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P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICIES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � � �7`��) <br /> SITE ADDRESS PARCEL TAX I.D.# � P RMIT it /�/�/ <br /> I11 SL GVr.tiL-TTMhI.� Wh`( g�Vtt � CC��-4'� o2.C.>� �Op�01 C��(�'" <br /> LEGA LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. SE�. n-cTj\t It -�p <br /> OWNER ADDRESS CITY/ZIP PHONE jl C- J C S- <br /> [!i�i�rlDct.1 F-�TY-�nl'.o�1 � U.D•5. <br /> � I2 1 -IK/+�t V KV � SL�-UKO yvcULLeY� �1���;��- ZS�. <br /> �• K!1-cti r>Z-1_�K�vhl <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> L�.LP�r�IUFI"1� S'r��11L�( I7E,hll"71L V�/�IC.tG- L�1\/�SE� �lr�-t�SZ. '�J���� > <br /> i_'�i'/�h1DoN ��IK�N`x(J U•17.5. G'(-�FIL"r�lNr'-i\1�5 INL. E•MNLP/�iEiE@� F 'ic " b�ni\ 5. <br /> �� [71=�N N1S f�I Ttil!\I�l l : n.� <br /> �.>>. 1 C.�t��v�.� Cc�nt�ixuc i, cN Zy�1-`h Suit�o�� Fzp ?�r.o-770- 38o`i <br /> CONTH.LICENSE# / A.l�-'�IKT VEEt�Nc\J �l�Z� '-I- J <br /> DTG �I SL'�' �m� 1�0 'I /�0��`� //� _v`/ <br /> —. <br /> USE OF BUILDING I HEAT SOURCE I CONTRACT PRICE OF WORK <br /> r�rN-i :��- o�r- icC� $ 225 ��lc. oc <br /> Electric _Gas_Olher , <br /> WnRK DESCRIPTION <br /> TZ_ ct i�c- �T7�� ��t- i- tc.C� � �NC-l. . il�i�T-�io� (�/�r2Ti-I�oNS� <br /> L_C�l.�lt':l�tE-. N�i� C�tN�SH'Tc�S, �'l- �l ,�tt11 NCr� [-. � r c�lti �c.h-�_ .v �r= � ����1 `( <br /> (�l C-1 FI-Tl N CJ� . <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE OR ITEM NO. TYPE OF FIXTURE•OR ITEM <br /> Toilet _ /UC-a:r h2ndling uni�s <br /> Bathtub orced irsyslems <br /> 2 Lavatory(wash basin) _ Gas pipi g <br /> Shower _ Water h ater ,r--w1 <br /> � en sink& isposal Gas fira ace _ � ��p��� <br /> Dishwasher _ Gas rany <br /> � Clotheswasher _ Clothesdryer J7r, ����.SEp. VNl7�(L � <br /> � Water healer /��-'�� _ Range hood ��� P^��.� Pr,�n,,,.r. J <br /> Sink(service/bar mop/e�c.) t , _ Exhaust fan <br /> _ Backflow prevenl r v � ��� ��� �U� _ Heat pump �- <br /> _ Urinal � (,( hl !ai N�-� goilereater <br /> Drinking Fountain <br /> � Floor drain F'� y�, t �j � _ Retrigeration <br /> Grease Irap _ Woodstove <br /> Roof drains _ Other <br /> Other _ — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerilify that I have read and examined this application and know ihe same to be true and correcl. All provisions ot laws and <br /> ordinaces governing Ihis�ype ol work will be complied with whell,er specified herein or not.The granting ot a permit does nol pres�me <br /> to give authority to vioiale or cancel the provision of any oth=r stale or local law regulating construc�ion or lhe performance of <br /> consiruclion.That I am authorized by tho owner of this property to pedorm the work for which applicalion is made and I comply with the <br /> State Coniractors Law 18.27 RCW and 296.200 WAC. <br /> �� !�Cli � .rJ/J l� <br /> T/I ( ��P ' <br /> Signature f wner/ ontracl /Au�honzed Agent �Date �Iy <br /> .� <br />