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4?5-752-1666 CM NEATING O7 18 57 p.m OS-21-101G 3 J4 <br /> ERMIT APPLICATI N <br /> •' CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STflEET, EVERETT,WA 98201 <br /> 425-257-HB70—FAX 425-257•8857—www.overeltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 Ah1 TO 4 PM -�-� --�� <br /> 5 - � � <br /> 3130 RESS � q g'^I PARCEL TAX I.D.p �� II' �7� <br /> caJ Li <br /> LEG LOT NO. BLOCK TRACT OR SUBOIVISION C �� �Sq 9D02 <br /> �ESC. <br /> JWNEFi AODFE55 CrtYlDP PMON <br /> Ge.oYt�2 �}'lo►b1Ag 487.9 103rdPL ►.�E Ma.v Sville 982�0 7� <br /> TENANT N E CONTACT FOR PERMR � PHONE(;'Z� Z lG0(p� <br /> h.is rarddu.�aqh�e.r I ��� E�,a�rJebbie@cmh�irr.�. c <br /> C(v1 ea nq f n� �►+i5 Br ux� �ve,reff qg7oi t{Z525q�66h <br /> �o�,�c�m sE �-� U95R4- <br /> USEOFBUILDING I — HEATSOUHCE I CONTRACTPRICEOFWORK <br /> �Eloclric Ga, Other SS /V ^ <br /> WORK DESCRIPT70N <br /> l n s fz{,� I c���'tess l�i,-t pv►�►.t-�° <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlI(TUHE OR REM N0. TYPE OF FlXTURE OR ITEAI <br /> _ Toilol A!C—airhan0lingunlls <br /> Balhlub Forcod alr syslems <br /> Lavalory(wash 6uln) Gas piping <br /> Showcr Wnlar heator <br /> Kitchen slnk 8 tlisposal Qas firepta[o <br /> Dlshwasher Oas ranga <br /> _ Clothes wuher . Clathos drycr <br /> Watar heater Hange haod <br /> Slnk(sorvlcrJbar/mop/cic.) Erhausl lan <br /> Dackllow pravanter J_ Hcal pump <br /> Urinal Unll heater <br /> Drinking Fountaln Ooilor <br /> Floor draln Rafrlgarallan <br /> � Groaso irap Waadslovn <br /> Raol dralns _ Olhor _ <br /> Other <br /> CITV OF EVCREff LOCAL SALES TAl(CODE IS 3105 <br /> I hereby corHtty Ihal 1 havo road and oxartilnetl Ihls eppllwtlon ond know lha ootne lo ho truo nnd conect. All piovl;lons o!law5 pnd <br /> ordlnacas poveminp UAc typo ol work wlil bo camplled wlth whether spodfled horoln or noL Tho granlir.g al a portnll does nol pre,ume <br /> lo elvo authoAry lo vlolato or wncol iho provlslon ol any olhor slalo or!ocal law reBulaUng conslrvctlon or fho portormance ol <br /> consWcllon.Thol I om authortzed by Ihn ownar ol IhL�pinporty lo perlorm iho work for whlch applicallon Is mado and 1 cnmply wlll� Il�o <br /> Stato CoNmctors Law 18.27 FCW nnd 296.20o WAC. <br /> 1 ' c 5�2'�'� l!� <br /> Slgnaw ol OwnoUCap1 aclorlAu Bent Dam <br /> (i <br />