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p- . i�l. ?' 1 � , =6°h1 fJa. jiiei� i <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRFET, EVERETT, WA 98201 <br /> 425-25�•8810— FAX 425 257-8857 —vnvw.everettwa.org <br /> APpLICAT10N5 ARE ACCEPTED FROM 8 AM TO 4 PM <br /> lZ —1/-1 <br /> SITE ADDRESS I ppRC�L TAX I ,q <br /> /„ � � PERt.11T tt <br /> �. 1�3�=.� <br /> lEG.1L LOiNO, BLOCK TflACTORSUODIVIStONA <br /> DESC <br /> O\VN[R AOORESS <br /> CITY21h PHONE <br /> . I eiz�. rson - glci_ ICe���� �ab� �S �boV�. 4�5 ��'a -�?2a'"� � <br /> TENAHTNAJdE I CONiACTFONPEqtAIT — I <br /> PHON�(,�Zfj LC ��� I <br /> I �o ►� PE.ti,A� ebb�� .ml�z��;rY�.d�►�; <br /> CmHEa 'rlqln� ��hi5ar ux+�i Eve���eti Qg7oi 4z525�r��6� <br /> CONT��l E1NS_y. sEpp y ����� <br /> �IILrL,7R <br /> USE OF BUILDING HEAT 90URCE CONTRACT PRICE OF 170pK <br /> _Electrlc ✓ Ga,_Oiher <br /> lYORK D[SCRIPTION �. I <br /> u�S�) l �uS �'?.� <br /> PLUMBING h1ECHANICAL <br /> NO. TYAG UF FlXTURE OH RElA � NO. <br /> TYPE OF fIXTURE OR IT[td <br /> Toilef <br /> __ Dn;h(ub � NC—alr handling unils — <br /> _ Lavatvry(wash basu» _ Fmccd air syslems <br /> �_ Shower _ Gas piping <br /> _� Ki�chen slnk R dlsposal —�. Wa�er hea(er <br /> Dishwasher ___ Gas froplace <br /> � Ciothes washer _ Gas range <br /> _ 1'✓a;on c�ater ` Cloihes op�cr <br /> _ Sink(service/b�nmop'etc.) Rarfle I;ood <br /> Backllow preventer � Exhaast Inn <br /> � Urinal � Hcal pump <br /> U�tnkiny Fountai�� ____ Unit healcr , <br /> _ Floordrnin Bolle� <br /> Grease bap _ Helri�erelion <br /> _ Rooldrains lNo�7:;tove <br /> _. OIhM�`_ _ Othcr <br /> CITY UF EVEHHTT LOC4{,SpLES IAX CODE IS JI05 <br /> I hereby cen;dy�ha(1 ha���read and examined thie ppphcation and know ihe snmo lo bo true and corrocL NI provisions ol la�vs antl <br /> ortlmoces povo;nlnp Ihls lype ol wprk will be compliCd with whether speclHyO he�oin or noL The graming of a permll docs nol presume <br /> to pwe aulbonly lo viclale Or caneCl Ihe provtsion of any olher slat?or local law regulyinp [onsirucl�on or the pertormance ol <br /> constructicn. That 1 am authoiir.ud by the ownnr ol Ihis property to perlo;m Ihe work tor which appllca(ion Is matic entl I tomply wilh Ihe <br /> Stale Coniractors Law 18.27 qC1N and 296.200 WAC. <br /> Signalu of OwneuCopt acmdAulh i ge��i �� <br /> (J <br />