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i <br /> PERMIT APPLICATIC)N <br /> CITY OF EVERE'i'T PERMIi' SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8957-www,everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM ro �30—�J� <br /> SITE ADDRESS PARCE6 TqX I,D�iF PERM�7 S <br /> I o l I wa2d P�vc. <br /> LECAL LOT NO. BLOCK TRACT OR SUBDIVISION M <br /> DESC. <br /> OWNER ADDRE9 CITY/ZIP pHONE <br /> tv�avsv�al I DocNv� av� i i o� wu� �a o4��c�� �oo <br /> TENANT NAME ^CONTACT FOR PE'R^MIqT PHONE ' I (�� <br /> 1 Y 1 QV�lQ11 l/LJ� 1 � 10.� 1 I 1 V�-� �` Y I�u� E�fIAIL � �Q_ 111� 4G <br /> \ <br /> �f�h Yl� �-t le �� ��1/I �e� � N < <br /> CONTR.LI �NSE A w0.y � /JLy)A�� �>'��2�� <br /> •�c�c.x� I f3 <br /> USE OF BUILDING I — HEAT SOURCE CONTRACT PRICE OF WORK <br /> LElectric �Gas Other I �1 I 8 � . �y <br /> WORK DESCRIPTION <br /> IhS�l� ih� �l5°�0 2s�� Vavicv�o�¢ a�o.s �+.ww�.ce, ,r... <br /> 2o Se�r Ne�.-�c�.m . <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM N0. 'IYPE OF FIXTURE OR ITEM <br /> Toilol FVC—air handlinp units <br /> BatMub � Forcod alr cystoms <br /> Lavalory (wash basin) Gas pipiny <br /> Showor Walar honlor <br /> Kilchon alnk 8 diapocol � Go9 fircptoco <br /> � Dishwashcr Gas rango <br /> � Clolhos�vashor _ Clothos dryor <br /> � Watcr hoaler _ Rango hood <br /> _ Sink(sorvicolb�dmopletc.) Exhousl fan <br /> BackOow provonlor T Heal pump <br /> Urinal Unll hoaler <br /> Drinking Fountain 6oilor <br /> Floordrain _ Rafrlgcrotlon <br /> Grcase trap �'oodstovo <br /> ` Roof dra�ns � Olhor <br /> Olher <br /> CITY OK 3V6RETT LOCAL SALES TAX CODE IS 7705 <br /> I haroby coritify lhot I have roud Ond oxamined lhls apptication and know tha same�u be lrue and corrpel. All provi9ion5 ot laws and <br /> ordinuces govuming lhis type o(�wrk will bo complled wilh whalhor spocifiod haroln or noL The pranling of a permit does nul prusume <br /> l0 9ivo oulhorily lo violat r Cancel lhc,{2rovi6ion ol any olhor elato or locni law rogul�ling construCtian or tho poAorm�nco of <br /> conslructlon.Th�t I om t arizo y tho nor of Ihls proporiy to pertorm tho work tor which application is made and I comply wllh Iho <br /> Slol ,onlractors w 8.[ R and 29fi. 00 WAC. <br /> 1012 n� <br /> $pna ro \ � �e ..IodAuthonzed Agenl oto <br /> i : . ._:.-'�.�.'--.��.j :nL :ldii��J `�,r: :0 Ed.-+:7�-r�T-IJnt <br />