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t <br /> _ - -- --- - -� , � <br /> I PEI�.MIT APPLICATION ; <br /> CITY OF EVERETT PERM17 SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDIT GARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# . f i <br /> � . <br /> •• - G - 5e� �t � � _ - <br /> I_[GAL LOTNO. BLOCK TRACT <br /> DESC. — � 5'.LL+ f� 0� 1 � 1� <br /> OWNER AD�RE55 CITYl7_IP �Z�, \P�107�1E O��- g{ '� Wt <br /> I�� / L`f 6 a <br /> �QV�Q1IU141 DQ.�10IQ�k�_�y(.411_� CL� NTACTFORPERMI��IA"f�Y �� � _`�I <br /> TENANTNAME <br /> �/lava�r�G� I 5awi Mill� �� �s-qlc7t� <br /> CONTRACTOR A�DRES CIN/ZIA PHON <br /> vn��e.r.sa� IJla.c�av� i ca� �ao� �t�l�ak.is Road P-�edw�oHd,t�l� (W�)Ss4'SS�it <br /> CONTR.LICENSE# <br /> �N I M I 3�SF <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> p{-'r iC.�/WaY�µO1X� I _Eleclric ��as_Olher ��Gt' ,3.�i ,C� <br /> VJORKDESCRIPTION Tµs,��l 2 �ZS'�"OVt 9G5/��'���- ro� �AGKqq2� UTAIj"S w�{� <br /> as5oc.ta�Foo( dvcrtwov-lc� ���vsey's aKv� co�tro�s . 1wt'all I� yas �N��' I <br /> l�eak�,r-, �astal� I .��F+r�p exlnacrsr Fa�n. <br /> P�UMBING MECHANICAL <br /> NO. TYPE OF FIxTURE OR ITEM NO. I TYPE OF FIXTUkE OR ITEM <br /> Toilet �� A/C–air handling units <br /> Bathtub Fnrced air systems <br /> Lavatory(wash basin) � Ga:oiping <br /> I Shower _ Water healer <br /> � Kitchen sink 8 disposal _ Gas freplace <br /> Dishwasher Gas range i <br /> � Clothes washer Clolhes dryer '� <br /> _ Laundry tray Range hood <br /> � Sink(servicelbarlmop/elcJ � Exhauslfan <br /> I BackFlow preventer Heal pump <br /> Unnal = Unit heater <br /> Drinking Fountain Boiler <br /> I __ Floor drain = Refrigeration I <br /> Grease trap Woodsrove <br /> �. Roof drains Other <br /> I = Uther = <br /> i CITY OF EVERETT LOCAL SPLES TAX CODE IS 3705 <br /> ! hereby ceriti(y that I have read and examined this application and know the same to be true and correcL All provisions of laws and <br /> ordinaces goveming this type of work will be complied with whether specdied herein or not.The granting oF a permit does nol presume <br /> to give authority to violate or cancel the provision of any olher state or local law regulating construction or Ihe performance of <br /> I constructior. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br /> I Stale Co r. Law 27 RCW and 296200 WAC. <br /> �� ���.� v�„��� �,+������ o�;���� _ <br /> '' .S'�aWre o(OwnedContractodAuthonzed Agent Dale �L <br />