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� , � <br /> PEKMIT APPLICATIOI� '�, <br /> CITY OF EVERETT PERMIT SERVICES ! <br /> 3200 CEDAR STREET, EVERETT, �NA 96201 I <br /> 425-257-8810 — FAX 425-25%-8857 —www.everettwa.org I, <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � ���j �-�(� li <br /> SITE ADDRESS �'��� '� "I I� � L PARCEL TAX I.D.}� PERMI ` <br /> r �{ � S 7���,�,,� ��'r. �1�7��-� �c%?��t�vcc-� c� �o01 ��!�!�G' � <br /> LEGAL LOT NO. BLOCH TRACT OR SUBD)VISIONIl� I { � <br /> Ue$C� � �, �( l-'�l��[� I'?Y � I_��. — f�.•1- <br /> ��i � <br /> OWNER ADDRESS CITY/ZIP HONt <br /> •!>5/�.d51-y�9�/ <br /> �/.��r � .e ,, �— � � K _—� <br /> ��/� r�r /He7.� i�P�- ✓ <br /> PHONE '�S /`��' '- Y X�_ <br /> TENANT NAME CONTACT FOR PERMIi � ,� � � ��, � I <br /> �'G�l!!;�'Y S'�Ll��C/•�•�t �U14L � L�1.�'CGI �.L/Fll.b� G 7 "'l �Jl S� E-MAIL r l{'T��J�1-�1'v I <br /> TRA TOR • ADDR�55 ( QITYIZ'7I�P FHO�f _�.- I_ �� <br /> ��'nL'�L! �! ✓ 7C-ZS h_'�(] 'L'1 <br /> ,, coNnc.uceNsea �1-1r��'e �GU �b��et,� r��.'�2 �fZ;�—�3_`���'��j <br /> � — � I HEAT SOURCE CONTRACT PRiCE OF WORK <br /> USE OF 6UILD.Nv <br /> I �� /�/ g Llednc _Gas_Other � ��l���7' <br /> �c�/iEGi / rR�------ p -- <br /> '� WO DES RI TION /.� Q �"�D <br /> i ,�, � , ��i'��L�� �, �; r� � �- -�� �;<«.�t�j � �� � <br /> �'I/� ]� I <br /> I � <br /> PLUM6ING <br /> -�- MFCHANICAL <br /> II NO. TYPE Of-f IXTURE OR ITEM -- -- NO. TYPE OF FIXTURE OR ITEM ' <br /> 1 n 1 odet � qlr, -�n h.indGng units <br /> �i f — � � FoiceJ au systems � <br /> l3athlub — � . <br /> I� � Lavatory (wash basin) Gzs pip�ng <br /> Shower ��X Water heater <br /> Ki�chen sink 8 disposal _ Gas fiieplace <br /> � Dis'iwasher _ Gas range <br /> Clothes washer _ Clol:ies dryer <br /> � Water heater � • : - Ranye hood . <br /> ^ Sink (seiviceNailmoplei� )r.,1"'"``"� " � Exhaust fan <br /> -.,- Heat pump <br /> __ 62ck(low preventer •— � Unil heater -- <br /> , _ _ Urinal � poiler . <br /> _ Dnnkiny Foun�ain Relrigeration <br /> _ Floor drein l4�oodstove � <br /> _ Grease irap Olher � <br /> Roo(drain:: - — <br /> Olher _ — <br /> I I CITY OF EVERETT LUCAL SALES TAX CODE IS 7705 I <br /> I II I hereby certi'.y Ihal I have reao acd examined ihis applicafion and k��ow�he saine to be true and correct All provis�ons ot laws and � <br /> �Iordinances governing ihis type cf work will oe compL�d wdh whelher specified herein or nuL The granling of a permil does not presume i <br /> ic give aulhority to vioiate or cancel I�ie provis�on ot any olher sla!e or local law reyulaling conslruction ur iha perlormance ol <br /> ��i construction. That I am au�horized by Ihe owner of"�is proper7y to perlorm Ihe work for which appl�ca:ion is made and I comply wi�h the <br /> � 5(dt Coniraclors lav+ 1827 RCW and 296 200 W�C . <br /> //�� I /1 ' . , �1 <br /> I� x �� <br /> i 3i 1 ure of Ow�dCon rac odA dhorized F�genl���� Date .� <br /> ✓ <br />