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PERMIT APPLICATION <br /> CITY OF 6VERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> a25-257-8810-FAX 425•257•8857-www,evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM !- '� S/D <br /> SI7E ADDRESS PARCEL TAX I.D.• PERMIT A <br /> 220� Gev I ►�d R'vc �� icr�� - G;� <br /> IEA�L lOTNO, DLOCN TRACTOqEUBOM810Np <br /> DESC. <br /> OWNER AOORESS q, �a LITY2IP PHONE <br /> (�OY�e.�-� M�ze aao� S,s.vela�.� �ve� ► �1�� <br /> e1T �62D 4�5� 5 <br /> TC•NANT NAME CONtACi FOR PERMIT FMONE ��� ^7�Z• I�D�I <br /> JCi1ZZ g11�Lll�lG� e.Ma� � L �1Q <br /> 'CONTR, CENSE�X�( !✓� "IIYI O �V�u���PQXI ��`n ,,,�_ �Z/ � L��I JO' OI1' <br /> J t� � L{`/� <br /> US�OF BUILDIN(3 I HEAT SOURCE CONTRACT PRICE OF WORK <br /> �Elc+ctric �Gns_Olhrtr �� o Oo <br /> WORK D[SCRIPTION <br /> �VI�A�LIVI(� (��In� 8� W Cf�s �`r <br /> J ✓ <br /> PLUMBINO MEC A ICAL <br /> N0. TYPG OF FIXTURE OR ITEM NO. TYP6 OF KIMURE OR ITEM <br /> Toil6! A/C-afr haruflinp unile <br /> � Balhlub � Forcod elr ey9tems <br /> � I.nvatory�wosh basln) ana plping <br /> ���� Sl�ownr WMnrhr.plcr <br /> � ICirr.hnn�Ink 8 dieGoaal _ Go�firopleco <br /> _v Dlnhwanhor _ Gao ran8� <br /> � l;lothm washor _ Clothos drycr <br /> � Wntnr hrtnlor � Ronpo hooA <br /> � Sink (servicc/badmop/c�c,) Exhaus!fan <br /> Aockflnw prevpnter Hoat pump <br /> � Urinal � Unit he0ler <br /> Drinking Fountaln � Douor <br /> � Roor dmin ____ Rolrigerellon <br /> J Groa�o trap ____, Waoastovn <br /> � Roa(drains � Olhcr <br /> � Vlhw _____ <br /> CITY OF EVERETT LOCAI SALFS TA%CODE IS�107 <br /> I horoby r.ontify lhet I have roaC and Czomined Ihls oppilc�llon and know Iho samo to bo truo Bnd Cortoct. �II pmviEions of lewe end <br /> ortllnoCns�ovnrninp thls lypc o(work will Iw cunqdled wllh whelhur cpncllind horo�n ur noL Tho pranting o(n pormlt tloas not prasuma <br /> lo giva aulhodly lo vinl�to or cancol tha provi9ion of nny olhnr etpla or lo�nl lew roguialinp construcUon or Iho periortnance ol <br /> COnatn�r,lion.lhal I em oulty��lrnd hy thn ow I lhie proporly lo poAortn lha work for whlch applicofion is mado and I comply wilh tho <br /> Statc C Inr,lolc d � Q7 f CW anA 298 00 AC. � I � �I �D <br />, Slnn u ! I i �r ' nlr r/Au�hnAzod/1pun1 DBte � <br /> I.�1 'd �56f.-,Ls�'_�;�hI �01 �W021d 2I�S0 6002-St-d35 <br />