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��l <br /> �_--�i�1rG,v�-��----���r�°�,.�,- �30�07 ai,� <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERM!T SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> I 425-257-8810- FAX 425-257-8857 - www.everedwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> i SITE ADDRESS �.,/ PARCEL TAX I.D.p PERMIT# <br /> i .�00.3 'a.��'�flQ �4� �' o�,-� � l — <br /> iLEGAI LOT NO. ��OCN — TRACT OR SUBDIVISION k— <br /> DESC <br /> IOWNE , � AODRESS CITY�21P PHONE <br /> /�OC/��� ,�G�,3 __�_�S/�YO CvE�'I/_—Tj l✓f!- <br /> ITENANT NAME CONTACT FOR P/EJRMIT PHONE a��-3�-�9�7 <br /> �,��?� _ ����Il� .vl,Ii��(/ _ E.MAII d,C11' �l_Cs� / • � <br /> K//� <br /> ICONTH.LICENSE p ����� ��� <br /> USE OF BUILDING # N HEA7 SOURCE CONTRACT PRICE OF WORK <br /> I� �'�������� �,5 0��,�, / 3D 000.� <br /> �'� WORK DESCRIPTION �S j�u� �� �,U� A�� ���. ~ <br /> i <br /> I <br /> I PLUMBIMG MECHANICAL <br /> ���, NO. TVPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> ��� Toilel / A C-air handGng units <br /> ' �����ii�� Porced air systems <br /> Lavatory�wasli basm� Gas piping <br /> Showc� Watcr I�calcr <br /> Kitchen sink 8 d�spasal Gas lireplace <br /> � �islrrvashcr Gas rangc <br /> � Clothus washer Clothes dryer <br /> Watcr healcr Ran9c hood <br /> Sink(servicc6ar mop etc.l C.haust lan <br /> �ackllowprevr.ntcr �y Hrotpump <br /> Urinal lhu�hel�er <br /> Drinkin�Pounlam �oila <br /> FIOU�diain Rtirigcr;tlion <br /> Grease Irap Woodslovc <br /> Rool drams O�hcr _ _._. <br /> O�hc� <br /> CITY OF EVERETT LOCAL SALES TAX CO�E IS J105 <br /> � I hweby ceritily Ihal I have reaA and e+anuned Ihis apphcaUon and tinow the same lu be�rue and correct. All pmvisions ol laws and <br /> ordinaces governine�Ihis�ype of wo�k�.vill be complied wi�h whelher specihed herein or nol The grinting ol a permit does not presume <br /> in givr,aulhonty lo violate or canr,cl Ihn p�ovision ol any other state or local law regulaling consl�uclion or Ihe pedormance ol <br /> construct�on. Thal I am aulhoived by Ihe owner ol Ihis property to perlonn the work lor whidi application I5 made�nd I comply with the <br /> Slate Cnntr;ic�o�s Law 1827 RCW nnd 'Z9fi.200 WAC <br /> �1��i�I�U�_ /— ��G ('1S . <br /> Sig u o o�OwnerContractor�u IDri7ed�gen� Dale - — I <br /> _ ___ _ _ J <br />