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� � f <br /> . <br /> I <br /> i <br /> PERI1111T AP�LICATION ^ �1 � ) � <br /> CITY O� EVERETT PhRMIT SERVIC`S �Ji) U� <br /> 3700 CEOAR STRFET, E�/ERETT,WA 98201 <br /> 425-257-8810-FNC 425-257 8857-vrvuw.everelhva.org � <br /> APPLICATION8 ARE ACCEPTED FROM 8 AM T04 PM -CEBIT 8 CREDIT CARDS ARE NOT ACCEPTED � <br /> ) : <br /> SITE ADORESS -13� �O� PAR EI.TAX I.D.A PERhiIT tt � <br /> /�r0! MERRI6L C1aEEl� �1l5 '��D_1��(�(� �'� ; <br /> IEGA L07N0. B OCK TRACT �QgL�D � ��pZOD i <br /> DES0. � i <br /> OWNF.R ADDRES$ CIiYILP PHONE j <br /> �F�EV�:���N1SNT G,P. 55/O MoPEibvS�E Lft• Sv/T�2Do� srWA'E�o� Gt 9Z/Z/ i <br /> TENANT NAN[ CONTACT FOR PERM1IIT PHONE i <br /> FF tBt�u�Nls�'l t-,P._ I � �G-V�[.oyNf�1�T L.P. 858 4�7 2/z3 ; <br /> CONTRACTOR ADDRESS CI7YIZIP PHONE t <br /> I <br /> CONTR.LICFNSB t � <br /> i <br /> USE OF BUILDINO HEAT BOURCE CONTRACT PRICE OF WORK � <br /> ���������(.� I_ �C ElecUic �Gas_Otlwr I�1 f)/Q���. � � ! <br /> WORK DESCRIPiION ���,r ����,N6S <br /> /B-3 57c/z`fh/71�-T �(r ,��r c �� i <br /> � <br /> YLUMBING MECHANICAL � <br /> NO. TYf'[OF FIXTURE OR IT[h7 NO. TYPE OF FIXTURE OR IiEM � <br /> i <br /> Toilet • .�JC—air handling units I <br /> Bsthlub• _ Forcad airsystems <br /> Lavatory(wash basin) • Gas pping <br /> Shower �(L Waterheater• ! <br /> � ttitchen sink&disposal •,.'�� _ Gas fireplace �' � <br /> Dishwasher• Gas range � <br /> 'LQ(� Clothes washer• � Clolhes dryer• <br /> Laundry Ira7 � Range hood • � <br /> _ Sink(servicelberimop/ela) t�� Exhaustfan• . � <br /> _ �ackRowpJtNenter Heatpump , <br /> Urinat . �7� Unil hea ' <br /> � <br /> _ Drinking Fountain �i�� � <br /> Floofdrain � Ref' e2lion <br /> Greas�Irop _ odstove � <br /> �Roof drains - thcr <br /> � Othor _ j <br /> _ ' <br /> — —" — i <br /> � , qTYOFEVERETTLOCALSALE9TAXCO�E1S�106 � <br /> t <br /> I hereby caritity that I have read and oaamined this applicaGon and know the same to ha W e and cotrecL Ail provisions of lo�.vs and <br /> ordinaces govemirg this type of work will bo complied Hdth whether spedfied herein or not.The granling of a pertnit does not presume <br /> to give aulhority to violale or cancel Iho provisbn of ony other slota or local Inw regt'�tin�conslruction or lhe pedortnance ot <br /> conslru ' t I am outhonzed by lhe owner of lhis pwparty lo perform the woik Ponvhich application is mada and I ccmply wilh�he <br /> Stol oNructo La a 2�J6200 WAC. <br /> GG—_ 5-/G-D�i <br /> Signa ure o e oNractor/ ut orired Agent ate � j <br /> f�ir°�M./tt-�+�1 s .Nrf � <br />