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� _ _ i <br /> ; <br /> - � <br /> � <br /> PERMIT APPLICATION � <br /> ; <br /> CI'�'Y OF EVERETT PERMIT SERVICES � 2� ; <br /> 3700 CE�AR STREET, EVERET-I', WA 98201 �/v � I <br /> 4�5-257-8810—FNC 425-257-3857—vrvuw.ev�reth�ra.org "/ <br /> APPLICATIONS ARE ACCEPT�3[1 FROM 8 AM T04 PM -DEBIT 8 CREDIT CARD3 ARE NOT ACCEPTED <br /> SITE ADORESS ��� PA El TAX I.D.# PERM171T0 ; <br /> ��tor �t�,w"- c�/�_ C�6 '_`�/�7���,��,1^�.1�n1/�O I `�� ; <br /> LEGA LOTN� . BIOCK TRACT ODTS� lC� L�(X� C��QZ-�C1 i <br /> DESC. � <br /> OWNER pDDRESS CIttPJp PNONE i <br /> �F 15E✓�Ls�fM�NT L.y 5S/O MO�°El�bt�E.�., Svl7�2evf SrWA'� Gt 9Z/i/ ; <br /> TENANTNAM[ CONiACTFORP'cRM�� PHONE � <br /> FF A31�LA"NJshT G.P. � � DE!/�t.of�l�/►rl 6.P. b5B 4�7 2/z3 ' <br /> CONTRACTOR ADDRE88 CIiY/ZIP PHONE 1 <br /> i <br /> CON7N.UCENSEi � <br /> i <br /> USt OF BUILDINO HEAT 90URCE CONTRACT PRICE OF WORK � <br /> /��Ml�r�/G�//�(�' I �Electric _Gas_OU�er I�,(Jj����. Bp 'f <br /> WORK DESCHIPiION � ' <br /> /8-3 STa,eYh�-7"�� ��'N65 I <br /> � <br /> �� � U/�'����; i <br /> i <br /> pLUMBING MECHANICAL � <br /> NO. TYf'E OF FIXTURE OR ITFM NO. TYPE OF FIXTURE OF2ITEYI <br /> Tallet • � NC—air handling unils i <br /> Bathlub• Forced airsystems � <br /> Lavatory(wa5h basin) • Gas pPing <br /> Shower f$fL Walerheater• � <br /> �y��!�' Kitdien sink&disposal •,.'� / Gas firepWce <br /> �/e Dish�vesher• � Gas range � <br /> 'f9,(G Clotlies washer• � Clofhes dryer• <br /> Laundry fray � Range hood • <br /> _ Sink(servicelpailmoplelc) �� Eshaust fan• i <br /> _ OackftowpJeVenter Heatpump I <br /> _ Urinal ; �7� Unil hea • i <br /> _) DrinhiMj Fountain _ goil�� � <br /> Floofdrain Ref i�eration : <br /> Grease Imp odstove � <br /> ,Roof drains � Ihor <br /> � Olhcr <br /> I <br /> i <br /> . CITYOFEVERETTLOCALSALESTAXCOUEIS3106 � <br /> I <br /> 1 horeby ceritily that I have read and oxaminod ihis application and know the same to 6n We and correct. All provisions of lows nnd � <br /> ordinaces goveming this type of work will ha complied Nith whether specified herein or not.The 9ranting of a permit does not presume <br /> lo give aulhorily lo violale or cancel tho provisbn o,any olher stote or local faw regulzting consimd�on or the perfortnance of <br /> constru ' t I om authonzed by the owner of Ihis proparry to perform the work Por which appiication is made and I comply Hith the <br /> Stat ontractor Ln a 286.200 WAC. <br /> �--.. 5/G—ori <br /> Signa ure o �mer onlractorl/Tu1 orized Agent ate � <br /> f�/i�-M./t�+�s MrF <br /> � <br />