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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 ACCEPTED'FROM B AM TO 4 PM <br /> SRE ADDRESS PARCEl.TAi�!.D.� �PE+RMIT� r� <br /> � O 4/7 y 9 °OG70O I J � (Y'JS� � t <br /> LE LOTNO. BLOCK TRACTOR8UBDMSIONf <br /> DESC. <br /> �cVERCRA�/ p/E,L�I/pl 55 <br /> � Co.vrr /Q�.v� ,�vr.ssr SE,�v��.r •.��a9/TurXF,a N✓F. �/av•�ve,tcr� 9��i �•tt9J9•JGd� <br /> 7ENANT NAYE CONT FOR PERMT PMONE �/.?3' �V '30N <br /> ,.�LYLAN CENTA'/L I Pu[ �TtKPe�u E,wu� �°'a!e.�w�rNne.n. c <br /> �Po,cto/VEON, �ivc 9iDo /�'�A�dOUK �c�, Su��e.?Oi /y�,ric�ro,GlA �/.�S.3y9•.5'oy <br /> CONTR.LICENSE f q I11 S <br /> A.na,c,car oyy oD <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK <br /> CON/'1L'RC/AL _Electric _Gaa_Other ��Q, � <br /> WORKDESCRIPTION �lMev! B�tiJfinq �rtferref. �nsfu.�� c�i�n�+�� <br /> ✓ <br /> �e t�er rt 1 0.� rate w.y <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE OR ITEM NO. TYPE OF FlX7URE OR ITEY <br /> Toilet A/C—air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash baein) _ Gas piping <br /> Shower Weter haeter <br /> Kitchen sink 8 disposal _ Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothas dryer <br /> Water heater Ranpa hood <br /> Sink(servicelbadmoplete.) _ Exhauathn <br /> Backflow prevanter _ Heat pumo <br /> Urinai Unil heater <br /> Drinking Fountain _ Boiler <br /> Floor drein Refrigeretion <br /> Grease trap _ Woodslove <br /> Roof drains Othar <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 1706 <br /> 1 hereby certify that I have read and examined Mis applica6on and know the same to be true and cortact. All provisions of laws rad <br /> ordinances povaming this type of woric will be complied with whethar specified herein or rrot.The grantinp o(a pertnil does not prenume <br /> to give aulhoriy to violah+or car:sl the provision oi any other slate or local law regulating consWction or the performance of <br /> co�truclion.Thal 1 am authorized by the owner ot this property to pe�fortn the work for which applicatlon is made and 1 canpy with tha <br /> S te Con adors La 182 CW and 296.200 WAC. <br /> „ S" -/y-/O <br /> �g re of Own dContrectodAuthodzad Agent Date I/ <br /> r2 <br />