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. � <br /> i i <br /> , � <br /> i <br /> I <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMtT SERVtCE5 � <br /> 3200 CE�AR STRFET, EVERETT,WA 98201 '��r �7 ; <br /> 425-257-8810-FNC 425-257-8857-vnvw.everetlwa.org , b ! <br /> APPLICATIONB ARE ACCEPTED FROM 8 AM 704 PM -DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> 517[ADQRESS -t�'.� PAR EL TAX I.D.p I PEP.1171T iF i <br /> /¢D! MFAR/GL CIiEE/� l�R� L�6 '��D_l_��'Xo / /�O I �� � <br /> LEGA LOiNO. B OCK TRACT nO�L�7D �� D�ZOU � <br /> DESC � � I <br /> OWNER ADDRESS CITriZIP PHONE j <br /> rF�Lpl9N�A?G.P. 5570 MA�tbt�ELf�• Sv?�2c�v,�:NA'� U 92/i/ � <br /> T[NANT NAM[ CONTACT FOR PERM1117 PHONG � <br /> FF s81��.s�T�.P. I � �EVEr.o�N�i►rTT L.P. B5� �7 z/z3 � <br /> , <br /> CONTHACTOR ADDRE33 CIT'4IP PHONE j <br /> CON7R.LICENSB# i <br /> i <br /> USE OF BUILDINO HEAT 30URCE CONTRACT PRICE OF WORK � <br /> �.��'�L�/�/�'�'--J I LC EleGric _Gas_Other I�„(Jj Q����. � 'f' ' <br /> `NORK DESCRIP710N <br /> /B-3 57�Y.ttlt�-TM�i►T �.vtsY�Y65 I <br /> =� � i i,l�c,< ���� i <br /> � ,� i <br /> � <br /> PLUMBING MECHANICAL j <br /> NO. 7VI'E OF FIXTURE OR ITE�.1 NO. 7YPE OF FIXTURE OR ITEH ' <br /> i <br /> Tollet • NC-air Imndling units � <br /> Balhlu6• Forczd air syslems <br /> Lavatory(wash basin) • Gas pPing <br /> Shower 'f$—(L Welerheater• � <br /> ��'o- Kitr,hensink8disposal •,�•"�� Gasfire?lace �"� i <br /> � Dishwasher. � Gas range <br /> ZQQ Clothes vrasher• �� � C�olhes dryar• <br /> Wundryfray ,./� Ran�,7ehood • ' <br /> _ Sink(service/y&rlmop/eta) gf(� Exhausf fan• � <br /> _ Oackllowprc+venler Heatpump I <br /> Urinal :' �� Unithea � <br /> Drinki Fountain goi�� i <br /> � Flo, drain Ref' e2tion <br /> _ Grease tmp VyC odstove � <br /> ,Roofdrainc � — bther ` <br /> � Othor — <br /> — i <br /> — — i <br /> I <br /> � <br /> . Ciry OF EVERETT LOCAL SALES TA7f CODE IS 5106 � <br /> I here6y caritily that 1 have read and oxaminod Ihis applicalion and know Ihe same to ha W e and correct. All provisions of Imvs and <br /> oidinaces govemirg this type of work wlll ho complied Ndth whether spedfied herein or not.The granting of a prrmit does oot preaume <br /> fo give authority lo violate or cancel tho provisbn of any ofher stole or local lew regulating consWction or lha pedomiance oi <br /> constm ' t I am outhonzed by the owner of lhis property to pedorm the woik Por�vhich application is mada and I comply wlth the <br /> Stet ontrnclo Ln a 29G200 WAC. <br /> 5-/G-Oh' <br /> Sgnaiurao onlr�ctod ut orizedAgent ate - <br /> f�/r°�M./tG�+�l s Mst � <br /> � <br />