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� , --, i <br /> PERMIT APPLICATION � <br /> � � � <br /> ' CITY OF EVERETT PERMIT SERVICES I <br /> 3200 CEDAR STREET, EVERETT, WA 98201 I <br /> 425-257-6810— FAX 425-257-8857—www.everettwa.org j <br /> '�J�� <br /> � APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 6 ` a..8—d�j i <br /> SITE ADDRESS 96�y eo441�fA ovVroiti�=��Opyti29-�-oi1- PERMlIT�ti / � � <br /> Iig�`I �2-99 , EvEaETT, WA Gb4429 -Oo`a '07.3'�i ' oa �� U'07 � <br /> LEGATO7 NO. BLOCK TR:FaCT I, <br /> DESC. t�l,� ' <br /> OWNER ADDRESS CITYIZIP PH NE � <br /> B�RI Mq�9VE /�EN�i 1.2o N 6c�e 6�.vo b�.fwD��, « lel��24N^8237 I <br /> Cor�TNC.T� StEVEr.1 MaaUERv (.7w FwoR 91Z03 t��. Iby '� ' <br /> TLNANT NAME -rgj� CONTACT FnR aFRMIT ��� �y��82��210 O I <br /> G¢�Nrit � IVo A¢c.ir;Tu-`rs� ?itENDP i <br /> io9tio NE a3�D v�,s���r_zuc, B��E�'ai�ooy i <br /> CONTRACTOR -�-�p ADDRESS CITYIZIP PHONE <br /> CONTR.LICENSE# <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> GoMMECc.IAt_. RE'tRiL _Electric _Gas,_Other y►�`��oa�,^ <br /> I WORK DESCRIPTION -r�pWTy TO BE DE'���N�1 I I <br /> CoNSTRue,'t1oN eF P Rk.-rAll. SNEt-�- 3u��DIN[�. <br /> S�tE OEvE�oP1.�FiUT „]oQlc. �iJGW o�D �N ?LAN CF}�[.K. m g0602-047. I <br /> �I <br /> I PLUMBING MECHANICAL � <br /> i <br /> � NO. TYPE OF FI%TURE OR ITEM N0. TYPE OF FIXTURE OR IT�M I <br /> I <br /> i Tcilet A/C-air handling units � <br /> Bathtub _ Forced air systems I <br /> Lavarory(wash basin) _ Gas piping ; <br /> Shower _ Water heater I <br /> � _ Kitchen sink 8 disposal _ Gas fireplace <br /> Dishwasher Gasrange <br /> Clolhes washer Clothes dryer <br /> Laundry tray _ Range hood , <br /> I Sink(service/bar/mop/etcJ _ Exhaust fan <br /> IBackflow preventer _ Heatpump <br /> i Urinal _ Unit heater � <br /> '� _ Drinking Fountain Boiler <br /> � Floor drain _ Refrigeration <br /> I, _ Grease trep _ Woodslove <br /> I Roof drains Other <br /> �� _ Other — � <br /> i _ — <br /> � CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 � <br /> I hereby ceritify that I have read and examined lhis application and know the same to be true and correct. All provision>of laws and � <br /> I ordinaces governing this type of work will be complied with whether specified herein or not.The granting of a permit does not presume <br /> lo give authority lo violate or cancel the provision of any other state or local law regulating construction or the performance of �� <br /> construction. That I am authorized by the owner of this property to per(orm the work for which application is made and I comply wAh Ihe ; <br /> State C Vactors Law 1627 RCW and 296.200 WAC. <br /> �� � ,�/� i <br /> '1 lu..�41�1•�, 3I7-9 f ore <br /> ', Signatu�of OwnedContractodAuthor¢ed Agenl Date '/L . <br /> l <br />