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h <br />� <br />� PERt�JIIT APPLICATION <br />� CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET. EVERETT. WA 98207 <br />I 425-257-8810 — FAX 425-257-8857 — v✓ww.everethva.org <br />APPLICATIONS ARE ACCEPTED FHOM B AM TO 4 PM <br />SITE ADDRESS PARCEL TAX I.D. p <br />�oiy WETMoae AVt <br />�a-ia-�� <br />AERMIT p <br />xogc�-od3 <br />.[�;n_ LOiNO. BLCCK TRACTG57CGDIVISIONp <br />DESC <br />OW1:ER ADDRESS cm:vc qg403 FHONE <br />C.,q/ty FOZAKn mfol'[ wEiM02E RVE EVEl�TT, WA ytS-3TY lt90 <br />TENANTNAME CON7ACTFORPERMIT PHONE <br />E MAIL <br />CO AC O SS CI � I 10 <br />� CONTR. LICENSE A <br />I USE OF Blii�DING <br />HEATSOURCE <br />CONTRACT PRICE OF WORK <br />�, � _ ,� r.���. c..�, p7�,ei � <br />�i WORKDESCRIPTION K�'�(,�IJ �IMO�EZ. —R�P(%{CIIII� SIAi�C�(OOIfIZieS � �A�IN�%i� APJ�I.'/AN« <br />� RDD/Mf► A Y,AT toQ�lflp, DPaKiNi �EI[�i�tr �N c�ME�c iF �QOA'n Po� I!"uslED ub/tTJ, �400/ilri <br />� C�7CET1, REPNCIwYi SJroE LATM�i�UKT� h/I ��i�"A// <br />� ni �i�mu.ir �AF!`41AtJICA1 <br />�� NO. I TYPE OF FIX'.'1RE OR ITEM <br />�- <br />� <br />Toile; <br />6a;htub <br />I. ncatory Iwash basin} <br />,`.howe� <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothos washe� <br />Watei hea;ei <br />Sink (se�vice�hm mep e:c � <br />Bachflow pieven!r•i <br />Uiiwl <br />�iinking Fountain <br />Fioor drain <br />Giease trap <br />Roof drains <br />Other <br />NO. I TYPE OF FI%NRE OR ITEM <br />A C- aii handhng un�:s <br />Forced air systems <br />Gas piping <br />Wa;er heater <br />Gas ti�eplaca <br />Gas rmge <br />Glmhes dryer <br />Rangehood <br />[xhaustfan <br />Heat pump <br />Unit heater <br />Boilet <br />Retrigeratian <br />Woodstove <br />Other_ __ _ <br />CITY OF EVEflE7T IOCAL SALES TAX CODE IS 3105 <br />� i heieby centify ;h�l I have iead and examined this applica:ion and know the same !o be true and correct. All provis�ons ol laws and <br />oidin�ces goveming ihis type ol wotk will tr� complied with whethei specdied heiein or na;. The g�aming ot a pettni� does not piesume <br />� to give nwhouty to violme oi cancel iho provlsion ot any o;her state or loc�l law regulming consuuc;io�•. o� ;he peilo�manco ol <br />:-:�nsnur.•,�on Th; : I�m iu•.honzed by!he owner of this piapei;y :o pe�lmm �h� v;oik for vrhich cppl��ci•. �n i; mnde nnd 1 compiy v.r,h the <br />.�: ;e Con�iac:a:, l.::c: � 9��- HCW and 29G 200 WAC. �/ <br />�G • �F . �C <br />. r��iad nan! Ila•�. <br />