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� <br /> PERMIT APPLICATION <br /> CITY OF E�/ERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810- FAX 425-257-885'1-www.everettwa.org <br /> APPLICATION.i ARE ACCEPTED FROM 8 AM'i()4 PM /D�a fj/� <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# " � <br /> � � eK 2-�e.�� 9 - —_ f,� /O�D - PJ/y <br /> LEGA LOT NO. BLOCK TRACT OR SUBDIVISIOW# /�1`� <br /> DESC. u.�[�N/LO'"l,T ��GGT7 '�- <br /> OWNER � AUDRESS CI 2iF� P���_ G2c(-SJ� <br /> ��.�1 o�t S� 1�.�e;he,k � �Ss oc G bo S e9•c.c�4 �.eo se.,a.rr/�> rJd 9ul[� <br /> TENANTNAME, I CONTACTFORPERMIT PHONE1,S3'- g'73 -'j��'�9 <br /> •A Q. Y�. C d Ci �, E•MAlI.�cJ K. Q� o� �i' <br /> G� �i LC A�DR � <br /> �}� �„�r� n t.s L L, c �s�2�( a ;•��k�4m�l✓e c� ��.4�om+aE W M� `1 Yy5'!� "` <br /> CONTf�.LICE ISE# . �S 3 ' 90(p _ p 7 X' 7 <br /> �USE OF BUILDING B� HEAT SOURCE CONTRACT PRICE OF WORK <br /> I�S ,_Electric ,��Gas_Other � UU� O O a � �� <br /> WORK DESCRIPTION Cv+^16%n.t S P'�'u5 ��'�'`� � y�3-��� Pi2O�'�e B"�l Sp�4-��e �'� <br /> q.ee .cJ.tn.�c.+�s.[. • �e.�..,.a�r�al o� ✓lo� 15ua+�s,.e� [Jwtls 12�ovc2 (ksT•eev»-s • <br /> 2e,•-wuc Aco�strc.s-I C�Rtl� Ge.7(rk9 • la� Lr�4T-..� d�d ��ee. Pc.� r�ce Q1.4v�s. <br /> &,� �i.�.Z s �d.�c.�q-1 l� p uT 3-��t 4n�d1,.1 sOrac,� , f'i t l �`n P.4.144/�T�o � <br /> 'Q�'`J �"� S � j MECHANICAL <br /> PLUM G <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet _ A/C-airhandlingunils <br /> Bathlub _ Forced air syslems <br /> _ Lavalory(wash basin) _ Gas pipirg <br /> Shower _ Water heater <br /> Kilchen sink&disposal _ Gas fireplace <br /> Dishwasher _ Gas range <br /> Clothes washer _ Clothes dryer <br /> Waler healer _ Range hood <br /> Sink(service/badmop/etc.) _ Exhaust fan <br /> Back9ow preventer _ Heat pump <br /> Urinal _ Unit heater <br /> Drinking Fountain _ Boiler <br /> Floor drain _ Refrigeration <br /> Grease irap _ Woodslove <br /> Roof drains _ Other <br /> Other — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that I have read and examined this application and know the same lo be true and correct. All provisions ef laws and <br /> ordinances governing this lype of work will 6e complied with whether specified herein or not.The granting of a permit does not presun�. <br /> lo give authority to violale or cancel lhe�rovision of any olher stale or local law regulating construction or the pertormance of <br /> conslructi hat I am authorize by the owner of this property lo perform lhe work forwhich applicalion is made and 7 comply with trR <br /> Sfate�� actors La 18.27 and 296. 0 WAC. <br /> i` .��' ' C.� I /�/ <br /> gnature wned un ractor/,iuthorized ent a <br /> 1 (/ <br />