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: � � _, _ <br /> � PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STHEET, EVERETT,WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.everett�•�a.org <br /> APPUCATIONS ARE ACCEpTED FROM 8 AM TO 4 PM <br /> SfTE ADDRESS C✓o.� PARCEL TAX I.D.� �MIT A <br /> 4Fta1 �ardr��r- A✓� ygp3 �41}�ooc�2bad I C= C�%Z C>i9 <br /> LEGA LOT NO. BLOd( TRACT CAi SUBqVIS10N 1�1- <br /> DESC. � �O�.OD Dn(/�d A�1ai`/i1rL lK.✓l',, <br /> c <br /> �10./1✓ZC. ��e� 1 �IG+'IWy tP�I ADDB.-SA� ➢ CITY2IP PF10NE <br /> -.. .�� <br /> TENANT NAME coHr�cr Foa renMrr PNONE �25.`�d 3.�"{,3p,� <br /> N�,4 �ia��/2i� e�N�d ri�fGrlo6��Mii. <br /> , � <br /> cr,,Qa-u.� Co Ncha� i56�n /�t`-' ��e. s� S,wlw�,�'s� $��•33�,szsq <br /> carrra.ucer�rC��i-'1`CL.o�I R.Z �r� ,7_I /r01 1&19(0 <br /> USE OF BUILDING EAT URCE CONTRACT PRICE OF WORK <br /> _Electric _Gas�Other ��j�j� �v <br /> WORK OESCRIPi10N /� ��J <br /> I ��i�.y <br /> ��� T1�V1���� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF RXTUFE OR REM NO. TYPE OF flXTUpE OR ITEM <br /> Toilet A/C-air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shawer Water hea[er <br /> � Kitchen sink&disposal Gas(ireplace <br /> I Dishwasher Gas range <br /> _ Clothes washer Cbthes dryer <br /> _ Water heater � Range hood <br /> Sink(servicelbar/mop/etc.) Cxhaust(an <br /> _ Backflow preventer Heat pump <br /> Urinal Un�l heater <br /> Drinking Founlain Boiler <br /> Floor drain Refrigoration <br /> Grease trap Woodstove <br /> floof drains Other <br /> Other <br /> CITY OF EVEREiT LOCAL SALES TAl(CODE IS 3105 <br /> I hereby ceritily that I have read and examined this application and kraw the same to be true and correct. All provisions oi laws and <br /> ordinaces goveming this type ot work will be complied with whether specified herein or noL The granting of a permit does rat presume <br /> to give authoriry to violate or cancel the p�ovision oi any other state or bcal law regulafing conshuction or the pertormance of <br /> construction.Thal I am aulhorized by the owner of this property to pertorm the work(or which application is made and I comply with the <br /> State ctors Law 18.27 RCW and 296200 WAC. <br /> �/�,� i�.3�.09 <br /> aNre of er/ onha /Aulhonzed Agent ate �/ <br /> � <br />