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; <br /> - _ __ - ____ --__ _ <br /> I <br /> � <br /> PERMIT APPLICATION <br /> ' CITY OF EVERETT PERMIT SERVICES , <br /> � 3200 CEDAR STREET, EVERETT, WA 93201 ' <br /> � 425-257-8810– FAX 425-257-8857–www.everettwa.crg i <br /> � I <br /> � APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM J —)p /(7 j <br /> iI SITE ADDRESS PARCEL TAX I.D.# P MIT# � <br /> Ynz�{ �ve� ��e�.�, �Jr� GG '��1Z3C�0000zv ) �loo� ��a� <br /> ; LEGAL LOT NO. BIOCN TRACT OR SUBOIVISION# <br /> � DESC. <br /> i OWNER AOORESS C�TY21P PHONE <br /> I S/t ���enti�5�, T�� D �6 �oX IIn�7 ��z,-�� Gvl� �f8zo�Zs-7s3- s�.z� <br /> i TENAN7NAME CONTACTFORPERMIT PHONEZO(,-3'{ 1 -�-(2''`� <br /> �LE'.Cl/V 'v 1 ctvc ,Cv1�rwL�u,Ks <br /> I � K. US (_LCi GA�.c..� ,A-��ru/l�aWis E.M��� -1�e.���i-«,���, c�� <br /> COI�TRACT R � ADDRES ITYlZIP PH N@- <br /> I �i?43.�22.� heC� �,vv�w.�.,�,wi,cc:�_�hu.-�� 3(�D-�?-/�jv <br /> ICONTR.LICENSE i! 1'��o ;�1.� �.td �M -Fc..:.--�}, <br /> , S�l-z(i G,G-t-� �S � <br /> USE OF�UIIDING I HEAT SOURCE CONTRACT PRICE OF WORK <br /> � �/A _Eieciric _Gas_Other ����S�'�' � ���, <br /> � WORK DcSCRIPTI� 1 � '' I <br /> � GUir�/�SS Cn�Lr��l��viL���ia�J �nc�i� �� ,�-n.� G/ea-�-�v�i^� _ � <br /> � /�fJ��<<- c'-f�rsfi�Ju Ufi/���f�n/�s Gvi� �t �olr' c� Srr��e l:.ri�-IY. /r-��1� � <br /> /�N�EII/ICC�� �OlCfc'f/ii�%CiPi✓�i:[, S E l C /.7(j�G T. �CZt��� �i t�ii t C l� C�r�7 S/�i J f)�c.✓/'O�lc�• <br /> I . rro/t o•�,s� �U/� ro �,�� . <br /> PLU BIN MECHANICAL <br /> NO. NPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A!C-air handiing units <br /> Bathlub Forced air systems <br /> Wvalory(wash basin) Gas piping <br /> Shower Niater heater <br /> � Kitchen sink&disposal Gas fireplace <br /> f _ Dishwasher _ Ges range <br /> Clothes washer Cluthes dryer <br /> Water heater Range hood <br /> Sink(service/badmop�etc.) Exhaust fan <br /> Backflrnv preventer Heat pump <br /> Urinal Unit healer <br /> Drinking Founlain Boiler <br /> i _ Floor drain _ Refrigeration <br /> Grease trap Woodstove <br /> I = Roof drains � Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that I have read and examined Ihis application and know Uie same to be Vue and wrrecl. All provisions ot laws and <br /> ordinances goveming @iis lypc of work will bc complied�vith�vhelher specified herein or noL The granting of a pertnit does not presume <br /> lo give authority te violale or cancel lhe provis' n o(any other slate ar local law reguiating conslruction or Ihe pedurmance ot <br /> consln{ction. hat I am authcj r by Ihe o er of this property to perform ihe work for which applicafion is made and I comply with the <br /> State Centia tors Larr t B. Y, W and o.200 WAC. <br /> I . <br /> ! ,f��� ;� , �_ � � Z a <br /> i Si �y(urA of er�C act d ut nzed Agent Da e <br /> � �I Z <br />