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-- � — <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PER�JIIT SERVICES <br /> 320C CEDAR STREET, EVEP.ETT, WA 98201 <br /> 425-257-8810 - FAX 42G25'-aRP7 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> SITE ADDRESS ''�M'g 45-ZLY+itB� PARCEL TAX I.D.p PERMIT# /l <br /> 3003 W �us;no2rl a"" 2. `��4 , �m iooZoo �C �gD�j`Ob�t <br /> L[G41.. LOT NO. BLOCH TRACT OR SUBDIYISION k <br /> f)ESC I <br /> OWNER ADORESS CITYIZIP PHONE <br /> �c�'�� Ce, �a--Hlc 1.J�4 <br /> TENANT NAM GONTACT FOR PERMIT PH 2�640-� 261$ <br /> �OC�/lq CV (� S �U�'1AnSpN E•MAIL <br /> Z:bFfi�A�ibk' ---—��--_-�iTYI <br /> (Y�F��o✓�c�l�l tv�;�ler -771 'l �r+ru�k �� S,..it+lle `lkl2y 2ub <br /> CONTR.UCENSE M ��c�?'�4OD <br /> n1�a G OD FS cist V ��� I <br /> -----------._...---------- -- ---- — <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK I <br /> �l9 Sop i <br /> �[ler.inc _ Gas . -- Olher <br /> — ._._. .. . . _.._... ._ ____ _—--..__—.—_— ___ -_ —__._.___ i <br /> WORK DESGRIPTION ���<�,{��1� �11t'c��l A��1< <e l �- 1��`�.t-6�✓iy <br /> - - -.__- ---... --- ___ . . _.. -'- ----- --- ---- <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> '_ ---_.— __.__. _____-- — <br /> Tuilct _ NC-air hanAling unils <br /> � p;�p����� _ Porr.ed^ir sys�ems <br /> �_ Lavalory(wash basln� _ Gas piping <br /> Showor Wator he�ler <br /> Kilchen sinM 8 dis�msal Gas lireplac� <br /> Dishwasher Gasranye <br /> Clolhas wesher Clothes dryer <br /> � Watnn c�aler Ranc7c hooA <br /> I Sink (service!bar/mop/etc.) 2 E+chausl(an <br /> —�-- Hackllow prcvenlor __f Hnal pump <br /> 3 Urinal _ Unit hcater <br /> J_ �rinkin9 Fountain _ �oiler <br /> _ FWor Arain _ Rof�lperalion i <br /> Grcase Irap Woods�ove <br /> Rool drains _ Olhor __ <br /> 5 ou,er�i,�p}t. c��T�e+ _ <br /> rr ETe SIU"x'� � <br /> — - �br���y I -- -- <br /> CITY OF EVERETT LOCAL ShLES TiU(CODE IS 9105 <br /> I her�by cerilily Ihal I have road and eramined ihis application anA know Ihe same lo be truo and correct. All provisions of laws and I <br /> ordinaces uo�;orninr,Il�lr, lype of wnrk will Ce cnmpG�d wi0i wLether specifiod herein or nol.Tho granting of a permit does not presume � <br /> lo givn ;iuthonly 1�,vinlatu�:�cancel Ih^provision ol any otl�er slate or lor:;d law rouulaliny cr,nslruction or Ihe portrnmance ol <br /> constrw:tu,n That I am authorizuA by ihe owner nl ihis Property to perform ihr, worA lor which applicalion is made and I comply wilh the <br /> Slale Cr�nhn�Auis Lavr 18 27 RCW ond 2UG.2U01M1AC. <br /> ��_ s/��/os _ <br /> Signa irc��I Ownm/Gunlr;�dodAulhoriz�d Agent Dale <br />� � . . ._.. . .__ . .__.. .- ---- _ J <br />