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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-www.everettwa.org I a -� -' `�� <br /> i7�1� I APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM SIO I Z-d�� � <br /> L pARCEL TA7(I.D.N �'� D� <br /> SITE ADDRESS PERMIT N <br /> _ - w�i�- «r � - �� � � S� � O <br /> LEGA LOT NO. B��K TRACT OR SUBDM&ON/ <br /> DESC. <br /> OWNER ADDRESS CITY/LP PNONE 1S <br /> J� i3P>i�-� L�N9.vA.� �i".]S— Uc�7� <br /> .� l���L EvN��f � 3`i��ry <br /> I CONTACT FOR PERMR PHONE 1�?S ��2 / � U O <br /> TENANTNAME �-��,•�wP�1'e�Rw�r���y qsN-�e� <br /> �,��s / ( I/�q l�1�2 � �� �I�tZ� E�MIAIL <br /> c�awn ,,F � 4 2��tYlz i2 �� <br /> �-N� ��� ���-�„y g�s �' �` /R��„��/� � r-xr �r7 <br /> C�TR.LICENSE K Gj v 3� _ <br /> � r , i '�'�d� � <br /> USE OF BUILDING I HEAT SOURCE I CONTRACT PRICE OF WORK <br /> 13l f ) I F—ti'�� <br /> Elactric Gas_Other � a un• `� � <br /> WORKDESCRIPTION � nJ $'r-i t( � S i j�"i` �S OI= Nr N ^�LL��v� uh�i�-C- 1�9��1`n�I'F"� <br /> `i <br /> Siqv��s UN � E<<-v-{Tru.�s. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Taile� _ aC—eir handling units <br /> Bathtub . _ Forced air syslems <br /> Lavalory(wash basin) _ Gas piping <br /> Shower _ Water heater <br /> Kitchen sink&disposal _ Gas fireplece <br /> Dishwasher _ Gas range <br /> Clolhes washer _ Clolhes dryer <br /> Water heater _ Range hood <br /> Sink(service/barlmopletc.) _ Ezheust ten <br /> Beckflew preventer _ Heal pump <br /> Urinal _ Unil heater <br /> Drinking Fountain _ Boiler <br /> Floordrain _ Refrigeration <br /> Grease trap _ W�slove <br /> Rool drains _ Olher <br /> Other — <br /> CITY OF EVERETT LOCAL SALES 7A7(CODE IS 7705 <br /> ' 'hereby certiry that 1 have read end examined this application and know lhe same to be Irue and corred. All provisions of laws end <br /> ordinances governing this rype o1 work will be complied with whether specified herein or not.The granting oi e permil does not presume <br /> to give authonry to violate or cancel lhe provision of any other stata or local�aw regulating construction or the peAurmance ot <br /> construclion.That I am authorized by ihe owner ol lhis property to perform the work for which application is made and I comp�y wilh the <br /> Stat�lContractors L t¢.27 RCW and 296200 WAC. <br /> r � <br /> � � /.� F_ �.•'l'ti�'� � � 1 c. <br /> ature ot OwnedConlractorlAuthonzed Agent a�e �I Z <br /> I <br />