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Gec 19 03 11:55a �4arilynn J. lNillard 2u6.52o".i676 G 3 <br /> PERMIT APPLICATION I <br /> I CITY OF EVERETT PERMIT SERVICES ; <br /> 3200 CEDAR STR[ET, EVERETT, WA 9820f <br /> 425-257-8810- FAX 425-257-8857-w�vw.everethva.org <br /> APPIICAT10N5 AHE ACCEPTED FROM B AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D..Y ,.P,/c�R�71T# <br /> � � - �C`� C l�. �KIU['. ��cF.'L= �_(�,71,.! I i r"�Ck'Ti i=s'��;Cl I ' I(�'�����-CJ y�� <br /> LEGA LOTNO.� BLOCK TRACTORSUBUIVI IONA � J <br /> oesc. .— 3' c�C�: '� -' AT G i= �1����T t�'�I f�C�f= V:1L 3C Y� - 1'� <br /> owN�r+ REJ.a-{ p � M�.�P.l L��C IV�J �aona s c�nrziv rnoNe ��— <br /> V'a 'i_1��� I� '7��Z I T'�1EW DIA/J �V c 1.�. .SEt;�I_f_ �ll���. �c�G ��'�� lE7L- <br /> TENANT NAME � CONTACT FOfl P6HMIT PHONE.�G ��2�, , /�7L <br /> }��,,N-.rl�N,�!c�-}�� �V :�A2D I �•'�a�.i��(r�;v .J v�lu..u>R� <br /> e.Ma��rUr/ U ` -'�7u �(s',�, <br /> TflA T � Il Yi I�Ab E <br /> CONiFi.LICENSE tl <br /> USE OF BUILOING HEAT SOURCE ��CON7RACT PRICE OF WORK <br /> � 9 1{�I D�/�LE '�! •) �:- !-i; <br /> �JI�U�� r������=� ./ Electric _Gas_Other :���"� �— <br /> 1VORK DESCRIPTION �ru;��I`� f�j j_ ��j f— Li �Z�1 ��C, (_ <br /> � <br /> PIUMBING MECHANICAL <br /> I�O, IYPE OF FlXTURE OR ITEM NO. T'PE OF FIXTUHE OR ITEM <br /> Toilut '�' - — � .���""^'�"—�ri'�'�A(�L .�I � <br /> __ BathWb � forcetlairsystems .j ��N��_�R <br /> Lavatory(wash basin) . Gas piping <br /> Shower 1Yater Cmter <br /> Kitchen sink&d�sposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer _� C�othes dryer <br /> Water heater Rango hocd <br /> Sink(service�'�aJmcp/elc.) Exhaust lan <br /> [3acktlow preveMer Heat pump <br /> Urina'. Unit heater <br /> Orinking r"ountain _ �oiler <br /> Floordrain _ Fefrigeration , <br /> Groase Irap Woodstove <br /> � Root drains Other _ �, <br /> Other--_-�,-- _ _ i <br /> CIIY OF EVEPETT LOCAI SAI.ES TAX CODE IS 3105 <br /> I hereby coritify that i have read und examined this applicatlon and know the same to be true and correcL A11 provisions ot iaws and <br /> nrd�naces governin3 tl;is type of�+�ork will be complied with wht+ther specilied herein or noL The grantlng ol a permi;doas nol presume <br /> , to give autiio�ity to violate or canc�i the provision of any other state or local law regulaling construction or the pertormance of <br /> 1 ccn,truclion.That I am autnorized by lho owner ot hi,proparty to pedorm the•xork lor wh�ch application is maoe and I comply with Oie <br /> I State Ccntraclors Lan 1827 RC1J d 296.200� AC. I <br /> y. /� / � � "� <br /> � :� 1� � '' i. �--_ . ,l .�l L( "�IYG:C., /��, � Gb. <br /> �gnavro o i 'oNrac:odAW orizc�Agenl Date <br /> I � �' <br />