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r <br /> P�RMIT APPLICATI(�nl <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 E I l7 Q <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.org � a l I� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE A�DRE33 PARCEL TAX I.D.11 PERMIT/ <br /> a9aa c,��v- �F�- -oa <br /> LEGA LOT N0. BLOCK TRACT OR SUBDIV1810N N <br /> DESC. <br /> OWNER C�RaqN �d�Rt.,rS; L,f? r�o �DFE83 �D�C.d p7��p„��ITY21P PMONE <br /> y,,s. �sa -yvo� <br /> �D F.vrre�qisfS l�utr 'q�E iUo�t;'h .Sc�T�9bliS X 10$ <br /> TLENANTNAME }� I CONTACiFORPERMIT PNONE aS3� �m, 5�0�' <br /> -�TaVEWHy '7on�-wi. .5wp..y (�v[� �4MiC �,�.vis�h� <br /> 1 / E�MIML9�-KI$VItD$', CY�1 <br /> ���f'r�►!� �o:�-aFrts S`l34. 3�"' �4✓r 5� SF�vrn.s 95�a4. :?s'3 a4n•S�o9 <br /> CONiR.LICENSE N <br /> �Kr Ci13" 9/I R-✓ <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE Of h'ORK <br /> Ctr M�h=q��q t/t�rr+c.s S�f �C Eloclric _Gas_Other ��K <br /> WORK DESCRIPTION <br /> Cs..vF++r Sr�+�-r�. � m��c� ap�� <br /> Cu; �.:�N✓�ov i�✓ exT . G� �lc <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C-alr handling unils <br /> f3alhWb _ Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Sliowcr Wa�er heater <br /> _ Ki�chon sinF 8 disposal Gas fireplace <br /> Dishwashor Gas range <br /> Clothes washor Clothos dryer <br /> Walor hoater Range hood <br /> Sink(servicolbar/mop/elc.� Exhi-�^t(an <br /> Backflow prAvenler Hc��'. �•nmp <br /> Urinal Unil neater <br /> Drinking Founlain Boiler <br /> Floor drain Rofrlgeratlon <br /> Groasa Irap Woodslove <br /> Rool drains Olher <br /> Othor _ <br /> CITY OF EVENETT LOCAL SALES TAX CODE IS 3705 <br /> I hornby ceritily Ihat I havo reaA and oxamined Ihis application and know the same lo be true and correct. All provislons of laws and <br /> ordinar,es govcrning this lypo ol work witl be compliod with whelher specffied herein or nol.The granlinp o(a permit does nol presume <br /> to yivo aulhorily to violate or canccl tho provision ol any olhar state or local law rogulaling conslrucllon ar Ihe periorm2nce of <br /> conslruction. Thal I am authorized by Ihe ownor ol lhis propehy to peAorm lhe work(or whlch applicalion is made end l comply wilh lhe <br /> Slato Conlractors Law�1B�,2y7t�RCW,a�nd 296.200 WAC. <br /> -i�zr"'9�`��7'C— b?.�L '�Ao7 <br /> SiynaKlr�iif--6wned lract�d �t ' .Dale <br /> I�Z <br />