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' � � � ------1 <br /> I PERMiT APPLICQ.TION I <br /> CITY OF EVEREi"T PERMIT SERVICES I <br /> 3200CEDAR :;TREET, EVERETT, WA98201 p�_g-fI�7 <br /> 425-257-t381�-FAr 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM T�)4 PM - DEBIT&CREDIT CARDS ARE NOT ACCEPTED I <br /> pppERMIT# <br /> PARCEL TAX I.D•# /< —�,-� -L. / <br /> SITE ADDRESS � ,. � � -��� �� <br /> ��.' - � � ��I<'C-1 �I �"iviU �1�� 1_ ��t�C ��i��< ( �� C�'r�7C�% �, <br /> LEGAL LOT NO. <br /> BLOCK TR CT <br /> DESC. qDDRESS _ . GTY/ZIP PHONE �, <br /> OWNER . �..,/.� � � '..�I.L. l�1 r C�'l c�� ��{� � J� <br /> 1 (' � .� \� � . �. � �r��(' a' C <br /> (� <br /> ��I F �\��l� 1� �� ('l7 1�11,1?C,L , 1��_l�U 0�� .�'l'.lC�"1 � p��, <br /> TENANT NAME —� I CONTACT FOR PERMIT <br /> \ � � C'�� . �'�l 1�l <br /> n f �`,� i r c��� ' � '�OL l_ C��_� ) . � <br /> ��C( � l_(9l�(1 11 �. U lf 1 q cirnziP PHONE <br /> CONTRACTOR� .JI!(l�C .� ���I ���',1,rJ�I1�DRESS � V � J_� _�� Ic_�� `j�i`% _ <br /> ;���_ c_ �'- <br /> COtITR.LICENSE N'. �l�1.1C3�-.- I��1 111��L�J (�L���L'I rl iC I �/���c�- v.,C_� �)t I <br /> HEAT SOU�tCE CONTRACI PRICE OF WORK <br /> USE OF BUILDING /� <br /> - �1 Eleclric ,�Gas_��her � 7� . DV� <br /> ��� f'��•. � — <br /> r�_.�,�,• c�l ec n ra-�r� t-�'c�_I C��, �f C� � c�.�� I G���� <br /> WORK DESCRIPTION ' � . <br /> ln� �r� Q� i � �Cc�1,�.-� <br /> �,�?C��' 4:1 ", ��..1 (��l,�_ �-�y ��.��c.Ji� C CZ�.t�i :� ` f <br /> MECHANICAL � <br /> PLUMBING I <br /> NO. TYPE OF FIXTURE OR ITEM <br /> NO. TYPE OF FIXTURE OR ITEM <br /> NC-air handling units �+�/�L�1 C�� Q <br /> .. Toilet = �U��^ � <br /> Forced air systems ���,�,� <br /> Balhlub - Gas piping � �' <br /> � � Lavatory(�+'ash basin) Water heater <br /> I -- Shower = Gas fireplace <br /> Kilchen sink&disposal Gas range <br /> Dlshwasher Cblhes dryer <br /> I _ Clolhes washer = Ranc�e hood <br /> � _ Laundry��ay _ Exhausl(an <br /> � Slnk(servicelbadmopletc.) - Heal pump <br /> � 8ack(low preventer Unit healer <br /> Urinal Boiler <br /> Dilnking Fountain Refriyeration <br /> Floor drain - Woodsiove <br /> _ Grease trap _ Olher�— I <br /> __ Roofdrains _ I <br /> Olher�--- - <br /> _ I ICITY OF[VERE'fT LOCAL SALES TAx CODE IS 7105 <br /> licatio .and know the same to be irue an�correct.oA�llPerm t does n o pr s me <br /> I hereby ceritify thal I have read and examined is apP, ether specified herein or not.The ranting <br /> ordinac ming this ype of work will be <br /> to � e aulh dy lo iol e or cancel th ion other slale or 1oc21 law regulating construclion or the performance o <br /> onstructio .Tha i auth ed . r o` is property to pedorm the work for whlch application is made and I compty with ihe <br /> Stale Co racto aw 18. C an 96.20 AC. �� /a/� <br /> � � <br /> . Dale --- ----- -- _\I G <br /> �I Sign ure of wnedG ilracW,/Aulhorized Agent <br /> i _ . ._ . . ._ _. _ <br /> ---.__.__---- <br /> —— <br />