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i <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 88201 <br /> 425457-8810-FAX 425•257-8857-www.everettwa.org <br /> APPLICATION9 ARE ACCEPTED FROM 6 AM TO 4 PM �DldIT 6 CREDR CARDS AI!!NOT ACC8P7lD <br /> SITE ADDRROS PARCEL TAX I.D.N PERMIT A <br /> 9'3 Cv�K�rr o0�-��3 0 060� �0 8' , ,-;�;, -� <br /> DE9C. �N0, 6LOCK TR�AC/i� �' �L/�M R-X /� o % `�, v �� , <br /> VU 1.�+.m.+¢- 7 �� YM <br /> , d6 <br /> T� -r CUC-�c i T CUn�i_ �390 I floyr,�,� FdEhF7T -9'�•�0 / <br /> TENANi NAIAE + CONTACT FOII PlRMR /' �f1�NE <br /> --r �R11� eL� Q �1 YO����' I����O3 <br /> CONTFACTOR l�'fJ-1 ��tFTL�1 �+ON4T DRE66 CIiY!!IP P ON! <br /> lBS�s �o*��� N� cx�oa4 sr 4as�--a79'^,y-o°o <br /> COHTR.UCiNSfi t� PR"« <br /> �irtFrze�c�77 nrv <br /> USE OF BUILDING I — HEAT SOURCE I CONTRAGT PRICC OF WORK <br /> iElectrlc ,�Gae_Olher � � ���'� <br /> WORK GlSCIUPTION <br /> �� �"� f� L. � T � �/'� Q� E/�l �i 1 �YlJ V' 7 / �(� S (—'� <br /> —' p� M ICAL <br /> No. 7YP[OF FIXTURE OR IT[M � N0, TYPE OF fIXTVRE OH ITEM <br /> Toilet AIC—elr hendllnp unit� <br /> Bethtub Forced alr�yeteme <br /> _ Lrvetory(wash basln) _ Oas pipin8 <br /> Showor W eter heatrr <br /> � iGlchen eink 6 dieposal G��firoplece <br /> � Di�hwesher Gas renp� <br /> Clalhao wacher ____ Clothes dryer <br /> —' ry y Ran hood <br /> LBund tra 6s <br /> � Sink(servlce/badmoplatc.) _ Exhauoltdrl <br /> Backflow preventer _ Heel pump <br /> Urinal U��It healer <br /> , Ddnkin0 Founteln _ Bolle� <br /> Floor tlraln iiefripsraGon <br /> Greasa lnp WooCctove <br /> � RoofCralns Olher <br /> � Ofher <br /> CI7Y OF EVERlTT LOCAL lALE!7A%CODC 18 3106 <br /> I h.ereby cenGy thal I hwc read end examined thfe epplicatbn anQ know the same to b�tru�and oovecl. All provl�iana ot iewe end <br /> ordinacos poveminp this typa of vrork vr:ll be complled with whether epeciAed heroln or noL Tha 9ronunq of a permlt da�not presurtw <br /> to pive aulhority lo violele or cancol Ihe provision f any olher alele or loc�l law repule0np conetrocUon or 1he pedortnena of <br /> co on.That I�m euthonzed by Ihe owne �thiv �roperty W perfortn tho work iur wh�ch applicauon b mede and I eomply wRh the <br /> te Con r�ctors Law 1 . and 288. WAC. <br /> � �-`�"--O.S_"` <br /> gna n o ner ontrector u odze pen J e�— <br /> 7 'c liiG '01 �IN11911383�3 WdOI �E SOOZ 'Ol 'N(If <br />