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� � \ <br /> •��" � <br /> ��� PERiVIIT AP'PLlCl�TIOt� <br />��'� CITY OF EVERETT PERMIT SERVIC�S <br />� 3200 CEDAR STREET, �"VERETT, WA 98201 <br />�� 425-2.i7-8810-FAX 425-257-8857-www.everettwa.org <br /> "�``°`' APPLICATIONS ARE ACCEPTEO FROM 8 AM TO 4 PM <br />�'"w�� PARCEL TAX I.D.B PERMR M <br />{,.,„„'� SREADDRESS <br />�, . ,« < :�o I-���J ���T 1 '3 '� ._v� '- 1 -Dt� '�Cl.vS c�;G> <br />��fi"' LEGAL LOTNO. BLOCN 7RACT <br />�;:,:,:-.. DESC. <br />� ��� OWNER ADDRESS CITY2IP PHCNE `�)� <br /> �`t^ �-� � �<U /J/1 �11��Q�� /$.L(iK �Sl� ��iLGi <br /> ,� L (S� �-��xv�-:�CG S �b l-�,,��� <br /> "� TENANTNAME � CONTACTFORPERMIT PHONE <br /> `,>y"2 Va-Gr <br />�;;'�;�. � S a .� <br />�. �.., `� �-E-7i- ,k v�� a�(�k ry✓ y4���� y �Li�:f "J�� �� ..> <br />�'r?�:.��'� CONTRACTOR ADDRE55 CRY21P PHONE <br /> � �1v.2�� �M��kf �Lc 153iJ� ��Qk-�1�t-�1,� �J�i-`S �3vc� �� q S<a� , <br /> CONTR CENSEq � � <br /> r+� o��h���5�a5�1t G� t,yi�l�v�v i�D�� <br /> USE OF BUILDING I HEAT SOURCE I CONTRACT PRICE OF WORK <br /> � ��>�U <br /> [�i r 'L�L� _Electrie _ as_Other <br /> WORKDESCRIPTION r �7�.^�a ��J L.j � c�� � �/-�`J j`� S/�'�-t� . <br /> PLUMBING MECHANICAL <br /> NO. NPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet _ A/C–airhandlinguni6 <br /> BatMub _, Forced air systems <br /> Lavatory(wash basin) _ Ges piping <br /> Showcr _ Wa�rhoater <br /> Kitchan sink 8 disposal _. Gas firaplace <br /> Dishv2sher _ Gas range <br /> Clotheswasher _ Ckthesdryer <br />� , _ ���n,�Y = Rangahood <br />� Sink(se�vicalbar/moplotc.) Ezhaust fan <br />���`+� Backflowpreventer _ Heatpump <br />;� .�.�,.' _ = Undheater <br /> -ti Urinal <br />} Drinking fountain Boiler <br /> ^�I�+��°', Floordrain _ Refigeration <br /> � Grease trep VJoodstove <br /> � Roofdrains _ Other <br /> � Other — <br /> I� CITY OF EVEHETT LOCAL SALES TAX CODE IS 3706 <br /> I heiaby ceritify that ave read and examinad thi appiiptlon and know ihe same lo be true and cortect Ail p�vvisions of laws and <br /> ordinaces govemi this type of vrork will be co lied with whether spedfiod herein or not Tho granting of a permit does rwt prewme <br /> to givo n t violate or cancel tti vi � n of eny other s�te or local law reputating construction or the performance of <br /> con ction.Th I am authorized the � er of is roperty ta perform llie work for which applicaUon ia made and I compiy with the <br /> Sqte Contra Law 7 RCW and 200 . . � <br /> . (� Ct s] <br /> SigneWreof ontractor/AutlwrizedAgerrt Date <br /> r <br /> ,, <br /> f . — <br /> I �: <br />! '�: <br /> i <br /> i� "� � <br />` .Y L.J . .. � . . JriN' °5','Y s S \ j �'i <br /> t ��y <br /> g. � -� "tp" "6` '�N0.. . a �f'kz� 4 l+� };'S; <br />��*"��it��� - ..,. '"n�..�v..., ��i.�.� ...-��,,.�y,'"..�. �� �M`�i� ���" '7c �i� ,�y' <br /> '.yv`;' .ey .�{�T�, 5z <br /> Y'Y" _' 'C ��"y�'� '.y� F"+4, h�h.��� <br /> yq� V <br /> _ � � �� ��, � ��� ~�:: :'��� �A'�. <br /> �. . :c � 3 .� . . � '�i` _� � <br />