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"RMIT APPLICATIO�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR 3TREET, EVERETT,WA 98201 <br /> 425-257-8810-FAX 425-257-8857-www.everettwa.org <br /> APPIICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.N PERhAIT t� <br /> W�l CI.�K- �c�lo , M-o�al-c3 <br /> LEGA LOTNO.�,� ELOCK TRACT <br /> DESC. <br /> OWNE ADDRlSS C PNONE u^lS�, <br /> �F, 1���.ofNt�n- L,� i9yo� ��� w.S� a.eo ��,,►�,°�3c. �.,o qaya, <br /> TENANT NAYE CONTACT FOR PlRMIT PlIONE <br /> F.�. p�o ur L P. P.�,ur�J ���v�� �z�3�8 -o-tm <br /> CONTRACTOR• �'��`�`�� ADDRE35 '3'��p S CRY21P PNpNE � <br /> -n�isn.�. s's9�car- za.e-�2r-�3tcs <br /> coNrn.��ceNSEK V�A17i�L�E �7t,� 56A•rt�,wq� <br /> °IBI18 k35"t� <br /> USE OF BUIIDING I NEAT SOURGE I CONIRAC7 PRICE OF WORK <br /> �A]l�Tl�'/{yy��V,,� �Elyctr{c _Gas Other 1 (� (�, 1 , 3q <br /> I <br /> WORK DESCRIPTiON <br /> ��J'1-1►J(� �]�11.� �AIJ6i"p,l1G'10h1 IY�,U�.TIF�i'VI,fU..� <br /> PLUMBING HAN AL <br /> NO. iYPE OR FU(TURE OR REM N0. TYVE OF FIXTUR!OR ITEM <br /> _ Tollet AIC—air handling units <br /> � Balhhib _ Forced air syskms <br /> Lawmry(wash boNn) Ges piping <br /> _ ShpWef �Vatarh00le� <br /> _ Kitchen�ink 8 dsposal _ Gas fireplace <br /> Dishwasher Gas range <br /> ^ CIOM�ec washor .�b Cbthes dryer <br /> _ Waterheater �.� Ranpehood <br /> _ Sink(SErvitelb�r/mopfel�) � Exhaust fan <br /> „ Backflow preventer ` Heat pump <br /> , Urinal J� Unit heater <br /> _ Drinking Fountaln Boller <br /> _ Floordraln � Rehlperation <br /> _ Groeee trap Wvodstove <br /> _ Roof drains —' Other <br /> Other — <br /> CITY OF EVlRE'(7 LppqL 6ALE9 TAX CODE L4 7705 <br /> I heraby ceryd(y that 1 have read and examined this applicatlon atW know the samo to be truo and comect. All pinWetons of lewe and I <br /> ardinacas govominp thls typa of work will be complted with wryofh�r apedfied Mrotn or noc Tha grenting af a pertnH tloes not preeume I <br /> fa ghro autho' to violate or nncel Iha provisbn of eny otl�r state or local Ww rogulatlng connhuetion or the peAprtnana of <br /> cronetruction at I am a ed by Me owner of this properry Io per(erm the aqrk for whlch epplkation ts made and I comply with the <br /> State Con ors Law 1 CVU and 296.200 WAC. � <br /> .�—..-. � (0 0 <br /> Slpna e er n ctorlAvthOnze Apent �re <br /> O�"1 <br /> ���`( <br /> �� <br />