handlmg unds ---- <br /> -- d��������� Forced art systems <br /> ! Lavatory(wash basm) --- Gas piping <br /> ' Shnwr.r W:ilcn c�atur <br /> � Kdchen sinM R disposal � Gas lireplace <br /> Dishwasher ---- Gasranye <br /> Gluthes wishr.r Clolher.dryer <br /> Wntei heater Ranye h��od <br /> Smk (scrvie:e!Ibadmop/r.�r..) -'�- ExMusl �nn <br /> -- Backllow prr.venlr.i Hcat pump � <br /> _ Unn:d Uml hr.�ter � <br /> ' � Dnnking Fount�un -... -- Boilcr <br /> i Floar drain --- Refn��cration <br /> �. Grc:isc Irip -- Woodslovc <br /> Rnol dnuis --- .�a� <br /> ' Othcr -/._ OUier tp,�•.C��� <br /> - 3�_ JAV el <br /> � ��� <br /> ' _ - — ---- — --- assa,,,�k.d ����-s- --- <br /> CITV OF EVERETT LOCAL SALES TAX COOE IS 3105 <br /> __ .'_..__'.__—_— __— __ -__. ._'______ --. -_'— i <br /> I herr.l�y certdy Ihal I h�vr. �ead�nd examined IMs apphcahon �nd know Ihe same lo br, �rur. anA uirrer.t All provisiuns ol laws �nd <br /> ! o�dmanr,r.s govenung Ihis rype ol work wdl Ge compheA wdh whelher spr.ufied hcrem or nol The gnnUng al a permd Aoes nol presume <br /> I n aulh�ir y�o vmlalr,or canr.ol tho p �,inn of any olhr.r st.de or lor.�l Inw rr.yulaling�nnslnic�ion or Ihr�pedommnc�nf <br /> on:tr iwn hn I am autl mtr.d by Ih.nwi .r ol Ihis property lo pr.Aorm ihr,work Inr whir.h applir.ahon is madc:ind I cnmply wtlh Ihc <br /> bilc C Lnw 1 .2 f2CW and 962 O WAC. <br /> � -� '/Z <br /> Siqnc - wnedCnn�raclor Aulhorized AyeN �ale <br /> I <br /> � <br /> i . - - <br />