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� _ . _ :. � � . ;�- , ,_. , , � - <br /> � � <br /> � PERMIT APPLICATiON <br /> CI7Y OF EV�RETT PERMIT SERVICES I, <br /> 3200 CEDAR STREE7, EVERGTT,WH 98201 I <br /> A25-257-8810—FAX 425-257•8857—v�nvw.evereltwa,org I <br /> APPLICATIONS ARE ACCEPTED FROM 0 Ald TO 4 PM <br /> PAACEL TAX I.D.# PE•RMIT tl <br /> SI7E ADDRESS � �� �� � m �20q -o i o <br /> __� ', <br /> IL6GAI LOT NQ. �LOCK TFACTOR SUBDIVISION p <br /> D"c�C. <br /> I �`,���Eq A DRESS CITYf11P PHONE <br /> �vAl�' 'y—I�a �425 '� Ir���o�Z� � <br /> TENANT tllVdE / {, <br /> I CONTACT FOfi AERMIT Pt{ONC�Z� Z�1 ��I <br /> Iv� -- i �,e E.If.11 e����l.���m��ll . L.�11 <br /> � cmHea�qfnc. ���SB��� �g�'� �252�;���6� <br /> i ��NTH�,��E�,SE� o95R4 — <br /> ��r �•1 <br /> .. � <br /> USE�F BUILUINQ �HEAT SOURCE CONTRACT PRICL OF YJON <br /> ✓Electric __Gas_Othcr �� � �-'"�� � <br /> \'JORK DES'nS�1� ���� 1 �J ��� 'T ���� ���1-I�' W� �,J�/' <br /> pLUMBIidG MECHANICAL <br /> TYPE OF FlXTURG OR ITEId N0. 7YPE OF FI%TUHL OR ITEM17 <br /> t:0. I ,�-- <br /> Tailet A/C—air h2ndlinp units <br /> J Bathlub � Forcadairsystoms ��Y }��d�'�X I <br /> � Lavalory(wash basin) ��9 p�u��9 <br /> � Waterhenler <br /> Shor+er Gas liroplace <br /> I = Kitchen slnk&disposai = Gas rnnfle <br /> Dishwasher Clothes dryer <br /> Cloihes washer Range��ood <br /> Watar he9l:r Ezhaust lan <br /> Sink(sorvice.roarlmop/eic) � Hent pump <br />' _ �ackflow preventer UnV healer <br /> _ Urinal — polter <br /> _ Drink�ng Fountain � Rolrigoration <br /> Floordrain Woodslove <br /> Groaso trap Othar <br /> � _ Foof drains — <br /> I = Olher_ — <br /> CITY OF EVEqETT LOCAL SALESTA%CODL IS 9105 I <br /> 1 hereby ceritify�hat I ha�e read and�xflmined Ihis appllcation and know Ihe san�e lo be Irue and correct. All provislons or laws ar,d <br /> ' urdinaces povoming thls Iype c�woik wlli bc complied with whether spocitiod hercln or not.The granting ol a permit does not presuma <br /> �o Olve authority to violate�r c2.�col Ihn proWsion ol any other state or local law repulating conSWclion or tl�o p�dormance ui ' <br /> iwnstruct�on Thni I am aullwnzed Dy th�owner of lhls proparty lo porterm Iho work lor vrhlth applicalion is matle and I comply with tl�e <br /> Smte C:ontractors law 10.27�CW and 296.2G0 WAQ � <br /> . �.zq� �z <br /> I; 5lgnatu ol �wnodCo nctoVAul i iz Apent �� Uale <br />