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t � <br /> PERMIT APPLICATIf��V �� 33� �� <br /> CITY OF EVERETT PERMIT SERVICES � � <br /> 3200 CEDAR STREET, EVERETT, WA 98201 \/y�O� `i <br /> 4 APPLICA IONS ARE ACCEP ED FROM 8 AM TO 4 PM r9 �� �� G���c- <br /> �S/�ITE//ADDRESS I PARCEL TAX I.D.t1 p�MR� <br /> / L/ 7� CLc/����� �/G G(/�kG.n � O�/3,� GbBo O �.,(7 ' W <br /> LEGA OTNO. �� BLOCK M2ACj . . . <br /> DESC. <br /> OWNER . DRESS - � CT'21P HONE <br /> �T"� �F��/ 2�26'�'/�T�� {�L SE='' �i 2.�c� �li,p 9�2D�' �!'j�'3.i�'-Y� <br /> TENANT NAME CONTACT FOR PERMR pHp4E <br /> I C.��,��A ��-�'X d 06 �8 6S`d� <br /> C�+/�A�II �A/'!J�{. I rZ.�I2.$ CITY2IP PHONE <br /> � ��= �,/ � �Gso«t�i6a'- <br /> CONiR.UCENSE A m/9 /�„�eu+op q/�,✓�tlE ��^il�/b.k/S <br /> C�'Eea rl'/B 76E N p e%s QB�� <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK <br /> _Elecliic _ Gas Other �J 2�/ � <br /> WORK DESCRIPTION <br /> _ - <br /> �,���� l-I�;�: ��: <br /> PLUMBING MECHANICAL <br /> NO. TYpE OF FIXiURE OR ITEM NO. TYPE OF FlXTURE OR ITEM <br /> � Toilcl T��.�, — A/C-airhandlingunils <br /> �T Balhlub t Forced air syslems <br /> � Lavalory(wash basin)flil� �p- ��PiPi�y <br /> � Shower� � Waler heater <br /> Kilchen sink 8 disposal I _� Gas fireplace <br /> _L Dishwasher � Gas range <br /> �_ CbQ�es washer�. _L Clothes dryer� <br /> � Laundry tray� � Range hood <br /> � Sink(service/bar/nmp/elc.) , � Exhaust(an�!{ � <br /> �_ Backlbw prevenler _L Heat pump <br /> — Urinal Unit hoater <br /> � Drinkirx� Founlain = Boiler <br /> ^ Fbor drain � Rofri�eration <br /> r" Grcase Uap Woodslove <br /> = Roof drains Other <br /> Olher — <br /> CRY OF EVERETT LOCAI SALES TA%CODE IS J705 <br /> I hereby cerilify that I hava read and exa ed lhis applicalion and know the samo to be true and cortecL All provisions o(laws and <br /> ordinaces govem?rx,�t ' typo of work will mpli d�r�lh whether spocified herein or noL The gran6ng of a pertnil does not presume <br /> to give authority ro viol a u cancel lhe p vi ' �of�ny olher stale or bpl law regulaUng construction or the pedorrnance of <br /> consliuclion.Thal I am ' ed b lhe o e of th pmporty lo perform Ihe work for which applicalion is made and I comply wilh the <br />' State ConUaclors Law .2 W a d 296. 00 AC <br /> I—(�'Ocv <br /> Signatum ot OwnerlConlradodAuthori e Agent Date �/ <br /> 7i <br />