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P�r2MIT APPLiCATI�i'rl <br /> � CITY OF EVERETT PERMIT SERVICES <br /> I 3200 CEDAR STREET, E1/ERETT,WA 98201 <br /> 425257-8810-FAX 425-257-8857-www.everett�ra.org 3 —I g-O$r <br /> I <br /> I APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PUi -DEBIT 8 CREDfT CARDS ARE MOT ACCEP�ID <br /> I SREADDRESS ��s0� Grand/�'�nuG PARCELTAXI.D.i I��J��i <br /> Everett, Washia Lon 9820/ ( 4380 - 343 -001 - 00 � �zX��.3Z <br /> ILE LOT NO. BLOCX � iRACT [r! <br /> �50. i+ tJ '(2 Z 343 I Eve.etf D'�v L <br /> Iowr�t aoor�ss urrmP �+o� �,,ss <br /> � Sren�a �+ l�4u,5�� ILut��a `° Ilrol (rrand /!v[eKt � EJerCtf, ,�g1o1 �84-(I7S <br /> I TENANTNAME COHTACiFORPERWT O�S�eMQr PFfOlE <br /> 1 / 7 <br /> COWrlC1�7, R.te�Z.Q rr��u�a.� ZO�O� 4ai _�,tef53 <br /> ColITRACTOR (,w►1G� AnDR�SS CfiYlLP PlidE <br /> co�r�.���r,s�� � (A �saMe as �c5ov�� lf?3�-78Q-1f75 <br /> USE OF BU�LDING HEAT SOURCE COHTRACT PRICE OF WOR!( <br /> ReSt�P.r►�P� � _ei� _c�_ou,e, I ' yZ,� � — <br /> WORKDESCRlPiION �L°M � � �4dd�+�.• � �'!'f ��OOr ~ <br /> Qorcl. �!- 2 flo.r <br /> PIP��-oow. Add��M , .� gedroo»� Ce�li� Ql�+. ��el <br /> PLUMBING MECHAlpCAL <br /> NO. TYPE OF FO(T1ME OR REII NO. 7YPE OF FOCTUIE OR fI� <br /> Toiiet NC—ar han3rg units <br /> BathWb Forced a'v sys4arns <br /> Lavatory(w35h ba5in) � G35 P4r5 <br /> Slw�ver WaEer I�eater <br /> Krtchen sink 8 disposal � Gaa M1epiace <br /> Distmash�er Gas mge <br /> Gothes washer qot�s Gy� <br /> Laundry tray _ Rage hood <br /> Sink(service�bar/mop/etc.) Ed�aust fan <br /> Badcflow preventer lieat pirnp <br /> Urinal ;htit t�ler <br /> Drinkirg Fountain BoBer <br /> Fbor drain Rehigeration <br /> Greaso trap WoodsEove <br /> =I Roof drans — = OMxr <br /> Other <br /> CfTY OF EVERETi LOCJLL SALES 7AX CODE IS J705 <br /> II hereby ceribfy ihat I have read and examined tliis appGcatio�and know ihe same On be true and correct ,qC ptpvisipns p({aws and <br /> ordinaces 9oveming this!ype o(work will be comWied wNh wlietlrer specifiad he�ein w noL The qarMi�g d a pemit dces rot pre.wne <br /> rAy to vidate a cancei the provision of arry other state or bd Iaw reguFa�g constucton or Me perfamaice d <br /> � .That I am author¢ed by the amer of this property to perfam the work fur which ap�iCafion it ntade ad I oomply wiUi�e <br /> e B27 RCW and 296.200 WAC. <br /> � �� �� <br />