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� � — <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8610—FAX 425-257-8857 —uvww.everettwa.org <br /> j} � S APPLICATIONS ARE ACCEPTED FROM 8 AM T04 PM a —a,S—� �I <br /> � PARCEL TAX I.D.M PERMIT p -7 <br /> SITEADORE55� � � �\ I ` 1 I �II.��� � (��L <br /> � r1 � �. �4- _1.nll-1 t '7 d�00'1� � � <br /> �`y... � <br /> LEGAL LOT NO. BLOCN TRACT OR Sl1BDIVISION� <br /> OESC. ��Ty2�p PMONE <br /> OWNER ADDRE59 <br /> vc�� Oa�'� 4 [ nA W� ak 1X�-�- rc ' Sao �a5•353• 0� V <br /> I �ONTACT FOR PERMIT PHONE J D� '�a�'` ��� <br /> • TENANT �ME � (`� � \ �� <br /> (hj i (l� Y'1 �U�1 E-MAILY+l+i�1A <i:�� '�.•✓1 <br /> CO R C,{�0� ' _\ .ADDftE55ylpC�1 S I n` � �.��'t- ,��. c ��E ,t'�C f'.Cf1 <br /> � qa��E <br /> CONTR.LICENSE a �C `'�\`��(1 -9 ` _ <br /> �1 i CONTRACT�RICE Of WORK <br /> I HEATSOURCE <br /> USE OF BUILDING �� O� <br /> S� r Eleclnc _Ges_Otner <br /> WORK DES\CR�IPTiON `�\� � Q �\ \ „�` `^,� ,(� <br /> 1`(�5�0.\\ � � �. � �� v� � � �� <br /> J 4�'"� \ <br /> I <br /> i <br /> pLUMBING MECHANICAL i <br /> I Np I NPE OF FI%TURE OR ITEM <br /> NO. TYPE OF FIXTURE 00.IT[M <br /> AIC-air hand6ng units <br /> Toilet Forccd air systems <br /> oatnWD Gas piping <br /> LOv010ry(wash bBS�n) W0t@f heZtC� <br /> ^ Shower GaSfreD�otr. . <br /> � Knchen slnk&d�sposal ""� G3�nnfle <br /> DiShWdS�Er �- �Iplhca tlryer <br /> Cl�thos w�sher Range hcod <br /> � Watar heater txh2ust fnn <br /> = S,nk(serncelbarlmoPretc.l � Heat pum0 <br /> Backilow pteveMr.r Unit healer <br /> _ Unral Boi�er <br /> �_ prinkinp Founta�n Refrigeration <br /> Ploor diaui � Woo05tove <br /> GfePSE Mep ONCf�— <br /> R00�tlf�in5 '� <br /> Olhcr — <br /> CITY OF EtiERETT LOCAL SALES Ti%CODE IS N06 <br /> I hereby ceAiy that I hove read and examined this application and know the same to be true�nd torreCl. Ail provisions of laws and <br /> ordinances goveming lhis typE^•I wO�k will be coRtDIIOd with whethet spBUfiBtl�Et�in o�not Thn granling of 0 PCrtiti!dOCS not presumo <br /> �o g�ve autnonty to violate o�cancel ehe provlslon of any oMer state or loeal law regulating construction or the pertormance of <br /> Con51 et�on.That I am authonz d by Ih0 Ow00r of lhis propeRy to Oe�o�"��he woM lor whith application is matle and I comply wYh the <br /> 91ate onlrectors Law 18.27 nnd 2 6.20o wAC. � ��� <br /> / at�e ot wnenConlract �/Au ionzad ngent Da e � <br /> � � <br />