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JI.IIJ-2O-2Ctll6 i39 : 1? AM STqTE. 19ECHRFIICAL. C� �'• 0= <br /> . _ ......_..._.""_'___'..__..._____._—._..� <br /> . _.._......._'__..__'.. .. <br /> _�.�.."_"""'__'—"'_".__.._........'_____"'._"'—__"_"�..._. _.. <br /> _ <br /> PERMIT APPLICATION I <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAFt STREET, [VER[TT, WA 982U1 <br /> 425-257-8410-FAX 425-257-8857-www•everettwa.org <br /> APPI.ICA710NS ARE ACCEPTED FROM 8 AM TO b PM _^ �_�_ <br /> PARCEL TAX I.D.� �-MIT N <br /> 91TEADDRE99 ,yS�� ,l�sr✓,� (�✓cc�c �/ ,�� -� _� <br /> c�A��4V�D4 a�: z�v�lo c vo .�o, ti����_� �l --- <br /> LGOA 40TN0. �LOCK YHACT <br /> UESC. <br /> d L4 .ODRElSS 6�0 �,t.�vtr'�•}y CITYIZIPN ONE .LhF� <br /> ,�'levr, l recl� r-�.� ,'Hyt <br /> 5+ "r a e e. �•" (j /3� 'e'�„s`� <br /> TENANTNAME <br /> I CONTACT FOR PERMIT _^-�_- vv PHONE <br /> �o1�S TLO C! _—__ �.,�'-- <br /> CONTR�CTOR Siw�c 1�t6�Gh��f�� AUDRE99G� I.q�I���w/ D�CITY/ZIP PHON ZOG l7��-,, <br /> � � T:.4..:1♦ '7�'s'7 <br /> CONTR.LICENSE! W� � <br /> S'cWTi±M���l1C'�( - ' <br /> U8E OP BU�II4DIN0 I ' HEAT SOURCE ^� _ CONTRACT PRICE OF WORK I <br /> lCW\W\ trc 1 �+1 <br /> Elnctric _Gas�_Uthcr <br /> WORKDESCRIPTION '�CnN�,N� �_ �� ' <br /> ��,t .�..�..y. � �. ��,� ,-, � �� �,,, ,� �, �y <br /> � <br /> � PLUMBING MECHANICAL � <br /> NO. TYPC OF FI%TURE OR ITEM N0. 7YV0 OF FIXTURE OR ITBN <br /> �.—_'_.__._ �„_ <br /> Toilat A1C-air handiln� unde <br /> Bat�Wb _,� Forr,ad eir sytlems <br /> � lavalory(wach bnaln) -- Gac p;ping <br /> Shower ,__ Water heatar <br /> „i KAchen elnk&disposal __y Gae fireploce <br /> Dlnh�vaeher Gas rongo <br /> Cblhee wasUer _ Clothes dryer <br /> � Lsundry Iroy _,_ Ran9a hood <br /> Sink(yervlcu/Uadmop/atc.) Fxhausl lan <br /> Buckflow prevonro� � Heat pmnp <br /> � U�innl _ Unil haater <br /> - � � panking Fountoln Boilnr <br /> '� � Floor draln _ _ Hofnynrntion <br /> � Gmaan trap __._ Woodslova � <br /> 'i -�, Rool drrins ._..- Other�,_____, <br /> _� othar ek�1�iL FlWH-�S -- -__�_ _� <br /> � ----'-"---- <br /> �� � ^ T- CI7Y OF EVpR[tT LOCAL 8ALE9 TA%CO�[IB 0706 �- <br /> 1 hefraby eudHfy thal I how road and examined Ihle applicalwn and know the aama to ba we and eortaei. All pmvfelona ol lavn and <br /> ordinecas governing thls t e of work will he complkd v.+th whather specified hniain or not.Thr. pranting ol a permk doea not prosume <br /> to pivu authatlry t e or ancel the provlslon of any othar smte or Ixal Ww repulatlng oonetmctwn or t�a per7ortnance of <br /> conatructbn m outhonznd by lhe ovmer of lhis Droperty to peAorm tha Hvrk for whlc�appGcation�s made and I oomply with the <br /> Stote Co ors ' 18.?7 RCW nnd 28G.200 WAC. <br /> � I <br /> G. z�. o� <br /> I� S�na o n ,ontractori uthonz" n g�ent - at-PS a-� <br /> � <br /> L_. . _ ___.___ __. . _.... ____ . ._.. _.... .._._ _ _ __ _ . ___._ _ _ ._ __. _.___I <br />