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� <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCFPTED FROM 8 AM TO 4 PM rj-_/p -O� <br /> SITE ADDRESS PARCEL TAX I.D.M PERMIT M <br /> '�,d3 ✓� 'w�no � li��ob 4•' 3� � BL�I IoUU IUC7 LJ0 V -UO3 <br /> LEGAL LOT NO. BLOCK TRACT <br /> DFSC. ` � io '�we zb Rc�c uy E I/L �{ Scc EYc <<{s��o <br /> � . � xc ,.' W a-� S� �,F wA PEQ �-%f� <br /> OWNER ADDRE55 � CITY2IP PHONE <br /> ,'1,� 6;_,c�,nc�. Cv,�-.`a.r� 1'� g �c 3'l V 1 �cv�:�{t-� i_�A N /4�' <br /> iv��f _ �o- o0 9Fzls <br /> TENANT NAME ����(.� CONTACT FOR PERMIT PNONE <br /> � oe i •�5 -- E-vc�tt� yS- � � ZI � iis Sol.ar�Sp�-. �2.u�n) `IOl - 2.(� Z-p <br /> CONTRACTOR ADDRESS CITY2IV PMONE � �� 4 <br /> r�1 c-�l�u�•�-1 J ����I�II �7-! � 1 Oc4ru i1" h�la..�. SW �j/� (�OG- � " �-7� <br /> CONTR.UCENSE/ SQ�`II�' �b/6(. <br /> r�nAc.Jo�Fs '',a�� f'�v � Z- � � - o$ <br /> UISE OF BUILDING HEAT SOURLE I CONTRACT PRICE OF WORK <br /> \` c���l�u%� r` �- `-1 I U`�� ,�` �Eloctric _Gas_Olher � I J� '���. b� <br /> WORK DESCRIPTION �. f �� G � }- � � r ���••{- P��^� <br /> ti1C�N '. ladd ,� E-t1�t�. S iY•,r�5, tnc 1 5i � �• S C'i�� � r1C� f� �•.��� ; �ra <br /> ��ddC�ks �dc L.�� ,;e/� MiJC reFt.� r �pinq �-�i` c.� �C�-,,,,.�rk / i�.FF,a,oe� �(�n�LQ9 <br /> DL�v.g. ado. y �:.ilciS 3 _,,,-.,i_;s s c3i.,I.,c�.. , ,...� � elcer w .a�. �a�ltr, � e�e u�.� <br /> S�r�N.., I vc.1\ F\.r���,�4 I �u.�u.� C�v�.ir 1 (7)O�r Sii1 k C nt�� n.�yc � ���- � <br /> PLUMBING MECHANICAL <br /> N0. 1YPE OF FIICTURE OR ITEM NO. TYPE OF FIXTURE OR REM <br /> �_ Toilel _ A/C-eir hendling units <br /> Balhtub ._ Forced eir syslems <br /> �_ Lavalory(wash basin) Gas piping <br /> Shower � Waler heater <br /> Kitchen sink 8 disposal _ Gas fireplece <br /> Dishwasher __ Gas renge <br /> Clothes washer _ Clolhes dryer <br /> Laundry tray Range hood <br /> � Sink(service/bar/moplelc.) � Exhaust fan <br /> Backllow pravenler �_ Heat pump <br /> �_ Urinal _ Unit haatar <br /> Drinking Founlain _ Boiler <br /> Floar d�ain _ Ref�igerntion <br /> Grease trap _ Woodstove <br /> 1 Rool drains _ Other <br /> _3_ oine«�_��„���f�{�o,. — -- <br /> — w����cl.�t s.:�_,��. :u��,�. i _ <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS�105 <br /> I hereby ceritily that I have read and examined ihis application end know the same to be Irue end cortecL All provisions ol lews end <br /> ordinaces govarning this type ol work will be complied wilh whether specified herein or nol.The granling ol a permit does not presume <br /> lo give authorily to violale or cancel Ihe provision ol any other state or local law regulaling conslruction or the periormance o( <br /> const�uction.Thal I am euthorized by the owner of this property to pertorm Ihe work for which applicalion is nade end I comply with the <br /> ,�Stete-�GoaUdF`tore Law 1827 RCW(and-29b 200 WAC. !-� <br /> �-. )(_'1.���� \.., - O U <br /> jI�3rt�nat wnerl ontraclor�ut io ��� a� <br /> L _ _--..—_._.__— <br />