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, • <br /> PERMIT APPLICATION � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-wwv+everettwa org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � ��J�( I <br /> j -- <br /> i SITE ADDRESS . PARCEL TAX I.D.N P RMIT ll I <br /> 2.� i4 Rvc�� av� oo4t39/6doo3Zov 13� Z-�ZC� <br /> ILG�I. LOTNO. BLOCK TRACT <br /> ,�Es� 32 � - oo Ev��-�' Q�r <br /> UWNER ADDRE55 C�TVIZIP PHONE <br /> $ FG FRP�EtJ!{-Ou��. � L1-C �7 v�lv6 �6� E�p�TC `tz5-73�-_5ni� i <br /> TENANTNAME CONTAC7FORPERMI �(j� DL�vyts �alb� �ONE . <br /> �-1at�. FoP��' ��iPN F��3Uer�NdL1`Z �5-�-5� I�t� ' <br /> CONTRACTOR G(�� � r V�� AODRESS CITYIZIP PNONE <br /> CONTR. LICENSER 1�127 3��` a�,E,� L�s- S�I— �Cj�l . <br /> EU�-t,-T', I�V'� .`�8za� ; <br /> USE OF BUILDING — HEAT SOURCE �CONTRACT PRICE OF WORK <br /> Q� ��, L-� � oD _ <br /> � „�W `�Eiectnc Gas Other O o 00 , <br /> i <br /> I, WORK DESCRIPTION .�.���?T� 1 MP�ZA <br /> j ,�cl�,�deS �G�f- r`t�.. 1�F�(Fz S�p�} <br /> �wv�i � �45�I�t� �iGL �r � �� I�L-06• <br /> I S 8 S . �. N.r� SF�C,G- A-DDbD • <br /> PL MBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FI%TURE OR ItEM <br /> Todet � �C-air�andhng units <br /> Ihtub F d.r systems <br /> � La� ory(wash basn) Gas �ng <br /> Show � Water h er . <br /> Kuchen s � d d�sposal Gas firep'.ac <br /> Dishwasher Gasrange <br /> Clothes washe � Clolhes drycr <br /> Laundry Iray Range hood ! <br /> � Smk(servicelUadmop c) _� GxhauSl!an . <br /> �ackllow prevenler Heaf purrp <br /> Unnal Um.I heater <br /> Onnkmg Founla�n E3o�hr <br /> = Floor drain _ Reingeration — � <br /> Greasc irap � Woodstovc � <br /> — Roof dra��ns \ — OUier i <br /> Olher <br /> CITV OF EVERETT LOCAI SALES TAX CODE IS]105 <br /> I hereby cenldy thal I have read and e.amined this apph�uVion antl know the same to be Inie and r,�rrect 1111 prov�sions ol laws and � <br /> ordmaces goveming this lype of work will be comphetl vnih whelher speoRed herein or not The granhng u'a pertnd does not presume <br /> to grve aulhnrny lo violate or cancel Ihe provision ol any olher state or local law regulating conslruCion or the pertomiance al <br /> conslruaion That I am au�horized by Ihe owner ol Ihis Oropehy to per'o Ihe wo�k!or which appi�cation is niade and I comply wilh tlie <br /> State GoNrar, rs L�.ritfZTTt6 and 2 0--�n�+�ll4� / <br /> r � <br /> p� G ; /Z /,3 � <br /> wnerlContra � honzetl Agen� ate ,/ ! <br /> �z <br />