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� { � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 7- �-3-/ZI <br /> 425-257-8810-FAX 425-257-8657-vwvw.everetMa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM L-��D7-�a� <br /> RE PARCEL TAX I.D.It PERMIT 1C �� <br /> .C�7 �GJ <br /> LEGA LOTNO. BLOCK 7RACTORSUBDINSIONR <br /> DESC. <br /> OWNER DHE33 C /LP ,�r 3�' 7x <br /> �/o �aoor �i�ac <br /> C�P � '�T, LLG f�q ,Q�cetf,��,o E p <br /> � Ps�/ <br /> 7ENAIRNAME � CONfACTFOfiPERM1T PHONE �S�O <br /> 1✓O�-�C..� L7c.•`�'�+ EaAAIL � •CJK� <br /> W�2stt�¢N t�F3s� 'F�i¢fl¢�I'�c S� � �'`."z. <br /> coMnt.uce�s�S,�bJ�(l ���f� <br /> USE OF BIIILDINCi HEAT SOURCE I COHTRACT PRH:E OF WORK <br /> n�� nf�� _Electric _Gas_Olher �� <br /> E�RK DESCRIPiION <br /> � ��u�,�«.�Arc'r •J�1'� �Lt�+�eOp��r�1 W,���e�.1. <br /> d-� '��I��t� S�G►J G'2C�\T. <br /> PLUMBING MECNANICAL <br /> NO. TVPE OF Fl7(TURE OR ITEM N0. 7YPE OF FlX7URE Op ITEM <br /> Toilet AIC—air hardling units <br /> BathWb Forced air systems <br /> Lavalory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen siMe 8 disposal Gas fireplace <br /> Dishwashcr Gas range <br /> Clolhes washu Clolhes dryer <br /> Waler heater Range hood <br /> Sink(service/bar/mop/etc.) Exhaust fan <br /> Backflow preventer Heat pump <br /> Urinai Unil heater <br /> Drinking Foun�ain Boiler <br /> Floor drain Rnlrigeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT IOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read and examined ihis applicalion and know the same to be true and cortect. All provisions ot laws and <br /> ordinaces governing this type ot work will be complied with whether specitied herein or not.The grantinp of a pertnit does not presume <br /> to give authority to violate or cancel th rovision af any other stale or local law regulating constniction or the perfortnance of <br /> constructian.That I am authori ie owner of this property to peAorm the woAe r which application is made and I comply wilh ihe <br /> State Conuact yYAC.----�. <br /> ' ,.��`��� �o <br /> � ture o edContractor/Authonzed Agent Da <br /> ��L <br />