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i----- - <br /> P�RMIT APPLfCATI�N �;�J�' <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 /> ���� - I�j� �I �� AppLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM S� c7- ��`v� <br /> SI E AOURESS PARCEL TAX I.D.tl P p <br /> ��vf- � ,,1- - �^ C�`� -IZ <br /> LEGAL LnT NO. BLOCK T/RA'CT/OR SU/g DI�VISION i{ <br /> � DESC. Iµ l�I j L [�.l��'1 S <br /> OWNER <br /> � ADORE CITY2IP PHONE <br /> c%Oc��:� ��-�r� l�l�� �U ln �i' U , Fl�e��t ��l �t�s 7�0� , <br /> TENANT N E � CONTACT FOR PERMIT PHONE V�1�„L�,� <br /> �/��n���/ �/(J� r/ <br /> Ni l � /� J["l.t� �K�'/ /(A K / E�hiAIL(�/7L1�J"L�//C��r.19lJ.(�� <br /> �dRTk�- , <br /> G%�"� " !�(4i ll'!�l�-�; � ��ZS 7/l%�(�OG(J <br /> CONT�ICENSEp �(�,��j1��!////i ��'� /'V' j ��J�vll� <br /> .�J ,J -j .G, <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> �L� ��� � [leclric /c Gas O�her � <br /> WORK DE CRIPTION <br /> i� �3/� � <br /> rr.��r���,-,° �i� � �;�1�;�1;�1���i�,; -i,e�� �'�I1�1�(�rl-I;<<. i�,��. ; <br /> � PLUI�iI BING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> �_ Toilr.l Q NC-air handlinc�units <br /> 2 f3athWb T Forcod air systems <br /> �ia_ Lavalory pvash basin) -� Gas pipinc� � <br /> �� Shower ]_ Nlater healer � <br /> �_ Kitchen sinY.8 dis�wsal �as firoplace ; <br /> 1 Dishwasher Gasrange i <br /> 1 Clolhas washer Clothes dryer <br /> _�__ Waterhealer � Rangehood <br /> �� Sink(serv'ce/barlmoplelc.) ,y� Exhaust fan <br /> _a Dackflow preventer � Hcal pump <br /> �. Urinal � Unit healer <br /> L� Drinking Fountain Q Boiler <br /> U Floor drain � ReMgeration <br /> � Grease Irap � Woodslove <br /> �j_ Roof drains __ Other <br /> _ Other------ — <br /> — --- <br /> GTY OF EVERETT LOCAL SALES TA%CODE IS J105 <br /> I hereby ce�itify that I have read and examined this application and know the sama to bo true and correcL All provisions ol laws and <br /> ordinaces governing lhis type ot work�vill be wmplied wilh whelher specified herein or nol. Tho granting of a permit does not presume <br /> � lu give authoril� lo violale or cancel Ihe provision of any other stato or local law regulalin9 construr,tion or the pedortnanco of I <br />- consUur.lion.7U2t I aip,Tuthorized by lhe owner o(this propeAy lo pedonn th�work for which applicalion is made and I comply with the <br /> Slatc CcnitACf6r. ;a}v�16.27 RCW and 29G.200 WAC. ! <br /> �� r ' <br /> � ��.,�r/O�i ' <br /> � � <br /> � Signalurc y O�vner eMraclor/AuUiorized Agent ��� I I� I <br /> I � <br /> L_ ---- ---- � <br />