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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 /> 1�3 y APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 !�M � ��� <br /> SITE ADDRESS �'/� t, PARCEL TAX I.D.A P MIT R <br /> FST�/Cl% �-t= 00�/ 7 � � 'nl <br /> LEGA LOTNO. BLOCK TRACTORSUBDIVISION/ <br /> DESC. – LD � 22� Ef/E�/%SU6�iviS�oN 'O � � <br /> OWNER ADORESS cirrrzir PH�"��sys-ao�y <br /> /cA�/6n/ (.J�nicTSC_p�/SR✓CT�onI /S/i �.��S�� ScATiCc �f39g/03 <br /> TENANT NAME CQMTpCT FOR PERMIT P�'ONE �J S-Z S L-�('7 D-) <br /> I �ItiI� �"r'i�ir.n� ,J�-'�iJ�� ylhl�Cc">:��a:�ic���o1C,i1 � <br /> �'— ��1 rv....� rc �� E�IIAILI'iu� n�r,. l. <oti� <br /> ,fv�N :%��n�� S Civa�+i zvencru �5�� iJ � SS�S� �qAlE�"s+o3 aa,�S�YS-zd 5/ <br /> CONTR.LICENSE M <br /> USE OF BUILDING I HEAT SOURCE I CONTRACT PRICE OF WORK <br /> /� _ 'Z _Electric �as�Other <br /> �.L J <br /> WORK DESCRIPTION �5 IG B 3 (�J <br /> �_N J � 1 ' - <br /> --� s rn����, -033 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXNRE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C–atr hendNng untls <br /> � Bathlub Forced alr systems <br /> Lavalory(wash basin) � Gas piping <br /> � Showor Waler heater <br /> Kitchon sink&disposal � Gas lireplace <br /> �– Dishwashor Gas range <br /> % Cblhes washer / Ctolhes dryer <br /> � Waler healer � Range hood <br /> Sink(service/bar/moplatc.) � Ezhaust tan <br /> Backllow provenlcr _ Heal pump <br /> Urinal Unit heater <br /> _ Drinking Founlaln Boiler <br /> Floor drain RofriperaUon <br /> Grease trap Woodstove <br /> Roof drains Olher <br /> Olher <br /> CITY Of EVERETT IOCAL SALES TIVE CODE IS 7105 <br /> I heroby coritify lhat I hava read and examined this applicallon and krrow the same lo be lrue and wrrect. All provisions ol laws and <br /> ordinaces governing lhls lypa ol work will be compli�d wilh whelher specifled herein or nol Tho grantlng of a permit does nal presume <br /> lo give aulhorily lo violale or cancel Ihn provision of any olher slale or local law rc+gulating conslruclbn or lhe pertortnance ol <br /> co�struclion.Thal I am authorized by the owner ol lhis propoAy lo per�ortn the wvrk(or which appllcaUon is made and 1 comply wilh Ihe <br /> Slale Conlraclors La 18.27 RCW and 296200 WAC. <br /> �-�' � /%-09_ 07 <br /> S�g a�WnertConlraclor�kedAgenl Date �/Z <br /> � <br />