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F��RMIT APPLICATIUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 —www.everettwa.org <br /> �� 'APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE A��� �,N� r O PARCE��UO`7 O � � Q � PERp�f�{ I <br /> 8%% �UZ% <br /> LEGAL LOT NU. BLOCK TRACT OR SUBOIVISION li <br /> DESC. �`' L' UCJ"Il i �S �I/iSiU/� � <br /> OWNER �DDRE55 CITY2IP PHONE <br /> Sou��v�e� Co.�iR�+-�s � U. 3uX �o�f3 rveat+- 9�zr3 �Izs�e�o� �z�r� <br /> TENANT NAME I CONTACT FOR PERMIT PHONE (�2S. �7a . 7 z c��' <br /> ��+'} ��.Ck E•MAIL S'���GfPfCf1P(+itS1.0 v�( �+1 <br /> CONTRACTOR ADDRESS CITYIZIP 0 E � } ' <br /> SC,ur��V;ev Can+rccl,xS �•U 1.3c�X ,�0�/3 �vucf-�l- '`,iFJZl3 yzS� FJ7o- 7zH7 <br /> CONTR. LICENSE q <br /> a I 1� 951Kc� <br /> USE OF BUILDING I1EAT SOURCE CONTRACT PRICE OF WORK <br /> (`�\ull; n x� --- — �� ��U avU <br /> ' -FAk:ly h(�ArFr..<.7- Electnc G.is Olher � <br /> WORKDESCRIPTION �i�� -���n�„�p�.s _ S�PA�-Gr�9 <br /> ` . � St c -r�� ��, ,— ' � <br /> PLUMBING MECHANICAL I <br /> NO. TYPE OF FIXTURE OR ITEM17 NO. NPE OF FIXTURE OR ITEM I <br /> � �ioilcl - ir hanUlin� unils '�� <br /> _�1 Ralhtub _ _l Forcec air systmns I <br /> Lavatop• (wash basin) Gas pinc� <br /> Shower 1Na r heater <br /> - - I<itchen sink ti disposal _-- G s(ireplace <br /> - � �•'�i . Cf !IS f:117QC <br /> Clulhes w isher Clolhe= drver <br /> � Walen c� ler � Ran�e houd <br /> _ Sinh(se �icelbar/inoplcic.) / � Exhaust an <br /> 6ackllu prev�ntcr _ � <br /> Urinal Unil healer <br /> Drinkin � Fo�,Main Boiler <br /> Floor d �in Re(rigeralion i <br /> Grease trap VVoodstove , <br /> Roof drains Olhor <br /> Olher <br /> CITI'OF EVERFTT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerilify Ihat I have read and examined lhis applica�ion and know the same lo be Uue and correct. All provisions of laws and <br /> ordinaces governing �his lype ol�vork vrill be complied wilh���hether speci(ied herein or nol.The granling ot a permit does not presume <br /> lo�ive authvrity tu violate or cancr.l lhe provision of;iny other slale or local I�e;royulatiny construction or Ihe peAormance ol i <br /> construction. Thnt I.im authoiized bvllie'�vner o�this properlqlo jier(onn thr, o�erk for tvhich applicalion i� made and I comply�v;ilh Ihe <br /> Stale Cotilri�lor�a�v tU 2� \�,�+tt 39E20�.LVAC: I <br /> �- j-' ._.._- I <br /> � .. /��'(O�.ZG'tJ�j <br /> Signat��re of O�vnedContracludAulhonzed Ac�enl Dale '' <br /> 1 � <br />