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Apr 03 07 09:31p Ed Petersen 425258-2160 p.z <br /> _ - ( <br /> PERMIT APPLICATION i <br /> CITY OF EVERETT PERMIT SERVICES � <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—FAX d25-257-8857 —www.everettwa.org <br /> APPI.ICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS /� �� � PARCEL TAX I.D.M PERUR 0 <br /> I �Z�' ur�t� �1''e- �O SS363Z ,�oo0�i� � y- q <br /> L"cGAL LOTNO, BLOCK TRACT <br /> D9SC. ' <br /> OpWN�ER ADDRESS �, n CI7YZP PHONE <br /> l,uro� �. C� �2�rSC� l.��-'f C�1��" �lh./� ��pf �-2S8-Zlbo <br /> TENANTNAME I CONTACTFORPERMIT PNONE <br /> CO ,R_A`CTnO�R..� �1a �n ADDRESS CITY2IP PHO�_r�` �3 — <br /> �'l�' J�� .Cil � l�f 6/6 ���+n k�f�F.glyd Ma�► �,'(�e ° � <br /> CONTR.LICENSE M �t//� <br /> � �IJU�2. i i R6 I �-'i- R Z7. 1 z�� <br /> � <br /> i USEOFBUILDING HEATSOURCE CONTRACTPRICEOFWORK <br /> � '�e��`��c.ce I —E�o� _��_o�,a� � I(� �-FS.97 <br /> WORK DESCRIPTION � / <br /> T�15"f'al� �11dad S-�v�e �aSe�-'{� �%� eXr`s7� �1 �eP��,e <br /> �J <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIX7URE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> Tdlet _ A/C–air handling uni� <br /> I _ 9athtub Formd air syslems <br /> Lavatory(vrash basin) Gas pipin3 <br /> SFwwer �Va�er hea4er <br /> � _ Kitclwn s:nt 6 tllspDsal ! Gas Areplec� <br /> I _ Dishwasher Gas ronpe <br /> Clotl�as•rrashor Clothes dryer � <br /> � Laundry hay Range hood <br /> Sin k(sorvicaibnrlmop/etc.) Exhaust fart <br /> - Backflo�x proveMer Heat pump <br /> � Urinal Unithea[er <br /> �. Drinking Fountain ` Boiler <br /> ' Floordrain . RelrigaraEon <br /> ; Grease trap �_ VJoodstove <br /> I _ Roaf drains _ Othar <br /> Otha r <br /> ^I <br /> CITV OF EVERETT lOCl1L SALES TA](CODE IS 3106 <br /> I hereby cen9!y Ihat I have road antl e�ammnd thisapptidpon and know thn sarna to bo truo and correR All prorsions of laKs and <br /> ordinarns gaveming this typa of�wrk v.ill bo oomplied with whethor speafied herein or nct.The pranting of a pertnit daes not presumo <br /> to eive authanry'n viotato or wncol Ihe provision ef any othcr stata or Iocal law regula8ng eonstruction m the parformance of <br /> construction.That I am authar.zod by tho ownor of Miis propeAy to pe orm the work for wbich applimtion is made ar,d I camply vrith l:e <br /> M <br /> St�ta ContracNrs La•.v i6.Ti3�� nd e96200 WAC. <br /> ���c1���1��� 3 °7 <br /> Si3nalure o Ownor/ConVacCor/ ,honzed Apent ate <br />