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' :-J ,�:. �--�> P�r�MiT APPLICATi('�.'�i �° �C�L`�U V�� _ <br /> ICITY OF EVERETT PERMIT SERVICES JUN t , �p» L <br /> � 3200 CEDAR STREET, EVERETT, NA 98'Z01 <br /> � 425-257-8810-FAX425-257-8857-www.everettwa.org PUBLI(` �.���- r ,: .. <br /> APPLICA710NS ARE ACCEPTED PROM 9 AM TO 4 PM <br /> 91Tg ADDRESS PARCEL TAX I.D.I PEAMIT• <br /> 't��s S�4VIE� EV� DD �fl'�D� l�'s ll�lo-03Co <br /> LEGA LOT NO. BLOCK TAACT OR SUBDMSION/ O _ <br /> DESQ � <br /> OWNER ADDRESS lYTY21P PIpNE <br /> M�C+}d�L N6M�Rv►�y Q�B I�i St• Mulq �.r�o ��b•3sG • q2o3 <br /> TENANT N11ME ��r wn�w.r �wr� 0`. 96 •�117 <br /> /yt�Nty,�4�.1 u �ACE'T"i� I �RYdN�fJ GAC�TA- E�AML 4�dQOG 'Z� <br /> E� rvMa owu�- � <br /> ��K �RDOKS 4�5'• 257• Q81 � <br /> �+,�+.��. <br /> USE OF BUILdNG HEAT SOURCE I CON1TRACT PRICE OF WORK <br /> ��(� ��.JKj�.Y �N(� I �,Electric _Gas_Other r ����� <br /> WORK� -�V�uh �, �V 7�d� �M�.�1 1`_"`� <br /> �� .�l.n. <br /> ew���.��. � <br /> PLUMBING MECHANI�CAL <br /> NO. TYPE OF flXIURE OR REM N0. TYPE OF FO(71N!OR flEM <br /> � Talet NC—eK herwping unita <br /> � Bethlub Faced air sys►ame <br /> l avalory(wash besin) �P�P��9 <br /> � S�� �_ Water I+eater <br /> �_ Kitchen slnk 8 disposal � �fi� <br /> J_ Dishwasher , �$�� <br /> � Cbthes wesher � Cbthes dryer <br /> Water heater Rarye hood <br /> � Sink(servicelbar/mopletc.) E�aust fan <br /> Badcllow preventer � Heat pump <br /> � Urinal � Uik heater <br /> � Drinking Fountain ���� <br /> Floor drain Refigeratian <br /> —T Grease hap � Woodstove <br /> 1 Root drains =I �r <br /> Other <br /> CITY OF EVERETT LOCAL SALES Z'AX CODE IS 3105 <br /> I hereby certity that I have read and examined this application and know tha same to 6e true and corted. /UI provisions of laws and <br /> erdin2nces Govemirg�this tvpe of•r:ork will be conpfed erith v:hether sper.FeC ha:eir.or rot.The g,un����o`•a���-I�^ue�^01 o;eacme I <br /> ' . .. .i1�r _.��r.iG ."C .. �..�'�' Oi T:., �:. ��7'C :'I . I��'.. 'SS'��3�:^C C^^..^.C;IC^O.' F C. . . <br /> . . .. . _ ^� .. _.." ' .. .. . - - <br /> � ..� nn���^�� �. . •.. _ �.1.; �� :i�•� 1 � �, . _.:�.,'_ .. :. . . .. . ,.. _ .. _ . ' <br /> �� � E,�. /�,' l� <br /> -'-�-9 -� ' - -- <br /> -- ---- ---- -T...--., <br /> , <br /> _. -- _- : <br /> ----- - -- _ <br /> , <br /> ,�,,.,��•��... . .... ... . .,•:,. ,;..,:�.. , �.�, „r ,.�•„_ , . . • <br /> - ,ir�� �'��-�����,,���y� ��►��� <br /> _ _ _ _ _ _ _ _ . _ .. _ <br />