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� ' PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES �6 io <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � <br /> 425-257-8810-FAX 425-257-8857-www.everettwa.org �. �� ~ <br /> ��P p� �-' <br /> APPLICATIONS AftE ACCEP'iED FROY 8 ANI TO 4 PM � � <br /> SRE ADDRESS PARCEL TAX I.D.t P/�ERMR i <br /> ?l0 h'iG-e��(,� CiF.��faerway 2SQ O Zoc 4ao 5ao /J / o�� - ��3 <br /> LEG LOT NO. BLOdC TAACT OH SUBDIVISION I <br /> DESG S C Lr'Q CI.f Gi(7 <br /> 'N7�''�a �r�ssM��cc.C��= cmmP P� Z43 a 34a <br /> T�D f�O��I NC-rS LCG pacwtv�.y fiur�rzr7i'��`l03 <br /> TENANT NAME CONTACT FOR PEHIAIT Z o� ,�.1 3&7 7 <br /> 1 Nr� G I Pa� UHt3A�++ E�INL �,•4bc,ct�dw Qb�F.�a;i �„t <br /> �./�w�A�l� K�M rtis � 'Z 37��oQa A-ve N sNoc�u��� <br /> coHrn.u�� y$�3 3 2 oc S 4�z 56 QC <br /> USE OF QUILDING I HEAT SOURCE I C('11TRACT PRICE OF WORK <br /> MI.w�+a_�turiue� d, t�e�4-fe� �� z�% 37:0 <br /> 6-�IG e S _Electric _Gas_Other <br /> WORKDESCRIPTION 2.�.� -�1omr wiE�t� � �tcr5�'�(l� (oui�a�ttn gVas-� . <br /> rxY4-v.cd �x'siy�� Zl I' <br /> �V15�1 �'lCh3 NAC'i.'Cca.Nlvt2 Wl��u. e.XlS! � Vts �JI��IM.�. 3�QT. <br /> PLUM9ING MECHANICAL <br /> ►q. TYPE OF FlXTURE OR IiEM M0. rPE OF FlXTUpE OR REM <br /> Toilet AIC—air handlinq units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kilchen sink&disposal _ Gas fireplace <br /> Dishwasher Gas range <br /> �„ Cbthes washer _ Clothes dryer <br /> � a[er heater Range hood <br /> '� �Si (service/bar/mop/etc.) _ xhaust fan <br /> gadiflow preventer _ t pump <br /> Urinal \ Uni ter <br /> � Drinking FOuntain _ Boiler <br /> Floordrain ' Refrigerali <br /> urease hap � _ Woodstove <br /> Rooi drains Other <br /> Other <br /> CITY OF EVEHEIT LOCAL SALES TAX CODE IS�t06 <br /> I hereby ceritily that I have read and examined this application and krww the same to be tnre and correct. NI pror:sions of laws arM <br /> ordinaces goveming this lype of work will be complied with whether spec�ed herein or not.The grandnp oi a permR does not presume <br /> to give authority to violate or cancel the provision oi any other state or local law regulatinp construction or the pertormance of <br /> consUuction.lhat I am autFwrized by the owner o(this property to pertorm the work fa which applicatlon is made and I comply with the <br /> State ConUacxor�Law 1,8.27 R� CW and 296.200 WAC. g <br /> � •✓� L� �l`--�_ I /S�o <br /> S gfiaNre / / o te � <br /> 2 <br />