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{ <br /> ERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 ' <br /> 425-257-8810– FAX 425-257-8857–vwvw.everettwa.org <br /> ��/G (�A�����'� APPUCATIONS ARE ACCEPTED FROM 8 AAA TO 4 PtA <br /> SITE ADDRESS PARCEL TAl(I.D:11 PERMR N <br /> IN 0�43�32Zn� IZvl ,�G7c � 3 <br /> �on �or►w. e�oac rn�cror�sueav�ow� <br /> oEso. �Z - �5 225 D -o� rl� ��/CfZE`(f p Y v P�q`T <br /> R <br /> Kt�J� �1 �i�lC�S Q,����r. 151I hl 551u S7 �FA-ni-�. 9t�o3 �ZO6-yis -1014 <br /> TENANT NAME I CWlMCT Fdi PEAMR PMONE �S 2�i 2 �i 2 c c� <br /> �— IrhP2�->SiJ� D�SIGr� � ressio��cles� n <br /> E�MNL��ut►�ln�,1 . �O� <br /> �l✓� Cr X�V��riv–%� it7b��y "1'7U A�E N� SlbaEunr'_ <br /> CONTR.LICENSE R <br /> G3�SS <br /> USE OF BUILDIN(i I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Electric Gas_Olher <br /> WORKDESCRIPTION �Ff'lo�iT���•l oF �93 Nvl.l �ESipGN�ln�. �zie�•_r..�'1� <br /> /j) �7 t(,{7j�Ur� .l���f'� <br /> YL <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlIITURE ON ITEM N0. TYPE OF FlIfTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathlub Forced air sysloms <br /> Lavatory(wash basin) Cias piping <br /> Shower Weter heater <br /> Kitchen sink 8 disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothos washer Clothes dryer <br /> Water heater Range hood <br /> Sink(service/bar/mopletc.) Ezhausl fan <br /> Backllow preventer Heat pump <br /> Urinal Unil heater <br /> Drinkinp Fountain Boiler <br /> Floor drain Relrigeration <br /> Grease trap Woodsro�e <br /> Roof drains Olher <br /> O�her <br /> CITY OF EVEHEIT LOCAL SALES TAI(CODE�S 7105 <br /> I hereby ceritiry ihat 1 have read and ezamfned lhis applicatlon and krqw ihe same lo be We and cortect. All provisions ollawa and <br /> ortlinaces goveming thia type ol work will be complled hith whether specified herein or not.The pranting ol a pennit does not presume <br /> to give authority to vidate or cancel the proviaion ol any other etate or local law regulaGnp conslruction or the periormance ol <br /> conslruclion. That I am authorized by ihe owner ol Ihis property to pe�lorm the work lor wliich applicalion is made ancl I comply wilh the <br /> State Gontractors Law 1827 RCW and 296200 WAC. <br /> �C ✓ <br /> �7 �d-� ui � G l yl w— 9 / y o�7 <br /> S'�gnatur�� wrier ntractod utho z I ale <br />