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,- <br /> _ _ _ � -- <br /> I�ERMI�' APf'LICATION <br /> CIT� �`JF EVERETT PE�MIT SERVICES <br /> 3200 CEDAR STREET, EVf=RETT, WA 98201 <br /> 425-257-A810– FAX 425-?57-SB57 –www.everettwa.om <br /> APPLICATIONS ARE PCCEPTED FROM 6 NM TO 4 PM g ��� '<</ <br /> SIl'c ADDRE`;5 �� �'�3�G� "' ' ' °" FARCEL TAX LD.# ��MIT�� <br /> I <br /> i� ���T <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> IDESC. — -- <br /> OWNER ADDR[SS -�l 1p� CITY/ZIP fHONE <br /> � � - �� �ia. �;-s S��-y��-3 <br /> �a��U�P�'r�i ->�0/0�<<Z_�� ��5 / � "����PH� _ — <br /> � TENANT NAME I � CONTAC FOft PFRMIT <br /> GMAIL <br /> COhTRACTOR AODRC-55 GTY21P PHONc <br /> GONSR. LICENSE# " /J^C 1 <br /> .�/�U'��lrl b/�c% /��� / � —. <br /> USE OF BUILDING -_—�^v�- HEAT SOURCE I COPITRACT PRICE OF WORK <br /> . <br /> �clectric _Gas _Other <br /> WORK DESCf21PT�ON <br /> `+(�`aj`,��L�� �l7 �✓�rw� �/W `,�/".` '�`' <br /> � C: [/V � <^/��� ' C^ �yt..it_Ll��` Lf�t..'� <br /> �� PLUMBI G ��— MECHANICAL <br /> N0. <br /> TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR�TEM <br /> Toilet _ A/C-air handling uni�s <br /> �ath�ub _ Forced air syslems <br /> lavatory(wash basin) _ Gas piping <br /> Watr,r heater <br /> Shower Gas fireplace <br /> _ Kilchen sink&disposal Gas ranye <br /> Dishvia;her Clothes diyer <br /> _ Clothes���asher Range hood <br /> Walerhea:er Exhaustfan <br /> I _ Sink(scrvice/6admop/etc.) Heat pump <br /> � _ Backtloe+prevenler Unit healer <br /> � Urinal — �oiler <br /> __ Drinking Pountain —� Reirigeration <br /> , Floor drain Nbcds�ove <br /> _ Greasc irap � Giher_ <br /> ' fioof drains ( — <br /> _ Olher _ I — <br /> — - I -- _ <br /> CITY OF EVERETT LOCAL SALES TAX CDDE IS 9105 _ <br /> I hereby certify Ihat I have read and examined lhis application and know lhe same to be true and corred. All provisions of laws and <br /> oidinances governing this type of work will 6e complied wilh�vhelher specified herein or no�. The granting of a permit does nol presume <br /> �u yivo authorty lo viola�e or cancel lhe. provision of any o�her s4,.;e or local la�v regulating construction or the performance of <br /> consWction. flia4l am authorized by Ihe owner of this propedy[o perfoim ihe�vork(or which appliwlion is made and I comply with the <br /> Slale Gentraclo�slLaw 182%RCW anci296200 WAC. � �� � <br /> ( '/�V.,• <br /> i�j�t��NcrlCoMraclor/Authorized Agent Dal <br /> i•�� ,i <br /> �. % <br /> i.- <br />