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; <br /> , �ERMIT APPLICAT'lvN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 982G1 <br /> 425-257-8810- FAX 425-257-8857 -�•,�vnv.evereitwa.org <br /> i, . <br /> � � � APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PG9 <br /> ;��,��-� � <br /> SITE ADDRESS PARCEL TAX I.D.# PERM11IT# <br /> b'�17� 3r� /}vr. SC" Gv3 .z -oOv •-O� -r:G CG�Ii�-ULL._ <br /> LEGA LOTNO. OLOCK TRACT <br /> ����. cl.�,f� o C��t G����c N ��y� <br /> OL7NER ADDRESS C IZIP PHONE <br /> i � � <br /> /'�Y�e':'ii[< C�1 a;�r'S /r,.��f T.rc. 6�/SR 5 NG I�i%1.8 C-5' L/ S/-rc !,t 5 ,`�'��--- <br /> TENANTNAtdE � CONTACTFORPGR�d1T PHONt <br /> i <br /> � I Fr.r.p Gp,<:,L.. L/,��.i= yZ z�,,—,;/ <br /> �•��CGI�2i�TOR �": '."�. � ADDRESB � ' CITYIZIP � � PHONE � � <br /> �rrJ�e.�/�k L'I��r/rs �v�sY���, G2! .S�SN_F r'�7b4 G-y Lk Stc��r�s . <br /> CONTf' LICENSE N �. �• �� �. � � • • ' <br /> I <br /> `if�fS/�G C�CJs 3 �C� " •,�,� ' .` ' �,,. -S ' <br /> l SE OF 6UILDING HEAT SOURCE � CONTRACT PRICE OF WORK <br /> _ {�J7 �(E;ectric _Gas_o�her I �/UD,CJG�� <br /> �� <br /> , WORK DESCRIPTION <br /> �.��,�I L Z�Jc --- � �� �Ll�'1 �:J 1� <br /> ��n <br /> U� � <br /> PLUMBING _ ____� =' MECHANICAL <br /> . N0. I TYPE OF FIXTURE OR ITEM1' NO. TYPE OF FIXTURE OR ITEtd <br /> 3 Toilet A/C-air hardlinp cnils <br /> . /_� [3athWb � Forcod air systems <br /> � Lava�ory(�Nash basin) Gas piping <br /> f_ Shower _L Waler haater <br /> .J Kitchen sink&disposal Gas fir�placc <br /> i Dishwasher Gasranye <br /> _L Clothes washer �_ Clolhes drycr <br /> � Walor healer ,�_ Range hood <br /> Sink (servicc/bar/mop/etc.) �� Ezhaust lan <br /> BackOow prevonler . Hoal pump <br /> Urinal Unit heator <br /> Drinking Founlain Boiler <br /> Floor drain Ro(rigcrat�on <br /> Grease trap Woodstov� <br /> _'� Roof drains Other <br /> Other <br /> -- — �� — <br /> — � — <br /> CITY OF EVERETT LOCAL SALES TfJC CODE IS J105 <br /> i hereby ceritity that I havo read and uxaminod this application and know ihe samo to bo truo and correcL All provisions of laws xn^ <br /> ordinaces yoveming Ihis typo of work will be compiied with whothor specified herein or not.Tho granting of a permit does noi presurn„ <br /> to give authoriry to violato or cancel tho provision o(any other stato or local law rogula6ng con�truction or thu pedormance of <br /> construction. Thal I am auth6Yized by iho ownor of lhis property lo pedorm the�vurk for which apolica:ion is mado and I cemply w.�tn u�.e <br /> State Coniraclors Law34.2�RCl -and 29f�200 WAC. <br /> �/� �/ ) � <br /> i�ZL� ,� �'✓C � <br /> i-�.+-+.` �t� /'. �,�- <br /> �'�ignaWre of OwneCCon ctor/Authoriz�" gent Date , r � <br /> 1 <br />