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� � <br /> f i <br /> , , <br /> PERMIT APPLICATION ? <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 � <br /> 425-257-8810—FAX 425-257-88E7—www.everettwa.org � <br /> ApPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> PARCEL TAX I.D.# PERMIT N � <br /> SITE ADDRESS y <br /> 8e S� 9'q f��Q �� 29 - � -oz3-o3 13 'r'v� oa - ,G � <br /> LEGA LO�NO. <br /> BLOCK TRACT <br /> DESC. � �I J� CITYZP CAHONE I' plCl' �7 ` ' 7 .: <br /> ADDRE35 �" ���� <br /> OWNER_ , � (py r�i /�,I �7/R� <br /> �� � � �Na-fQ/7u/V 1�03 <br /> �u� � PHONE <br /> TENANTN ME � I CONTACTFORPERMIT . <br /> S'' "-_�G�S PL.stJcmrrzir �ONE <br /> CONTRACTOR <br /> a:XeN- Cdns�', T-��-aooaess o2114 ��� �c.�e �l$30�1 <br /> CONTR.LICENSE M 5�,,�E c�,, a�sm q <br /> HEAT SOURCE CONTRACT PRICE OF VYORK <br /> USE OF BUILDING •Z p� �p O <br /> �O m �'`����� I _Eledric _G%�`-_.Olher <br /> /f -�Ti ' A V <br /> WORK DESCRiPTION y - ` <br /> I� <br /> �c � �� � <br /> + �� (''"�'�'- MECHANICAL <br /> — ' PLUMBING <br /> NO. TYPE OF FIXTURE OR ITEM <br /> NO. TYPE OF FIXTURE OR ITEM �------' <br /> AIC-air handling units <br /> T ilet Forcrd air systems <br /> � B thtub = Gas piping <br /> valory(�sh basin) Waler heater <br /> S ower _ Gas fireplace <br /> — Ki chen sink 8 disposal Gas rar.ge <br /> Di hwasher Clothes dryer <br /> — CI thes washer — Range hood <br /> ndry tray — Exhaust fan <br /> � Si k(servixlbar/mopletc.) _ Heat pump <br /> B flow prevent�� Unit healer <br /> � _ U al = Boiler <br /> Dr king Fountain Refrigeration <br /> FI r drain Woodstove <br /> Gr ase trap Other�— <br /> R f drains — <br /> — Otl er�-- <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I herkby ceritify that I have read and examined this application and know the same to be hue and cortect. al pf0m�dces no p esume <br /> ordinaces governing this type oi�vork will be complied with whether specified herein or iiot.The gran5ng of a pe <br /> to give authority to vioiate - ncel m=hProwner of lhis p�operty to perfo�lt�work to'nwh�h appl cati n is made a dal comply with the <br /> constructid� Thdt I am th 2e Y ZW WqC. <br /> Stale C ha rs Lzw 8• RC z � �� <br /> /LL Date <br /> ture o Owner ontraclorl uthorized gent <br /> _�— —_ <br /> — J - <br />