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` i <br /> �--- — <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREcT, EVERETT,WA 98201 <br /> 425-257-8810- FAX 425-257-8857- www.everellwa.org <br /> 7 APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM Y "�"�p <br /> SITE ADDRESS � PARCEL TA%I.D.# PERMIT p <br /> � u � ���i nlc� T �r- o�,y s'�3�, ;,��,� �� _ C 7// -2 ; <br /> LF�A LOTNO. BLOCK TRACTOR3UB��'ISIONN � � <br /> DESC. - LU � .2 ZSf cVC�i'-E// �j���',/�/V/SiDiV �O <br /> OWNEF AUURESS CITY2IP PHONE <br /> c ��>s�>s-.���y <br /> /.�Av�,�/ l,�i -�v�S �vy�zv�;,o.cl ,si� itJ. •>.SH�s%. St.9TiCEu�A �;a.3 <br /> TENANTNAME I CONT�ICTFORPERMI7 PHONE �-Zt I�z -.' 12u� <br /> IIIIF�l�tLi�i.l. � UP_`.�4�1.� Ivh�:"r.:.ni��'• t 'i�Jrl�.� <br /> �[���v.� k !�•� Efi1/UL Il..+�na .� . �o� <br /> /c,evc�v .w �.v� S �:�r,.�ii;v�.-.t/L� . '��� �� •�Sf�1S� �ffn/E;�u�7 ?�c) 5`IS -Zo�y <br /> CONTR.LICENSE p <br /> USE OF BUILOING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> �� _ _Eleclric �as /� Olher _ <br /> URKDESCRIPTION ��) �}q.5 �C �U�O <br /> �.lN1� � �� � <br /> �_�i <br /> PLUMBING MECHANICAL <br /> INO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR IiEM <br /> Toilel NC-air handling unils <br /> � OalhWb Forced air sys�ems <br /> .5� Lavalory(wash basin) � Gas piping <br /> s,� Showor Water hoalcr <br /> � Kilchen sink 8 dirposal Gas lireplaco <br /> � Dishwashor Gas range <br /> % Clothes washer � Clolhos dryer <br /> Waler hoater � Rango hood <br /> Sink(sorvice/barlmoplelc.) � Exhaust fan <br /> Backllow provenlei _ Heat pump <br /> Urinal Unil healor <br /> Drinking Fountain �oiler <br /> Floor drain ' Refrigerelion <br /> Greaso Irap _ Woodslove <br /> Rool drains Other_ <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> I hereby ceriti(y that I havo read and oxamined Ihis appllcalion and know tho samo lo be lruo and carrecL All provisions ol laws and <br /> ordinaces governing Ihis type ol work will be complied with whether spocilied herein or nol. Tho granling ol a permil does nol piesume <br /> lo give aulhority lo violalo or cancel Ihe provision o(any olher slalo or local law regulating conslruclion or the peAormance oi <br /> conslruction. Thal I am au�horized by lhe ownor ol this propeAy lo pedorm Ihe work lor which applicalion Is made and I comply wilh lhe <br /> t Slato Conlractors La 10.27 RCW and 296.200 WAC. <br /> ` - �' -_ <br /> ��,4 � ��"��- U7 <br /> ; S��9 a ure of wnedCcnlractor d Agent Dato �-7 <br /> l <br />