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PERMIT APF'L.ICATION <br /> C�TY OF EVERETT PERM17 SERVI�ES C <br /> 3200 CEDAR STREE7, E�RETT,N1A 98201 � J�-1 �D/ <br /> 425-257-8810-FAX 425-257-8857-www�everettwa.org <br /> II ' APPLICATIONS ARE ACCEPT.'_O FROM 8 AM TO 4 PM -OEBIT&CREDIT CARDS ARE NOT ACCEPTE� I <br /> PERMi7# � � <br /> SRE A/DDRESS � ��f1� ��'�Y TS PARCEL 7AX I.D.# \, ��J,� .' r� <br /> f�-��. ' z I'i4 `�.`ia . <br /> LEGpL LOT NO. 6 OCK TRACT <br /> DESC. ADDRE55 CfTYlI�P PHOt+E q,�q ��2 �'Io'� <br /> pWNER <br /> ^/ p k�8e�� /A 266`� <br /> �� �JZ�P� LLL 20HII S� O�(� � �'u�"-- �—�' PNONE � <br /> CONTACT FOR P��T ��� <br /> 7�pNT NAME 1 / ( <br /> C` L� � I� IIO S "' �A4 a{ [�[�� l�0 �i"' . <br /> J CINZP PHONE � <br /> ���L.G�(pr�fdfion ��ZC�SSIN�n �u� �'l02 �ri.v�a�, �/A �36c� 366-�`f�� I <br /> �•�J 98 2 y8 <br /> coNTR.ucer+se n ') •- I � ' C�� <br /> a G c.-�c� 19l oa HEAT SOURCF I cONTRACT PRICE OF WORK <br /> �iSE OF BUILDING I �� <br /> � j � �Electric _G05�Other � �j d�a <br /> 71L1"Ri <br /> WORK DESGRIPTION , <br /> ��umb�na� �• �a� f1e6.� Gr,n�utl�o� ��A'I S�� <br /> MECHANICAL <br /> PLUM:�ING � <br /> NO. TYPE OF FUCTURE�R ITEM <br /> NO. NPE Of FIXTUFtE OR ITEM <br /> A/G—air handlinc�units <br /> a. Toilet _ Forced air systems <br /> Bathtub Gas piping . <br /> �_ LB�atory(wash basin) � yVatei h¢aler <br /> Shower Gas fireplare <br /> ~— Kitchen sink 8 A�sposat J� Gas range <br /> Dishwashe� � Clolhes dryer � <br /> Giothes Washer ' Range hood <br /> � Laundry tray `� Exhaust(an <br /> —� Sink(servicelbar/mop/etc.) — Neat pump <br /> ! gackl�owpreventer — Unitheater <br /> Urinal � Boiler . ' <br /> —� Drinking Foun�ain � Retrigeretion <br /> �_ Floordrain� Wootlstove <br /> Grease trap � Other��— <br /> —� Roo1 tlrains , .��, � <br /> � Other Elu-k��� ti=r.�cr ' <br /> CItY OF EIERETY LOCAL SALES 7AX CODE IS 3105 <br /> I hereby cerit�Y lhat I have read and examined this app�icalion and know the same to De true and corted. Atl provisions of lavrs and <br /> ordinaces grn'emirtg this type of work will be complied witfi whether specified herein or not.The gran6ng of a pemrit dces not presun�e <br /> to give auihortty to violate or cancel Ihe p�ovision of any ottxr state or loca��aw�egulating consWd�ti nr s m de a da�cotnplY Wi�h the <br /> mnstrut6on.That 1 am authorized by tho owner of this property to perform the work�r wh�ch aPp <br /> State Conlractois I.aw 18.27 RGW and 296200 WA�� g !'/a <br /> Sig at �erl ontracto7Awhorize A9enl <br /> Date <br /> JJ . . . __I^_ � ..� � I1�.:� . i �. . � � I � i��l <br />