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PERMlf APPLICATION <br /> ClTY OF EVERETT F'FRMIT SERVICES �°�'4�; <br /> 3200 CEDAR STREET, '.VERETT,WA 98201 ��QS Y�' <br /> 425-2�7-8810-FAX 425-257-8857-www.everettwa.org �-'� <br /> i <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO��PM -DEBIT&CREDIT CAROS ARE NOT ACCEPTED I� <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# 7 � �r <br /> ��oZ(� DLL`! �,2y�/ ��!' �'II �t,L' � D��OJI� "! (iG�/ ,-w;'"a"� <br /> LEGAL LOTNO. BLOCK TRACT � -`�� <br /> •d i� uScZ -10 „ :�, � <br /> DESC. ' <br /> 1"j�� <br /> OWNER AODRESS CITY2IP PHOIIE �}�_ ��_ <br /> L-G�T <1n�/�L�f�yGif� LAi35 `71i,� JJ l�lv�-e.-� �Q;✓r_ F✓�¢�d 5�5.1v, �� z`� <br /> T[N:.NT NAME CONTACT FOR PERMIT PHONE <br /> �G.S 'lr✓�L�fiTL�L j-/Fi�j /�If�l�-n� �1%- �i/� ��G-J,7� .�)G'� � <br /> CONTRACTOR ADDRESS CITY2IP PHONE � • <br /> i��G2l�A.� ✓IGtiI-�. 6[_L 1530Q� G�IX-�9£1:-itr-( ;�i� L','.uNr�i.� `.�c�', :�1..'e?�iO� . .i� .. . <br /> : . <br /> CONTR.LICENSE# �je�p'3�. I.�;�'.,;;,"� � <br /> ���r�+ �v� 3S� f�s S i I �-„�� <br /> USE OF BUILDING HEAT SOURCE �CONTRACT PRICE OF WORK ;`��;'•`E���� <br /> vu <br /> Ur�y� �P,!}[.� _Electric �Gas_Other f D �j](,j '�"— <br /> / <br /> WORK DESCRIPTIONn t n r <br /> -� J"�tIL!{[y� �/C a'rtl:i-i !tnit� 'JJ<.'��.J.`,(c� �C !� .'P. �1=sti/�.di <br /> -F.v S'i t i <br /> ;! .�iFo J���.�-+=n�'T. <br /> PLUMSING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM II <br /> Toilet 1� A/C—airhandlingunits <br /> � BaihWb Forcedairsyslems I <br /> � ��i Lavalory(wash basin) �� Gas piping <br /> . Shower Water heater <br /> Kitchen sink&disposal _ Gas freplace <br /> Dishwasher _ Gas range <br /> �� Clothes washer _ Clothes dryer <br /> ; _ Laundry iray _ Range hood I C}� <br /> :=� _ Sink(service/badmop/elc.) _ Exhaust fan � ,'r ' <br /> �� , _ Backflow preventer _ Heal pump . /I��� ��, • <br /> Urinal _ Unit heater j .��� �'�#R <br /> Drinking FouMain _ Boiler ' �`�'°""'�!� <br /> Floordrain _ Retrigeretion �' , .,,�.�� <br /> '— WoodSIOV¢ �'•'""'i" <br /> � Greasetrap — � �'��� <br /> , Roof drains _ Olher , '--�**�"�";„ <br /> Other — �''��r� <br /> I — �u� <br /> M:, <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 '� <br /> I hereby cerilify lhat I have read and examined this application and know the same lo be�rue and correr,t. All provisions of laws and ; �' <br /> ordinaces goveming this type of work will be complied wilh whelher specified herein or not.The grenting of a pertnit does not preswne ;.N-��s� <br /> j, to give aulhor':y to violate or cancel the provision of any other state or local law regulating conshuction or the pedormance of •� ,�;ar� <br /> ,:,..� consimclio .Thal I am authori d by the owner of this property W perform the work for which appticalion is made and I comply with the "'"-» ,"�"'r <br />� _ Sl C actors La 2 CW and 296200 WAC. ^"� <br />� , c7� lJr lo � <br />�y, �, SignaWre of Owned traGbt/Aulhorized Agent Date <br /> x i <br />�, <br />�:u <br />�."' -- <br />�; J <br />�� � ��� rv.... <br />��,- i 7 <br />�� � <br />�? <br /> "` <br />�,� _ . <br /> t X �� + � <br />�r��`� ' 4" ,3^.. �;ln -waq�(�i °fn M y�,y.rye F 1 .�'��������f��`+.. . +4ih <br />_ .'R"�:a�,�..3FA.ua�. _ " .. .. �� ...fvu"�+,KbcnSh'�61���i�,u.. .. � v.Mur+ ..i&+�.�i('byJ`1�- ^'tia <br />