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PcRMIT APPLICATl�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98207 <br /> 42r257-8870-FAX 425257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 1 PM <br /> 8RE ADDRE8S PARCEL TAX I.D.A PERMIT� C, <br /> �G2 52��.v:yC 'Av�, C�G�l�b10 vc�oao �cp ��� l — l� <br /> LEGl1 LOT NO. BLOCK TRACT OR SUBDIVISION M ' <br /> DESC. � OUdD-OU �i��� bf'�,]� H1t <br /> 55 CI E <br /> �.2vey �! �3ri;\ L �Cv�Sn � Sv"t� �7'a4�vr� ��e:et\ ���a `1SZ.:4 ��25-Z -\3S) <br /> TENANT NAME CON7ACT FOR PERMT PHdVE .q�z)_2a�C�-1j)S— <br /> �j�::v� 3�� :�bpve I L.2�rv�. ( �arc\ -�e`^y.� <br /> E�ANL C3+�\ �jbb`�, ��Crv� '3s\ . <br /> .�, cJY�O�.iC2S<' f.F'li. � i �[S' 1.�'3�1' �.jc��� �F .\�' <br /> CdiTR.UCENSEN Sh p�u �.F. ��\��S J � �"h�ac� • � <br /> \Sv.\\�,w1 <br /> 4 //��/Z <br /> USE OF BUILpNG I — HEAT SOURCE I CONTRACT PRICE OP WORK <br /> hv��� ,�'ry',�\ev�c�i Electric �L Gas Other �k L�'`�O� <br /> WORK DESCRIPTION <br /> \'+�Spe�.�C c1uj \\��t �c : .v� e'C;�\\a�:e•^ C-St c�aS �(2v�c <br /> � J` \� � <br /> `,3� \Q:lr q�. L u il V <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE OR IIEM NO. TYPE OF FI%TURE OR ITEM <br /> _ Toikt A/C-eirhanAlinpunits <br /> _ BathWb Forcedeirsystems <br /> _ Lewtory(wash basin) Gns piping <br /> SMwer YW br heater <br /> _ KiChen sink B dis{wsal Gas fireplace <br /> Dishwasher � Gas nnpe <br /> _ CloMea washer Clothea dryer <br /> _ Waler heater Ranya hood <br /> _ Sink(serviealbar/mop/ele.) Exhausttan <br /> _ BacMlow prevnr�ter Heat pun� <br /> Urinel Unit hea0er <br /> Drinking Fountain Bnibr <br /> _ Floordrain Rehiparstion <br /> Grease trap yyo��� <br /> _ Roof drains � Other,_C�-�y j bb�_ <br /> Other � \) <br /> CITV OF EVERETT LOCAL SALES TAX CODE IS J106 <br /> I hereby certiry thet 1 have read and auamined this epp�icetion end know tha sama m be true and correct All p�ovisiors of lawe and <br /> ordinancos goveming this lype of work will ba complied with whether specified herein or rat The pranEnp of e permit does not presuma <br /> to give autliority lo vioiate or ancel the provision o1 any oMer spb u local law regulaCng conc4uc6on or the parfortnanca of <br /> construction.That I am autliorized by tlie owner of this pioperty to pariorm the work(orwhich�pplication is made and I comply with the <br /> S�[e Contracrors Lew 18.27 RCW and 296.200 WAC. <br /> � �-="l' \C' <br /> Sig Wre of OvmerlContractodAuMorized Agent DaOe <br /> 1 <br />