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May 10 06 01 : 31p State Mechanical 206-575-7529 p. =7 <br /> � - - <br /> PERMIT APPLICATION <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857-vnvw.everetlwa.;,i g <br /> I \ Z�U �-1��O 2 oU K O Z'-'� /�J � <br /> !�v�,C� � APPLICATIONS ARE ACCEPTED FROM 8 AM 7U 4 I'M J� ���'� -� <br /> SITE A�J�RESS PARCEL.TAX I.�D.p f'ERMIT# <br /> 12 �C'J ���c,us�-r � Z8o CSZOO OZ'1CL7 �(o�Z-o IS <br /> LEGAL LOTNO. BLOCK TRACT I, <br /> DGS0. <br /> I <br /> OWNER ADDRESS � CITYZP PHONE <br /> ���G'1'�O✓�l �I <br /> TENANT NAME CON7AC7 FOR PERMIT 1 PtiONE Z(�j6 <br /> �r�� � II �L d�Z. �r�� �"75 Z Z <br /> CONTFUICTOF;�.y t � �hj�v} qpDRESS 6Gp IKdIVS��, CITYZP PHONE I <br /> CONTR.LICENSE% DC �S I Y T IGv+�IA �q <br /> S�ka�-cM�ly 1 c'} i <br /> USE OF BUILDI�7G HEAT SOURCE CONTRACI'PRICE Or WORK <br /> Ca.�nv�trc : a.1 _Electnc _Gas I Other ��Z�G��� ! <br /> WORKOESCRIPTION /' i OV n <br /> �IU' o� `� n �v.. }-or./ I � t`��'VrG <br /> o�' \ ` I <br /> C�t�r �JUW-�4 � jL W�l'e� �, Zi� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR I7EM NO. TfPE OF FIX7URE OR ITEM <br /> _ Toilet A/C-air handling units <br /> I = BatMuh _ Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> � Shower Water heater <br /> I _ KilChen sink 8 disposal Gas fireplace <br /> I = Dishwasher � Gas range <br /> Clethcs wa-t;er Clothes dryer <br /> . _ Laundry tray Range hood <br /> _ Sink(service/bar/mop/e�c.) Exhaust fan <br /> _ Backflow preventer Heat pump <br /> Urinal Unit heater <br /> � Dnnking Fountain ��Boiler <br /> _L_ Floorcrain ��Refngeration <br /> Grease trap i Woodstovz <br /> � I L Roo(dr�ins ��'�iOther <br /> C]ther <br /> 1 i <br /> �� CIN OF EVERETT LOCAL SALES TAX CODE IS J705 <br /> I hereby ceritity that I have read and�xamined Ihis application and know the same to be true and covecl. All provisions o(laws and <br /> oidinaces goveming this type flLwortcwill be wmplied with Nfiether specified herein or not.The granting of a permit does not presume <br /> to give authority to viul, r cancel the p�ovisien of any olher state or local law regulating construction or the pertonnance of <br /> construaion.Thai I i rized by the owner of this properry to pertortn the work for which application is made and I comply wi[h the <br /> Stale Contracto a �8.? C a 296200 WAC. I <br /> ,�/O, 06 <br /> I Si�nature of r/ContraAo uthonzed Agent Date �, i <br /> �-- ------ --- - -- - -� <br />