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t <br /> PERMIT APPLICATION <br /> CiTY OF �VERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, VVN 98201 <br /> 425-257-8810-FAX 425-7.57-8857 -www.everettwa.org � <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM 9"�0 ��� <br /> SITE ADDRESS� �J R ��p� ,�s_ZV PARCEL TAX I.D.N PERMI'f M <br /> ��d3 �c w �i ii 78U�� IvUU 1(� C7 ZJO I �/`.�1��" �� <br /> --�-- <br /> LEGAL LOTNU. BLOCK TRACT �w f Zb Q��C U`{ C ,'/L CF 5cC EYC C ��S��O <br /> DESC. '��" : L` XC n' �.✓ '�'u St l7F l+r� �EQ v-J(�J <br /> OWNER ADDRE54 CITYRIP PMOHE <br /> �r.� ����,�,(.� CvMF�..,� Po gp�c 3�1 � � F��,�{�- w.� N �� <br /> J �v��s_ ZO�- 00 941-13 <br /> TENANT NAME �� ��(,� I CONTACT FOR PEkMIT PHONE <br /> � ue i �y - Fvc.ctf" yS-- 2Ua� Kris Svt�a..So�� �Zd1�) `lol- 2k 2-S' <br /> CONTRACTOR ' ADORESS CITY2IP PHONE <br /> i� 1a�Z�v�.�IJ �b��l�� �-�� "1 �cfrui-1 h�� SW ��O(� � �h�'�l�7� <br /> CONTR.LICEN�RC.OJ F S rl Q!L� f'�U ��� ��� � <br /> � Z, ; I -- U`� <br /> UI,SE OF BUILDING HEAT SOIIRCF. I CONTRACT PRICE OF WORK <br /> ` �'�}l'�''=`�� �- `-1 I U�� ( ,�' �Elactric _Gas_Other � �� ���. pv <br /> � <br /> WORK OESCRIPTION r � h�,e.�" �,n� � <br /> Itil.Cct-� ' Ac1d ,�. Exlunu5r t�t�r�S, w ��c� 1 5�� ��' SS •�S�f1Ch1 � � � .arl � W�-r f �d <br /> �{d� Qv.ks �di LJJJQ./� M�JC /cfC,i �f�� ��� �`�`l' U °CYw ��rk / i�.FF,�,oc� /�l�i��.Qd . <br /> �LI�^9 ,1�1cL `� Vi.iLC�S 3 ....,�i,�i S 13i.kl..c�•.. � ,..1� 1 QIcl1 wr.}iv �aV�i✓, IE'.yQ t,,��o <br /> Sfn�lu•.. � v�l\ F�v�b.l�•.i' � �v�ni.� C�v�•�n 1 (i)Ar S�ii'Ik �nt� n.lyt Q��."`�r.<1 . <br /> PLUMBING MECHANICAL � � <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIIRURE OR ITEM � <br /> '� Toilel _ A/C-air hendling units <br /> Bathtub Forced eir systems <br /> � Lavatory(wash basin) _ Ges piping <br /> Shower J._ Waterheater <br /> Kitchen sink 6 dispasal Ges firoplace <br /> Dishwaslier Ges renge <br /> Clothes washei Cbthes dryer <br /> Laundry tray Renge hood <br /> � Sink(servicelbadmopfelc.) � Exhaust lan <br />� Backllow preventer 1 Heat pump <br /> � Urinal _ Unil heater <br /> Drinking Fountain _ Boiler <br /> Floor diain Retrigaration <br /> Grease trap _ Woodstove <br /> 1 Rooldreins Other <br /> _3_ o�narcTv,,,,_d1�`��1�c� — <br /> — wsc�_��.�dc_nt.�.�.i�. i�,,l,�i i — <br /> CITY OF EVERETT LOCAL Si1LE5 TA%CODE IS 7105 <br />� I hereby ceritity that I have�ead and examined lhis app!Ication and know Iha same to be lrue end conact. All provisions of laws end <br /> ordinaces governing this type ol work will be complied with whether specifed heroin or n�!. i he granting ol e permit does nol presumn <br /> to give authority to violate or cancel the provision of eny other state or local law regul,ting cons�ruclion or the peAormance o/ <br /> conshuction.Thal 1 am aulhorized by lhe owner ot this propeAy to periorm ihe work lor which epplication is made end I comply with Iha <br /> �StetrCooU�dGlors Law 78,27 RCW a 200 WAC. <br /> _ �1C,.� � Q - - �� <br /> wner/ onlractor/Au o nl ale <br />