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4?5-152-1566 C'dNfAiiS'G f� 3C ?3pm OS-77-lOtt Si5 . <br /> � --— _ <br /> � � PERMIT APPLICATION <br /> - � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAfl STFiEET, E\�ERE11, WA 98201 <br /> 425-257-8810—FAX 425-257-8857 —�•nw�.everettwa.crg <br /> ' APPLICATIONS ARE ACCEPTEO FHOM 8 A�d TO 4 P�d � <br /> - SITE AODRESS PAHCEL TAX I.0.# PERId1T p <br /> zi Shorc D� �vevcLt I ►y� � UbS_b�c� <br /> LEG�L LOT t10. B�OCK TRACT OR SUBDIVISION R � <br /> '_ �ESC. <br /> OWNER AU�RE59 CITY2IP PHONE <br /> � a�� �� aS � �0� l�05 5623 <br /> TENANT NAh1C I CONTACT FOq PERMIT PfiONE � , <br /> I 4Z� Z,f • -�:.��-.— <br /> �o � ? �� e�tanit��Q�?�71(.'��('l11`1Kt�lILY� C'N� <br /> cm ea �n fnL �4�5 arcx ��n� Cv�i�eft eTM�t"�-- -��,:r---r <br /> q � R3za� �iz�zs�1�;�6� � <br /> �oH���i�1ENs�s� Uq5R4� - <br /> USE OF OUILDItJG HEATSOURCE i;ONTRACT PRICE OF WORK <br /> _ � _[lectric ✓Gas_Olher 5� lp2 •�� <br /> VlORK DESCRIPTION , <br /> I nS�uJ�.1 �A� �- Qo�.� ,Q.�.Q�yLp <br /> u i ' � <br /> PLUMBING RIECHANICAL <br /> •���� TYPE OF FlXTURE OR REM ND. TYPE OF('IKTURE OR IT�h7 <br /> _ Tollct A/C-air harCl!ng unl�, <br /> • _ Oathlub Fcrcod air syslems <br /> -- Lavatory(wash basin) � Ges Piping <br /> _ Shower � Vya�er heater � <br /> _ Kl;chen slnk 8 disposal �- Gas flreptaco <br /> _ Dlshwashar Gasrarga �, <br /> _ Clo�hos washar _ Clolhns dryor � <br /> \Ya,ar heatcr Hange hood ' <br /> _ Sink(;crvlcePoaqmop/ale.) Exhaust lan <br /> _ L'ackllo�v provonler Heal pump <br /> .__ Urinal Unl�heaicr <br /> __ l]rinking Founlain ^ Bcilor ' <br /> . Flonr drain -- <br /> _ Greaso Irap _ iicldpernlicn <br /> Rool dra'n; _ Woodslo��o <br /> Olhor -- Olhcr -- <br /> CI7Y OF EVERETT LOCAL SALES L�X COOE 19�t09 <br /> I hoi�by r.enllly(hal I have road and axamined Ihls appiicatlon and know tho samu to bo Irua ar,d correcl. All provlsiona ol Liws and <br /> ordinxes�oveminp Ihis lype ol work wl'I bo compllad whh who;her spocilied hera'n or nol.The Aranlina ol a permit does not presume <br /> to glve aulhodty to vlolale or Cancet Iho provlslon ol any olher ctata or Ioca�law reaula9nA construcllon or tho portormanro ol ' <br /> cerstrucilcn, That 1 om uulhorizod Gy Iha owner ol ihls propony to pertorm ihe work lar whlch appllcallcn Is made and I r,ompty w�ilh the <br /> Slatu Comractor,Law 10.27 RCIY and 296.200 LYAC. <br /> r � , , � , — <br /> Sipnalu olOvmer/Gop aclor/Auth iz Agenl Ualo ' <br /> C. <br />