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, i <br /> � <br /> ( <br /> PERMIT APPLICATION <br /> CITY OF EVERETT pERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf,WA 98201 ; <br /> 425-257-8810--FNC 425-257-8857-vnvw.everetN+a.crg I <br /> APPLICATION8 AREACGEPTED FRG:18 AM TO 4 PM -DEBIT 8 CREDIT CAROS ARE NOT ACCEPTED <br /> SITE ADORE55 � J-� � ' <br /> � �^ti PAR��TA�.D,q PERh71T# <br /> /40! M�JaR/LL CIQf.E ��6 �� ti� (�'a ( /�� I `?� � <br /> LEGA �OiNO. 6'I�1O�CK TRACT �v�7D D�D D�ZO� j <br /> DESG L �� [ DYl � <br /> OWNER 6Y ADDRE53 CITriZIP PHONE � <br /> Ff�F.✓�C.af�IsM'G.P. 55/D Mo�l�c�E y�. Su�2oo, saVA'� C,4 9Z/t� j <br /> TENANT NAME CONiACT FOR PERM1fIT � � PHONE j <br /> `F sBv�M�T G.P. I � ��V�Lofly�i�'T L.P. B58 4�7 Z/z3 � <br /> CONTRACTOR ADDRE3S CIiYZP PHONE � <br /> CON7R.LIC[NSE9 � <br /> i <br /> USE OF BUILDINO NEAT 30URCE CONTRACi PRICE OF WORK � <br /> A.p��-��j� rf�y`�//�/�'.f I �Electric �cas�o0�er I�''1,Q�O��D. DO � � <br /> WORK DESCRIPiION ' <br /> /B-3 STc.e.Yk/7�-TMEA'7� �t�'i✓65 I <br /> ���I� ((,tc ��� i <br /> i',:'.��_�_ � <br /> � ; <br /> PLUMB�NG MECHANICAL � <br /> ; <br /> NO. TYf+E OF FIXTURE OR ITLM11 N0. TYPE OF FIXTURE OR IiEN <br /> Tollet • � NC–air handling units � <br /> Balhlub• Forczd air systems � <br /> Lavalory(wash basin) • Gaa pping i <br /> Shower f$(� Welerheater• + <br /> ,ya�T�. IGtchen sink&disposal �,�'��� Gas fireplace ; <br /> 7Jt� Dlsh�vasher• ` Gas ranga � � <br /> �� CloOies washer• .•' � � Clothes dryer• <br /> � <br /> laundry Iray ,.�' � Ranc�e hood • /�I � <br /> _ Sink(service/padmop/eta) �� Exhaust fan• ��`h i <br /> _ Dack8owp1eventer Heatpump V � <br /> _ Urinat ; �J� Unil hea � <br /> Drinki�g Fountain Boiler R � <br /> � _ Floofdrain = Ref� e2tion U : <br /> Grease trap �Vdodstove � <br /> _ �(toofdrainc � bthcr � � <br /> _� Othor — <br /> — j <br /> — i <br /> – 1 <br /> � . CITY OF EVERETT LOCAL SALES TAX CODE IS 310 � <br /> I <br /> 1 hereby cerilify ihal I have read and axaminod Ihis applicatlon and know the same to ha W e nd correcL All prov' ' ns of laws end <br /> ordinaces goveming Ui�s type of�vark will 6o complied Ndth whetF.er specifed herein or not. e 9ranting of a il does not presume <br /> to give aulhorily to violate or cancel tho provisbn of any olhar sfato or lonl law reguialing con etion pedortnance of <br /> consiru t I am outhonzed by the ovmer of lhis property to perform Ihe work Por tvhicb app� ion is made and 1 comply wllh the <br /> Slet ontracto La a 2962006VAC. <br /> /-� . 5-/C-Oh� <br /> Sign�ureo m oniractod ul orizedAgent ate - <br /> f�/I�M.A�A�+f�1s .f-�rt <br />