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( � � ! <br /> �— I <br /> PERMiT APPLILAT'ION � <br /> CITY OF EVERETT PERMIT Sf:RVICES , G �I� ; <br /> 3200 CEDAR STREFT, EVERETT,WA 98201 / ) /�� i <br /> 42E-257-8810-FNC 425-257-8f357-www.evereltv+a.c � �.jJ,// <br /> � ,iJ�.. <br /> APPLICATION3 ARE ACCEPTED FROM 8 AM TO 4 PM -DEEtIT 8 CREDIT CARD:i ARE NOT ACCEPTED <br /> I <br /> SITEADORESS � - /" pAR ELTAXI.D,p PERh11TH � <br /> r�� ti+�+�c_ c�k �i6 ��D� o l /�D � � ; <br /> LEGA LOiNO. B OCK TRACT OD��O �Q /..?�Q� j <br /> DESC � �Y � <br /> OVJNER c ADDRESS CIN/LP PHONE j <br /> ���E►�[.flf�1Sr?G.� 5S/O MOJ°Ehbc�EL7�., Sv/7�Zev SaNA'�roo, Gt 9Z/t! � <br /> Tt.NANT NANE CONTACT FOR PERMIT PHONE � <br /> �F A3yFti�1.s�NT G,P. I � DEV�Lo�7NE'J►'T G.P. B58 �7 Z/Z3 ; <br /> COI.TRACTOR ADDRESS CI7�Y�P PHONE j <br /> i <br /> CONfft.LICENSBR � <br /> i <br /> USE OF BUILDINO HEAT 30URCE CONTRACT PRICE OF WORK � <br /> A,���M�/r f �`����'fj �Eleclric ,Gas_OVier I�,rJ�Q���. � 'f " <br /> WORK DESCRIPiION ' <br /> lB-3 sTo.e`f.t/7t7�T�/rl Ev-Yttrn'65 � / i <br /> /(� LI ti<-1� i <br /> � <br /> F�LUMBING MECHANICAL i <br /> NO. NI'E OF FIXTURE OR ITCM1i NO. TYPE OF FIXTURE OR ITEM <br /> Toilet • /VC-air handling units i <br /> Balhlub• Forced air systems � <br /> Lavatory(wash basin) • Gas pping ! <br /> Shower � We(erheater- j <br /> � Kitchen sink 8 disposal �,.�"�� _ Gas firepWee /" i <br /> DisMvasher• Gas ranga , <br /> �� Clollies washer• Clolhes dryar• j <br /> Laundry Uay '.� - � Range hood • <br /> � Sink(servicelp2rlmoplela) g(� Eshaust fan• i <br /> _ �ackflowpreventer Heatpump I <br /> Urinal % �� Unil hea � <br /> _ DrinkirxjFou�tain Boik� � <br /> Floofdrain Ref� eration � <br /> _ Grease Imp odstove � <br /> _,Roofdr�ins � . thor <br /> � Other_ <br /> — — � <br /> f <br /> . CITYOFEVEREifLOCALSALESTA%CODEIS3106 ( <br /> i <br /> 1 hereby coritiJy that I have read and oxamined this applkalion nnd kno�v Ihe same lo he true and correct. All provsions of laws and <br /> ordinaces goveming tli�s fype al work will ho complicd Hdlh vrhether spedfied lierein or not.The qran6n9 of a pertril does not presume <br /> to give aulhorily lo cioiate or cancel tho provision of any ofher state or Icpl law regulaling cansWction or tha pedortnance ol <br /> consiru l I an outhonzed by the owner of lhis property to perform the wo�k Por uhicb application is made and I compty wlth the <br /> Stut ontracto La a 2Q6.200 WAC. <br /> r!���G—,. 5'/(o�Oh' <br /> Signa ure o onlractodAul orizedAgent ate � <br /> f�/i�M./tt�►�1 s il-/,k <br /> i <br />