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ERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810—FAX 425-257-6857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> SITE ADORE39 PARCEL TAX I.D.# ERMIT X <br /> (�1Q1 �G�rX.. &1 cAlOo ¢0'�ol-D/`I <br /> LEG LOTNO,� �� ELOCK TRACT <br /> DESC. <br /> OWNER AD L' S CITY2IP NE u�Sr, <br /> �� (.��ow►+�n- L,Q 19Wo� 4�� w. S�x� a&� w�,°►�03� c�w 9ay� <br /> 7ENANTNAME CONTACTFORPERMR PHONE <br /> �F. p� L P. PM,�.1 �i�vAa 'tZ� 3ys -o-toi� <br /> CONTRACTOR�1�,-�I rJW. ...V I� �1DO/R3E9W���� � CIN210 PHONH <br /> •.,�w-.••� MPIJr <br /> CONTRLICENSEko►�IAP ',I� (`1lQBP�iriaoaMnu�, Yga�zr VI'LS- �BI-vl�" <br /> U8E OF BUILDINO I HEAT SOURCE I CON7RAC7 PRICE OF WORK. <br /> �v��.��u/ V EI�cWc Gas_Other <br /> -r� <br /> WORK DESCRIPTION <br /> �i��m�►nlc� N�.� G��u,� �m,�T�r�n��w <br /> PL BING M HANICAL <br /> NO. YYPE OF FlXTUR!OR ITEA1 N0. TYPE OF FUfTURE OR fTEM <br /> Tailol A�C—air handling uniLt <br /> Bathtub Forced alr cystems <br /> Levetory(wash basln) ` Gas uiping <br /> Shower Water heator <br /> � Kftcben sink&disposal — Oas fireplace <br /> Dishwacher ^ Gas ranpe <br /> Clothe9 washer Clothes dryer <br /> Watsr heater � Range hood <br /> 3lnk(aervlcolbadmop/ete.) � Exhausttan <br /> � 6ackflowpreventer Heatpumv <br /> Urinel Unit heater <br /> ' Drinking Founteln Boller <br /> Floordn�n � ReNigera6on <br /> Greese trap Woodstove <br /> Roof drains Other <br /> Other <br /> � CRY OF EVERSTT LOCAL SALES 7AX CODE IS 3105 <br /> I hereby carldy that I have reed and examined thls appNeatlon and know the same to ba lrue and correct. Ali prpvislona ot laws nnd <br /> ordinaces yoveminp thla type of work wlll be eompliptl wilh whethor epecfied herein or not The grantinp ot a peRnit dces not prosuma <br /> lo ghre authori to violate or cancel the provl�bn oi eny otlier sfete or tocal bw regulatlng constructlon or the pertormance of <br /> constnictio at I am a o zod by the owner of thi�properly ta paAorm Ihe work Tor which eppticatbn Is made and I compiy wlth the� <br /> Stale Con rs Lew 1 CW and 296.200 WAC, <br /> .�-:-- � � b !p �b� <br /> Sipna o ar ont cto�/Autho en ate �Q� <br /> � <br />