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iG-� �� <br /> PE��IMIT �PPLIGa4TlO��i <br /> CITY UF �'�ERETT PER�IT SERVICES <br /> 3200 CGUAR STREET, EVERE i f, WA 98201 I <br /> 425-257-8810 - FAX 425-257-8857-wwev.everettwa.org , <br /> APPLICATIONS Ai2E ACCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDIT CARDS ARE NOT ACCEPTED i <br /> SITE ADDRESS PARCEL TAX I.D.� PE T# I <br /> j cc� �N��s,—R ; s ; S;o�t � 1��`! 01. vo� ua-a�v p��--_� ' <br /> Le�AL LOTNO. BLOCK TRACT c� c� <br /> DESC. /a � QL/� / / DO� <br /> OWNER ADDRESS CITY/ZIP PN.ONE <br /> Pf)IJl�7�UN1 pF���LUPNr<;%_ <br /> (�C 50 �'F��c.,.��o �ti' Po2��y..,a� oR j 03 -�'ls-0�4�] i <br /> TENANT NAtdE CONTACT FOR PERMIT PHONE <br /> C2c9i Lirc,E pDY= rOr-rPAN; �� /jcy�ut��;F S�r+ason� (. ny-3Ji - 3`7/�' <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> �.l)P. 6^�if-RP2�s6f �n�t. �-LS�icr 70"' /jUC• U-•: EDr+e,.�n1 y�'1--77C--�yu <br /> CONTR.LICENSE# <br /> 12�9PFti� i ti �� n�� <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK <br /> I _Electric _Gas_Other � 7 ���• �Z <br /> � <br /> WORK DESCRIPTION I <br /> �� N'UFRCTu2� d- 1ti1T9��q77u^- <'�F- cvnP�in-�;' �Df��7"/f-�c/j�p...� <br /> 57c�u�r�� oCI�� r-��,..� Fti-r�eti��� . <br /> PLUPABING MECHANICAL <br /> i ; <br /> NO. TYPE VF FIXTURE Oft ITEM 1-0. I TYPE OF FIXTURE OR ITEM <br /> J <br /> _ Toilet __I ia/C-air handling units <br /> Bathtub Forced air systems <br /> Lavatory (wash basin) �;s piping <br /> i _ Shower Wate-!�eater <br /> _ Kitchen sink 8 disposal _' �as frepia.,a I <br /> �, Dishwashar __ � Gas range <br /> � Clothes washer __ Ct�thes dryer � � <br /> '� _ Laundry tray i _ Range hood <br /> _ Sink(service/badmop/etc.) � �_� Ex��_st c;.n <br /> Backflow preventer _� lieai pumu <br /> _ Urinal _� U •rt -ie.+=.r <br /> _ Drinking Fountain d,��ier <br /> '�, Fiwrdrain —� RF`rige�atir.n <br /> I Grease trap � :^+oo:siove <br /> I � Roof drains G•,:`.c�,_�_„��_ <br /> �i _ Other - — --.- --- <br /> � — — --��-- --- — <br /> CIN OP EVt�ETT LOCAL SALES :-i:X C:,_= IS '1�US _ � <br /> I hereby ceriti(y th�t I have read and examined this application and knoyv the same,u l�•a;�L�ana eurrect. All prr�ofsions of laws and ! <br /> � ;rdinaces goveming this type of work will be complied with whether specified herein or�nt. The qranting of a „ermit does not presume '� <br /> ro give authonty!o violate or cancel the provision of any other st2te or Iocal law regulating ronscl.."�n or the perforrt:ance of i� <br /> � construction. That I am authorized by the owner of;his property to neriom �he work for which aFolic�tioi� is rr�de and i camply with the � <br /> State C�n ctors Law 1� R W and 296.200 WAC. i <br /> � �_ � �� I D�l I/G 4' ,� <br /> S�yna�ure of OwnenC� ���ionAuthonzed Agent �Uate ���7/� ,' <br /> ��' <br />