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�3/��1'_�E6 13:56 20624679�5 BRENNAN HEq�=^!a FAac E:/0= <br /> I PERMIT APPLIC�4TIaN <br /> CI7Y OF EVERETT PERMIT SERVICES (Yc+lo� <br /> 3200 CEDAR STREE7, EVERETT, WA 98201 <br /> 425-257-8810-FAX 425-257-6857-www.everettwa.org <br /> ApPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DE81T 8 CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL 7AX�.D.a PERMIT p I <br /> lql7 LbN�tBAR� AuE o0�3'�938�8do°tu0 �'V1U �.1�� �� <br /> LEGA 40TN0. BLOCK TRACT � <br /> DESC. <br /> OWNER ADORESS GITY/ZIP PHONE <br /> �AUlrl'UA�I`�fL 10`�1S WoDblr.lVl� D� �3�NEL.L �l$011 `�aS-�2�-1 3Cf <br /> TENANi NAME CONTACT fOR PERMIT PHONE <br /> �t-w�►.tEa�i F�.t.� ac�• a4s -�goo <br /> CONTRAGTOR �ADDRESS CITY�OP PHONE � . .��g _ I <br /> '8R�1J►�'rJ t-ltA-n�tC�-�(c� ,��p� 3 13+�-�'�L icsKwll:f� z9oa <br /> i CONTRLICENSEL �a�N1.Ll-�AQ�IIFZ� <br /> 9gi�g i <br /> USE OF 9UILDING HEAT SOURCE I CONTRACT PRiCE OF WORK <br /> I ��{� _Eleclric x Gas_Olher I ��COB�� <br /> WORK DE9CRIPTION <br /> I tNs-r� �s �ar�-�,-���►.t� S�l� � c�s cn�-s�uous <br /> Fi,ocJ" N�J'C (R�Nn�ai <br /> PLUMBING N�ECtiANICAL <br /> NO. TYPE OF FIXTURE OR ITF.PA N0. 7YPE OF FIXTi1FE OR ITEM <br /> I _ Toilet _ NC—air handlina unih <br /> Bathmb Porwd av sya!eme <br /> � _ LOvatory(wash 6asin) �,. Gas piping i <br /> � Shower � Water heater � <br /> ' ' Gas fire I�c� I <br /> Kltthensink8dieposal _L F' <br /> Di�hwesher _ Gas range <br /> Clothcs washer Clothes tlrya' <br /> Lnundry Vay _ Fange hood � <br /> Sin:<(service/barlmop�etc.) _ Exhaustien <br /> BackAowprevemer _ Heatpcmp <br /> Urinal Unit heater <br /> I �.^:^k!.^.�Foun�aln Boiler <br /> ` Floor drein Refrigeration <br /> GreAse Map _ Wuodstove <br /> Roof dreins Cwe/ <br /> Olher _ �� <br /> I � <br /> ICITY Of EVERE7T LOCAL SALES 7AX COPE IS J10G <br /> Ii hereby ceritiry that I have read and exemined this appliptivn and kno+v the same to ba tn,e entl correU. Ail provislons of lews and <br /> ordineces 8oveming this type of work will be complied with whether spa�fed herein or not.T�e granGng oi a permk does r,ot presume <br /> fo qivo euthonry to violate or cancel the provision af any other state or loc�l lew re9ulatinp constrvction or tbe pedortnance of <br /> � construclion.That I am euNorized by the awnar of thls property co poAorm lhe vrork for whirh applicatlon ia mede and 1 comply wlth the <br /> Stat ontratlon Law 18.27 W/�^and 296.200 WAC. ) <br /> S.'Jf13lUf0 f ne Contf2c[of/Au�llof;2etl A9Qnf ` �a� <br /> I^ _ i <br />