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( � <br /> P�RMIT APPLICATIUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 .,�✓ <br /> �325-257-8810- FAX 425-257-8857-www.everettwa.org ��0� ' �o, <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM a- — }�� �� <br /> SITE ADORESS PARCEL TAI(I.D.N PERMIT/ <br /> 24 ch�srn�r' Cc��o 2 �vi7 <br /> LEGA LOT NO. BLOCK TRACT OR SUBDIVISION N <br /> DESC. <br /> OWNE ADURESS r� CITV2IP PHONE�6O t �"' � <br /> O,eO T � <br /> �� rI ���/=� �i 3Z.� �� tf"AlF /J�r��s��11� �.n <br /> TENANT NAME I CON ACT FOR PERMIT PHONE <br /> I �O�r o /i e.Ma�360 (�' �i6 / <br /> /C6bAES�' <br /> / <br /> CONTR.LICENSE N <br /> GI'1 �.-1J'� <br /> USE OF BUILDING HEAT SOURCE CONTRAC7 PRICE OF WORK <br /> ��,�rl Inctric _Gas_O�her � (f Q �G <br /> WORKDESCRIPTIONS� �G, �L/�(/� �`p�r,� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR�TEM NO. TYPE OF FI%TURE OR ITEM <br /> � Toilot A/G-air handling units <br /> � Bathlub Farcod air systems <br /> �_ Levalory(wash basln) Gas piping <br /> Shower � �, ���� � <br /> � ��J� , ; � , � Watar healer <br /> � Kitchon sink 8 dis{wsal /� . � _ Gas fireplaco <br /> Dishwashar ` � /�--- _ Gas range � <br /> Clothos washer � ��' � � ��� /, �,� _ Clothes dryer . �� i S", <br /> � Wator healer , � � � , Rango hood � <br /> _ Sink(sorvice/bar/mopletc.) + / '�� � �� � Ezheustfan ���-�` <br /> _ BacAflow prevenler _ Heal pump ��-- <br /> Urinal Unit heater <br /> Drinking Founlain Boiler <br /> Floor drain Relrigoratlon <br /> Grease lrep Woodslove <br /> Rool drains Olher <br /> Olher <br /> CITY OF EVERETT LOCAL SALE9 TN(CODE 19 7105 <br /> I hereby ceritify thal I have road and examinod Ihis applicalion and know lhe same to be irue and correct. All provlsions o(laws and <br /> ordinacos c�ovorning Ihis typo ol work will bo compliod wilh whether spacified haruin or nol.Tho granting of a permil does not presume <br /> to givo authority to violato or canc�i ihe provision ol any other stale or local law rogula�ing construction ar the peAormance of <br /> conslruclion. That I am authorizod by tho ownar ol Ihis property to peAorm the work lor which appli:alion is made and I comply with the <br /> Sla�e Conlractors L.1W 18.27 RCW and 29�.200 WAC. <br /> � —z� � 0 <br /> Signa OwnodConlraclod rizo g hl Dafe <br /> i <br /> � <br />