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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-9810—FAX 425-257-8857—www.everettwa.org <br /> APPLICAT�ONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SI7[ADORE55 PARCEL TAX I.D.tl PERMI7 if <br /> _,IC�I� C I Gharlee str¢�� B 5`�lI t)U�no�oG� L�C7O3 G�/� <br /> LEG�L LOTNO. BLOCK 7aACT <br /> DESC. <br /> OWNER ADDRESS CI�YILP PNONE <br /> �0��1l�/ /1 GAl�c,�J 510b � lGha� lc>c� S+��z-f� �.v�-�e�rl-28,�03 :.a���-<r'�' �> s <br /> TENANT NAME I coN74CT FOR VERMIT PHONE r <br /> � �r£'e(� RCISv�iCr� �1� +-.J-.�d -lc5�,`1 <br /> CONYftAC70R �.N'J��SQNI'�'OOFI��G �NG�DRESS �Z1f,�OJr :i�U'Z> C17Y21P PHONE (fdy— '��•�S'[�'� <br /> 7,S.f/1 r.U,c r/ <br /> CONTR.UCENSE M c °I JO.� <br /> h�luerzr�cas�pA <br /> USE OF 13UILDING I — HEAT SOURCE I CON7RACT PRICE OF WORK <br /> Electric Gas_,Othcr '�J,� (p jwf� .Q(� <br /> WORK DESCRIPTION <br /> ��Z�'i�nr�� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM No. TYPE OF FIXTURE OR I7EM <br /> Toilet NC—air handling unitG <br /> Balhlub _ Forcod air systems <br /> Lavalory(wash basin) _ Gas piping <br /> Showcr _ Watrr healer <br /> Kilchen sink 8 diSpOS�I _ Gas(replace <br /> Dishwasher Gasrango <br /> Clolhes washer _ Clolhes dryer <br /> Laundrylray _ Ranc�c hood <br /> Sink(service/bar/mop/elc.) Exhaust fan <br /> i3ack11ow preveMer _ Heat pump <br /> Urinal _ Unit heater <br /> Drinking Founlain Boiler <br /> Fbor drain Reirigcralion <br /> Groaso lrap T Woodstove <br /> Roof drains Other <br /> Olher — <br /> CITY OF EVERETY LOCAL SALES TN(CODE�S J70+ <br /> i hornby cedtity thal I hav �tl and e ined Ihis apDlication and know thc same lo b0 trvo and cOrceCl. All provisions o(laws and <br /> ordinates goveming Ih'�f wor ill complictl wilh wholhor specified herein or not.The pranting of a permil docs not presum¢ <br /> to give aulhorily to v' Hio r cancel ie pro ision of any other state or local law regulatlng construclion or the pcdorm�nco of <br /> conslrucfion.Thn m Ihor ed Ihe o vner ol Ihis property to pertorm the work for which application is made and I wmply with Ihe <br /> Slste CoNmclo L � 0.27 CW nd 2 .200�VAC. <br /> t�'C � 2 c�7 <br /> SignaWre ol Owner/ on lctodAu honzed Aa nt D ic <br /> COO�Z00�7 �Fd �h�GO I83 LO��oiCn <br />