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*oa ,�� �`. � i� lF r�,Y,�. ox r`s��.a.c��e '�.a. aiau�•,;.�"—..4� <br /> .. '�� • ....as .�. +���Ny� , r�.. ci.;' v...w„�y"W " <br /> _,�.o.��y+r' <br /> G`� „ il� �3.,.,� ' G.Yy� r . J ,. I� . <br /> +�' '.?:. _.�s1LY+nt[�.'b16._:'�_- _�c3_..+��:-�_ ...._fil. .•J�R1d�al. �_.:� ��._� . z"`. <br /> ��q'�-.�-. <br /> r �r' I <br /> �" P`RMIT APPLICAT'it,�V � �°' <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEP.ETT, WA 98201 i '���",` <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.org � — 1 --OS I '� <br /> APPLICATION� ARE ACCEP'iED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED i �",Y <br /> I <br /> �. <br /> SIT�,ADDRESS PARC�L TAX I.D.# P MIT� <br /> � �,Z.D l/ 2 Z�oyi a � �.�/"� � <br /> LEGA LOTNO. BL9CK TRACT <br /> DESC. <br /> OWNER ADORESS CITY/ZIP PHONE <br /> C/%c��� /IqNc-aDa ,f �6hZa l,�al�r/ !,;Q c`'.���ff � �✓,c %2s3�c?�� <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> c'C� A,�Q/�t��� i � ,����c K �rid� yzs 3�r�-�s`�� ; <br /> CONTRF.CTOR �/� ADDRESS Q i^ CITY2IP PHONE <br /> ��-✓.CN lrU•u� �i,3, t-j�ir/%� II <br /> ' eJ' (o1.Q.c./]�6 �/S Gl/� <br /> CONTR.LICENSE# R��� ��� �z � Q�. �, 6�� 6�z/, <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> n,? <br /> ����� ��A�� _Electric /�Gas_Other � 7 O�"�%` � <br /> ��� ����������� WORK DESCRIPTION <br /> "n�_:: . r_ .. -� <br /> �`' .s� i� _. <br /> � <br /> � , <br /> 6 <br /> iPLUMBING MECHANICAL <br /> NO. TYPE OF fIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM I <br /> '�Z Toilet A/C-air handling unils <br /> ���:�{i, Bathtub � Forced air sysiems <br /> � Lavatory(wash basin) � Gas piping <br /> Shower W ater heater <br /> Z Kitchen sink&disposal _ Gas fireplace <br /> Dis�washer �as range <br /> CIotA�s washer — Clo�hes dryer <br /> _ Laundr� ay Range�hood <br /> _ Sink(servic ar/mop/etc.) Exhaus�t fan <br /> _ Backflow pr�t r _ Heat pum <br /> ! Urinal � Unit heater <br /> � �,�, I _ Drinking Fountaln " _ Boiler <br /> Floor drain Refrigeration <br /> i = Grease trap = Woodstove <br /> Roof drains Other I <br /> �� ,'� � _ Other _ <br /> 'f � � i <br /> I CITY OF EVERE7T LOCAL SALES TAX CODE IS 3105 � <br /> i'. I <br /> I hereby ceritify that I have read and examined this application and know ihe same to be true and correct. All provisions of laws and I <br /> , ardinaces governing this type of work will be complied with whether specified herein or not.The granting of a permit does not presume � <br /> to give a pnty to violate or cancel lhe provision of any other slate or local iaw re9ulating construction or the performance of <br /> ' construc ion That I a autho " d by the owner of this property to perform [he work for w iich application is made and I compty with the <br /> tate C ntr c�s L �7 W/and 296.2 0 WAC. <br /> ^.{ �` <br /> I <br /> i� na e of O nedContractorlAuthorized Agent Date <br />� �2 <br />�� <br />��� . <br /> � _._ _,- ��u. <br />`��_� , , _ Y „v�, <br />�yg2Y�'�+'�,. J Ifbi#E� 'Y'6{il6�W �. �Yr:�4 4y� : y .a1#�I''.HMEa} f� <br /> ya-��r_f�X'khnF.�'NF'4��....... ��� ��� ..at�,_� �Y yy.�,,y��� �;HV �::_ . �' 'x'��'�kp;t <br /> frv. .�F1a},`42kJj�'R�F'mT''TYd�sw'-�C( r i5c S�C.4,�'�M-'�R`MM�� .a:.; 1�/�y�vr� <br />�T�'^� .._ . . . i. .� . .MT;145'_ _ ,;�.Y<.�L..�.a...ru��'...�..�, "4°u'rd's . <br />