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' � <br /> — I <br /> PERMIT APPLI�ATION <br /> ; <br /> CITY OF EVERETT PERMIT �FRVICES � : <br /> 3200 CEDAR STRF.ET, EVdREI�', WA 9bZ01 � � i <br /> 425-257-8810—FNC 425-257-dF157—www.everellwr.org �/)G /�f <br /> APPLICqTIOug pRE ACCEPTED FROM 8 AM TO 4 PM -�EBIT&CREDIT CAF;DS AR�NOT ACCEPTED <br /> _ j <br /> SITE ADDRESS -�7-L�J-. PAR EL TAX I.D.# PFRA1)T# � <br /> /�fo! MFFR/GL .^JaEE/� FJ�1�iW ��6 / /� �''(�� � i <br /> LEGA LOiNO. B OCK TRACT �/�7��D-�1O/l,,r,O �J ; <br /> DESC. ) - � OUT��� /D D�O D�VZOU i <br /> i <br /> OWNFR qODRES3 CITY2IP PHONE ! <br /> _��✓�—l�fM�r?G.y. 55/O M�PEhbvsE�• 5�?�2eof saV� G 9z/i.i j <br /> TENANT NAM[ CONTACT FOR PERM1fIT PHONE <br /> FF A�Y��'M�ivT G.P. I � �EY��oyN�1rT L.P 858 4ri7 2/z3 � <br /> , <br /> CONTFWi:TOR ADDRE3$ CITYZP PHONE � <br /> 1 <br /> CON7R.UCENSE7 1 <br /> i <br /> USE OF BUILDINO HEAT SOURCE CONTRACT PRICE OF NORK � <br /> ����r�L�/�/�'� I �C ElecUic _Gas_OO,er I��J�O��D.� 'f i <br /> WORK DESCRIPiION � <br /> /8-3 �c.eY�/7t7�-T/NEAT �-Yt1YN65 /��' (/ c+�� i <br /> i <br /> -7 / . i <br /> PLUMBING MECHANICAL j <br /> NO. TYPE OF FIXTURE OR ITEM11 NO. T7PE OF FIXTURE OR ITEM ' <br /> Toile[• NC-airhandling units � <br /> Bathtub� Foru;d airsystcrrs <br /> Lavalory(vrash basin) • Gas pptng <br /> Shower �f,L Walefhealer• j <br /> �� Kitchen sink 8 disDosal •.:'��� Gas firepWca /-' i <br /> Dish�vasher• � Gas range /// <br /> 2$(C Clollieswasher• ,'�, � Clothesdryer• / � <br /> laundry lray ,` � Ran�e hood • / i <br /> ~ Sink(service/ySrlmop/elc) sJ� Exhaust fan• . ` <br /> i <br /> _ OackllowpreVenter — Heatpump I <br /> _ Urinal - �� Unit hea � � <br /> _ Drinkirxj Fountain goi�� ! <br /> _ Floof�drain Ref� eration . <br /> __ Carease Imp = u�.f�y�OVe : <br /> iRouf drains � ��� <br /> dthcr � <br /> � Othor <br /> _ _ _ � <br /> I <br /> I <br /> � . CIN OF EVERETT LOCAL SALES TAR CO�E IS J106 � <br /> I <br /> I hereby ceritify that i have read and oxaminod Ihis appl'ration and know the same to Ce We and correct. AII provisions of Imvs and <br /> ordinaces goveming Ihis type of work will 6o complied Ndih whethcr spedf ed herein a not.The grenting ot a pennit does not presume <br /> to give aulhorily to violate or cancel tho pmvision of any other stole or local luw regutatin�construction or the pedormence of <br /> constru ' t I om outhorized by the o��vner of lhis property to perform the woik for which applicatian is made and I comply wllh the <br /> Stfl! ontracto Lu a 256100 WAC. <br /> � �����%r <br /> Signafura of OwnedConlydctod ut orized Agent ate � <br /> �ir°�M.�i+�s .4-i�r <br /> � <br />