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PtRMIT APPLICATIC�N <br /> CITY Oi� EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810- FAX 425-257-8657-www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � �, � —Oa <br /> SITE ADDRESS PARCEL TAl(I.D.N PERMIT A <br /> + Zsg �� Z �h«�N d g 6� ' o - .z. <br /> LEGAL LOT N0. BLOCK TRACT OR SUBDIVISION M '� <br /> DESC. <br /> OWNER ADORESS CITYIZIP PHONE <br /> ��s ` t�ac��a,� 112i� ��r�` c��t SE Eu�_r.�,�- <br /> TENANT NAME CONTACT FOR PERMIT PNONE µ�3 y y_y8�z <br /> U fNN /—/O�CGIAN I G r�Nn� �O�CG �4a E•MAIL <br /> � + <br /> Evc-�+-FprT w�4 yLt 3Uy �!a'� <br /> CONTR.LICENSEM �D,�r� + �` /J �5-T �C /�L-� <br /> rC ��vv (�p <br /> USE OF BUILOING — HEAT SOURCE I C�RACT PRICE OF WORK <br /> Electric Gas__Olhor �QO�Od <br /> WORKDESCRIPTION YQ �n �N` W� �L <br /> /�� �. ,� � �/a� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilat _ A/C-air handling unils <br /> — ��������� _ Forcad air systems <br /> Lavalory(wash basin) _ Gas piping <br /> Shower _ Waler hoa�er <br /> Kilchmi sink 8 disposal _ Gas lireplaco <br /> Dishwasher _ Gas rango <br /> Clothes washer Cbthos dryor <br /> Walcr healer _ Rangc hood <br /> Sink(sorvic�lbadmoplutc.) _ Exhaust lan <br /> Dachllow prevenler _ Noal pump <br /> Urinal _ Unit heatar <br /> Drinking Founlain _ Boiler <br /> Floor drain _ Rofrigeration <br /> Groase lrap _ Woodstovo <br /> Rool drains _ Olher <br /> Other ___ — <br /> CITY OF EVERETT IOCAL 9ALES TN(CODE IS J105 <br /> I hofCbVi ce�ilily IhBi 1 h�v!+ rcad and oxamined Ihis application anA know Iho same to bo truc and correcl. All provisions ol laws and <br /> ordinaces c7oveming this lypo ol work will bo compliod wilh whelher specifiod haroin or noL Tho granling ol a pormil doos nol presume <br /> lo c�ive aulliority lo violalo or cancel Iho provislon of any olher stale or local law regulating consWction or the pedormanca ol <br /> conslruclion. T t I am nuthorized by Iha wnor o(this property lo pcAorm tho work for which application is mado and I comply wilh lhe <br /> State Contn or Law 10.27 RCW �i 4)6.200 WAC. <br /> o ..._. `� /9 e. <br /> Sig . uro o OwneUConlracloflAuth ¢od Agonl Dale �/� <br /> � � <br />