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- - — - - — - - ---- <br /> - —--- - --. <br /> P MIT APPLICATI <br /> CITY OF EVERETT PERMIT SERVICES � <br /> 3200 CEOAR STREET, EVERETT,WA 98201 ' <br /> 425-257-8810 - FAX 425-257-8857 -- www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �,�G��� <br /> / <br /> SITE ADURESS � PARCEL TAX I.D.p PERMIT!! <br /> � ` W ��'� �o�c�roo2aat��---� MIyDg - OCDO <br /> I EGAL LOi NO. BLOLK TRACT OR SUBDIVISION M <br /> Df-SC. __ _-- <br /> OWNER ADORESS CITYIZIP PHONE <br /> �x.3?b7 �`�� a�+�5 S�t�.. 0.�'r(Z�( Zo�. e.sv. �cs3e <br /> TENANT N CONTACT FOR PERMIT PHONE �6.2 SD•L�(SSd <br /> �'�II� Vllnhl� �VIA E-MAI�I�AIU► <br /> -�oH-r �e.�,,,, �ka °yr.00 s �3� A-�. 5��Sdb�� .,: <br /> CONTR. ULENSEX <br /> -----�+as.a�Pra�q � w�• z..ra,�ts3o <br /> USE OF BUILDING — HEAT SOURCE �TRACT PRIC� E Q�WORK <br /> 1 �-y� C7\l\ <br /> EleUnc Gas Olher ��V� � �J�� <br /> WORK DESCRI�ON `I�ISA„�-�Q -�� �� ��� <br /> C�L!' <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FII(TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> dcl NC - :w handhnq umts <br />' . B:� ub FarceA air syslems <br /> __ L�v.�l (wnh basinl _ Gas piping <br /> Shower Welr.r hea�ei <br /> Kdchen sink isposa� Gi�, hreplare <br /> -- Disliwashcr Cia, rnnyr. <br /> -- Clothes washcr Glothes drye� i <br /> Water heater lianye hooA <br /> Sink (servicrlb�rlmop .c. Eeh�usl 1an <br /> Backflow pmvenlnr Hu:�t pump j <br /> Urinal Untl henlcr � <br /> _ Dnnkiny f nm m _. f3oilei I <br /> flanr drain __ Hdnyerabun <br /> Grease .p -� Woodtilovc 1 r � <br /> ____ Ronl �ins O�he�Q�,__�O'1�` t�-N.J���L <br /> __ _�__ <br /> 011 .r <br /> — --- -- � ----------- --------�- - -------- - - --- -'-------- <br /> CITV OP EVFRFTT LOCAL SALES iAX COO[IS 1105 <br /> I hen�hy certdy Ihat I h�ve re.id�nd r.RammaA Bvs apphcntinn nnd know Ihe samn tn be Vue on�t r.orrer.l All pruvis�ons ol laws;v�d I <br /> ordinanr.es governing Rus typr,of work will l�r. complied wiih wlv�Rier spor.�hud hrrcin ur nol The yranliny ut n peimd docs nol prr.sum�r � <br /> lo grve aulhordy�o violale or uincel Ihe prowsinn n1 any o�hnr statr or loc;tl law reyulal�ny cvnst�nr.�inn nr IhN pn�torrnnnre�ol <br /> c idinn 1 'rt I on authori2nA by Itie owncr nl Ihis prnperty to perinrm the work Inr which npV����.:dion is made nnd I cnmply wilh Ihe <br /> t:dc nlrecl .� a 1H 27 RC id "19fi 700 W�C <br /> —��"4". _L��_. ._ 1/Ti <br /> Siyna ure o UwnerlGnnlratinrlAuthon7ed�gent � irt <br />