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i r <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 /> �/��"1 APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � g �O <br /> SITE ADDRESS ��'J� PARCEL TAX I.D.N PERMIT/ � <br /> ��— C .�i-nl�i-� ooy � � �� � <br /> LEGA LOT NO. BLOCK TRACT OR SUBDIVISION M � � <br /> DESC. _ Z� � ,2Z� EVE�/!SJ��/viS�oN 'O <br /> OWNER ADDRESS CITYZP PC M��`�i.S'aV�7 <br /> /� nc J <br /> /�A✓Ei✓ �l Nc�sl�/SR✓c:T�o•J /S/i �.SSE1i�i. JcATiLE(.vAc�/03 <br /> TENANT NAME I CONTACT FOR PERMIj PHONE �fZS 'c-5 Z `17<'� <br /> IM�'CGsia'1 1-�E_5icr-1 ��rpCc•�xc:�.)e•�,��n �. <br /> -T'1 rn .+1� 'k�_t�rl E*IAIL N.�n.:�. I , w.� <br /> ,lvsni .N�n�G S Gn�i�v�nr.a,� � S�� �J SS�S� .�=RAl��"s+u3 ?�c�SYS'icN'� <br /> CONTR.IICENSE N <br /> USE OF BUILDING I HEAT SOURCE I CON7RACT PRICE OF WORK <br /> /.' _ � _Eleclric �as /� Olhor <br /> /1 <br /> WORK DE&CRIPTION Fj AS � e- � �� <br /> �.t. N 1 1 I .S . � � <br /> ----- " --N�u1NBING MErHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> � Toilet AIC—air handling unils <br /> Balhlub Forcctd air syslems <br /> �/ Lavalory(wash basin) � Ges plping <br /> a Shower Watorhealer <br /> � Kitchon sink 8 disposal Z Gas firepiace <br /> Dishwashar Gas range <br /> �_ Clothes washor � Clolhes dryor <br /> � Waler heator Range hood <br /> _ Sink(servica/bar/mop/olc.) � Exhaust fan <br /> Backflow prevontar _ Heat pump <br /> Urinal Unil heater <br /> Drinking Fountain Boiler <br /> _ Floordrain � Rofrigeralion <br /> Groase lrap _ Woodslove <br /> Roof drains Olher <br /> Olhar <br /> CITY OF EVERETT IOCAL SALES TIU(CODE IS J105 <br /> I hereby coriti(y thal I havo raad and examinod lhis application and kraw Ihe same lo be We end conect. All provisbns ol laws and <br /> ordinaces goveming this typa ol work will bo complied wilh whether spocilied heroln or not.The granUng of a permll does nol presume <br /> lo givo aulf�ority lo violala or cancol lha provl��ion ol any olher slate or local law rogulatlng conslructbn or lhe perfortnance o( <br /> conslruclion.Thal 1 am authorized by Ihe owner ot this propeAy lo perlortn Ihe work lor which applfcation Is made and I comply with Uie <br /> Sl�onlrectors La 78.27 RCW and 296.200 WAC. <br /> ��'�7. �J7 � <br /> i�Sig a uro ol wnodConlractor �genl Dale � ?i <br /> � <br />