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oct-ii-io 10:16A P.ol <br />r— -• - � — . ._ --- -�. — -- — <br />PERMIT AP'PLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERE7T, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEP7ED FROM B AM TO 4 PM <br />SITE AD�RE35 PA <br />�/ X� _... <br />LCGA� LOT NO.� BLOCK TRACT OR 5 <br />�kti(:. <br />F:CEL TAX I.D. N <br />UBDIVISION N <br />/b -/� -/(� <br />PER IT p <br />_ %�1Ui0-oz5 <br />OWN.'-_R � � �� �� R�� � � CITY2IP �� PHUNE <br />Jak,� C�bo�BY ��9 o��r���k�'��.3. �-y� <br />TENANT NAME I CONTACT KOIt VERMIT i:IONE <br />E•MAIL <br />1t�f�h T w� tAuFt fi J(rkJlc,E not1RE�-- v�zi " Ne <br />I4 <br />CONTR. LICENSE # <br />_.��i� N.S'S_�.tk Z. 3Go�__.. l�ci ,A.v�F U <br />USE OF BUILDING HENT SOURCE <br />SFn- .-� s�" — <br />El�ch'ic Gus O(her <br />WORK DESCRIPTION <br />K�t'l.i4C(� Noi (n�lN�'i�— T•iM�- C�: ZFrc•r11+� � <br />PLUMBING <br />NO. � TYPE OF FI%7URE OR ITEM <br />Tuilel <br />Liaihtub <br />-- Lavatory (wa511 basi�) <br />Showcr <br />_ Kitchr.n Sink 6 dispns�l <br />� Dish�vasher <br />Clothr.s w2slter <br />_ bYalr,r heater <br />5ink (service/barfmoplelc.) <br />C4atk0uw provontei <br />Urii�51 <br />Drinkin,y Founlaln <br />FWor dr;dn <br />Grr.aSe �rap <br />koo( drains <br />_ Ulhor _. .._ <br />NO. <br />f ��, YZs �.1-9 2 <br />CONTRAC7 PRICE OF WORK <br />Poi oF -6otf� . <br />�".. �A I.VL3e ��'S�,(LlZ <br />� • MECHANICAL <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handlinc� uni�s <br />Forced air systoms <br />Gas piping <br />W ater heator <br />Gas firnpl2pe <br />Gas raago <br />Clulhes dryer <br />Rango hood <br />EKh2ustfan <br />Noat pumN <br />Unil healer <br />Boiler <br />Reirigeratlon <br />Woodstove <br />Olher_ , <br />CITY OF EVERETT LOCAL :iALES TA% CODE IS 9105 <br />I he�eby cerilily Ihat I h�ve mad and exuminod this appllr.atiqn and knvw tho s2nte lo bo frue 2nd corrr.ct. All piovisions oi �aws and <br />nr0in2ces yovornin� Ihis lypr. ot wurk will hr. complied with whe�her ;.per.ifioQ herein or not. The yranting pf a pennil does nol presume <br />�o give �ulhonty to viUlata nr C3nCel lhe pr0�lsion Uf eny other Sl3te cr loc�l law te4ul:rtinp consltuclinn or the perWrmanr,p o} <br />Constr�Gio Ilal I nm aUlhoiiced by thr, owner of Ihis properly lu pc•rtont� Ihe work tOf whiCh �pplication is made and 1 CCiuply with Iho <br />Slale Co� clo� Luw 7827 RCW �nd 290.200 WAC. <br />�� � �� <br />� Dule <br />