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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 ACCEPTED FROM B AM TU 4 PM G_� 0.-06 <br /> SITE ADDRE33 � � PARCEL TAX I.D.N I �R�T M <br /> -���� 3 �✓ , as �.�o � � P,�Pb It- 3 � K (,��� �uUU IUC� LUO i L� � <br /> ,crt - „� i �i z i 1- <br /> LEGAL LOTNO. BLOCN TRACT _ <br /> ��4 � � o i w� zb Qc,c u4 C I s; �F SwA PEe av-�n� <br /> DESC. t� . C: Y-G Ac�d �� I (t/�J -�'u <br /> OWNER ADDRESB CITV2IP PHONE <br /> —�}u �.�c �ric�. Cun..�,c�r,� 1�0 (�r,�c 3�i � 1 Fvc,c-!+ ���� N /� <br /> M�c_ Zo � oo `9p zl s <br /> TENANT NAME � � ��(� CONTACT FOR PERMIT PHONE <br /> �1���� ���c� - � �iiii� �IS SI � I � ii5 �U�.Pr�$C��� �ZO�e� `�O� - Z.�e2—� <br /> CONTRACTOR � � ADDRES9 CITV2IP PHONE <br /> r�lo,� l �v,�c_IJ ��� illl� -7711 Uclrui ` �..i. $W 1(�� ��OC- � 76�'U�7$ <br /> CONTR.LICENSE K SP��I`Y �XI C <br /> ����» F5 ,au 2� i 2 � 3 � - �� <br /> USE OF BUILDING , HEAT SOURCE CONT(yRACT PRICE OF WORK <br /> � ,- ,��✓�,.�.� � � ,- � I O`i � �ca �Electric _Gus_Othar � _7J� v��p , �� <br /> WORK DESCRIPTION � I <br /> IL1L � b, � 11d d ,2 � �i V u,� ) �� {-o.��S c. c�U 1 `�p, ��- S.�5 t"���r. Itit. o.l- Q v.,.^(� � /l rl � �-"-1 r ^Fdb <br /> �1JdCv.ls �dc �.,.: Je �� ,��iJc r< I-cr r�p �nr� r--ni� t� �<�-w�,� �' � Ij,F(-w,¢. <br /> ���ii�lR4 . <br /> �LIv�A il�lc� y 1:, � IC� 1 .i .....��.,5 S 13t�41..cu•., e ,,.\S . I2le� I wi.Viv �W�Cri � F.yQ W�d <br /> S�ni-W... I w^1� F1.7��]r_�1 � ��,�ni� [�r�.�n 1 (1�o�r Siilk �;ni� iwiyc � •(�r � <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> � Toilet _ A/C-air handling units <br /> Balhtub Forced eir systems <br /> � Lavatory(wash basin) _ Gas piping <br /> Shower _L Waler heater <br /> Kilchen sink 8 disposal __ Gas fireplace <br /> Dishwasher Gas range <br /> Clolhes washer Clothas dryer <br /> Leundry troy Rango hood <br />� �_ Sink(service/bar/mopletc.) � Ezhaust lan <br /> Backllow prevente� � Heat pump <br /> � Urinal _ Unit heater <br /> Drinking Founlain Boilor <br /> Floor drain Relrigeralion <br /> Grease trxp Woodstove <br /> 1 Rool diains O�her__ __ <br /> -3_ otner-.}s�.:9.1�� ,f,,, -- <br /> -- td�-�� �3.��L� . �"e I�r ; — <br /> CITV OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I hereby ceritify Ihat 1 have read end ezamined this epplicetion and know Ihe same to be true and correcL All provisions of laws and <br /> ordineces governing lhis lype ol work will ba complie.d�vilh whether specifiad herein or noL The granting of a permit does not presume <br /> to give authorily to violate or cancel Ihe provision ol any other state or local law reguleting construction or lhe pedormance ol <br />' construction. That I am authorived by the owner of this property to pedorm the work for which applicalion is made and I comply with the <br /> , Stafe Contradors Law 1827 RCW 8�M29 .200 WAC. <br /> ��., l_, ��� � - - �� <br /> —9igrtahmi wnedConlractod�ul io nt ate <br />