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AFi 13 09 0122p We,shing;on lMaLr HeaLis 4265726721 P�� <br /> . �_ - <br /> PERMiT APPLICATi3ON � <br /> CITY OF EVERETT PERMIT SERViC�S <br /> I 320D CFDAR SlT-tEET, EVERETT,WA 932D1 . <br /> 425-257-8870—P/J.425-257-8357—�v�.tiv.everetiwacrg _ <br /> ' APPLICATfONS ARE ACCCPTEO FROM 8 AM TO A PM17 �— �3`� �� <br /> In `,1 �� C�� ^�afn PARCELTAXI.D.# p�MR� <br /> ���)(l� f' W o055 i � a���� N1^,9G��,3_ <br /> � LEC,H 107NO. OLOCK TNACTORSUQDIVISIDt7�; � <br /> CESC. <br /> �IV�iEH ADOFiE^u5 CRYZP PHONE <br /> 'J��bc�- �c�.f-�/- 3�Q(� I�� -Iv�Pi� �'u�i�'+f-���1 ��-,39 1y�i '1 <br /> TENANTNAAIE CONTACTI.ORPEHMIT FHOtJF =� ��-��bg <br /> GONTRACi1Oi;��J�� (/ ��{I»n/J��'`'�'�S�"'/'� E-7ANJ70I wG'1-or��JGI[,i�?(%[�f(� <br /> W�u)IMIY�YI L�(A��i�-i f�4.��'Lfs)O ��� dL/C�f � Cf1Y—�� PIfOWE �O� F__ <br /> � � � 1�- � <br /> cor�muceris�'a�A�N.I�X-�jSO O'j� <br /> J�:��e✓cc� �t ��OO S c/76'-�65�5� <br /> i USEOFBUILDING n . HEATSOURCE CQNT};ACTPRICEOfWORK <br /> � 4�.Q���-�( G1J" I �Eleclric _Gas_Olhar �; �a�� � <br /> i VJORI<OESCRIPTION <br /> �1 ' ' Ou-� � G��Ct�'- �1QGC,��� <br /> PLUM[31N1; MECHANtCAL <br /> � tJD. 7VPE OT'FlXTUf�E 7R f'fEl.7 NO. 7YPE OF FlX'NFiL Oi717F1J <br /> Toilet NC—av handfin�un�ts <br /> � Dalhtu6 Forcedairsyclems <br /> _ L�vaiory(�vasb basin) � Ga,^,piping <br /> _ Shcx•er � LVater heater <br /> _ Kilchen sink E disposal _ Gas fireplace <br /> _ Dishwa,her _ Gasrange <br /> C�oU�eswasher _ Clothesdp�er <br /> _J__ VJaterheater ��q���� <br /> _ Sink(servictJbalmop/cic.) _ FyMus[fan <br /> _ Backfioiv�:ievenler HealpumF <br /> Urin:il — Unit hpter <br /> _ Drinking Founlain Builer <br /> Floor drain — <br /> — Retrigeration <br /> , _ Grease lrap Woodstovn - <br /> ' _— Ruof drains _ Other <br /> Olher — <br /> � CIN OF[VEAEiT LOCAL SAlfS TAX CpOE IS 310.5 <br /> I hemby cenlify thai I have read and examinad thi:appGcafion and know the same fo be true anA conacL Atl provi,ian;oflaus and <br /> ardinaces govemitn�Ihis type of work w�li Fo eompiied v51h vfiellier specified herein or noL'Tbe gmnting of a pertnii does noi pmsume <br /> to gi�ti auUiority to violale or cancel 1he provision ot any olt�erstate or Iocal lalr reguialing construction ar lhe pertornur,co of <br /> ' cun,ImcliurL Thal I am�ulhorized by the ownerof L'vs pmperty fo peAorm the vrork fw�vLich application is made and I compfy with the <br /> IS1�7C Co ractas L3w 78''7 CVJ artd 29&2�D WAC. r <br /> �J�v �,�L�Z� .��(�j 1/�p� <br /> � ��gnatureo u.+�edGo�4racloqAulhenzedFujen[ Date� ' � �� <br /> I <br />