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� <br /> �rERMIT APPLICATIUN <br /> CITY OF EVEREIT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT.WA 98201 <br /> 425-257�810-FfU!425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE AOORl35 PARCEL 7AX I.D.N PERMI7� <br /> 1y01 �Ct�,lc- , totoo M or�t-D35 <br /> LEGA LOTNO.� 1� eLOCK 7RAC7 <br /> DESc. <br /> OWNE ADDRRSS CfTY PMONE u2S'� <br /> �F. (�6�J���n- L,P. 19+�b1 N0�'� w.Surt� � W���°�03� le�o-91ya. <br /> TlNANT NAN76 CON7AGi ROR PERMIT PHONE <br /> �F o�,���- L P � P•w,,,,► ���vAa �+�� 3Ze -woc> <br /> coNrn�eroR ���.0 C, ADDRESS 3'ZZO S cmmv �a+e <br /> 'T'►�ti5lt2 S�ro�ca- ?.a.o•'2r-33to8 <br /> ���.��ENs�. �ti��.� oa�a�t ��,W� <br /> °I6lIBH3 � <br /> USE OF BUILDING I MEAT SOURCE I CONTRACT PRICE OF WORK <br /> �AJI.TI���� v Electric Gas Other �j `� `'� <br /> v <br /> WORK DESCRIPTION <br /> V�I.�TIh.1Co IJ�.W Cbusr'iwt.�-1aJ �Wl.u�-r��++���'-f <br /> PLUMBING M CHANI AL <br /> N0. M!OF FIXNRE OR REM NO. TYPF.OF FIMURE OR ITEM <br /> Toilet A/C–elr handling units <br /> ^ Batlrtub _ Forcedalrsys;ems <br /> � UvatOry(w0eh basinl Ges piping <br /> _ Showcr WaEerAeeter <br /> ^, Kitehen sink$disposal _ Gas flreplece <br /> ` Dishwasher Gas ranga <br /> _ Clotheswasher y, Clothssdryer <br /> weter heeter Range hootl <br /> ____ Sink(eervice/bar/mop/etc.) � E#iaustfan <br /> ,._ Backllaw prevqnter Heaf pump <br /> Urinal � Unk heater <br /> _ D�inklny Fou�tein Boilor <br /> Fbordraln „j� Refrigeretan <br /> ,. Orcafo trap Woodstovc <br /> Roof dalns ahpr <br /> Omer — <br /> CITY OP EVERETT I,OCp(,SALES iA%CODE IS�103 <br /> I horeby eerttify thet I have read and examinad thls applicatlon end know the same�o bo true ana corred. ,Ni provislone of uws and <br /> ordineoes poveming this rype of woAa wlll be comD�bC wlth whelhar specifed harefn or not The prantinp of a pertnit does not presume <br /> �a 9��e autho to violate or wncel the provision of any other atate or bcel law regu�aHng conswcNon or th�parfortne�ca u} I <br /> conshuctbn at I am�u o ed by Iha owner of thie pmpoRy to petform Ihm work for which applicalion ic made and I�mply wlth the <br /> Sfato Co ors Law 7 CW end 298.200 WAC. I <br /> ✓�--� � (n p (s i � <br /> 9�e o ne n ctorlAuthor2ea perrc ate G-. <br /> V J <br /> • / <br /> ��� <br /> � <br />