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' PERMIT APPUCATION <br /> I CIYY QF EVERETT PERMIT SERVIGE� �� <br /> 3200 CELAR STREET, EVERETT, V�'A 98201 <br /> 425-257-fiE 10 - FAX 425•257-8857-www e� �rettwa.org <br /> IAPPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 5 -���� I <br /> SITE ADDRESS � PARCEL TAX I.D.# PERMIT# <br /> I //Dlo SGru/,,a�, b�a. ��✓�• z f3 a4-c:� �co 3�zz c� /"`- � � � <br /> LEGAL LOTNO. �BLOCK TFACT <br /> DESC <br /> OWNER ADDRESS j� 'TY�� W•CITYIZIP �(BB�j PHONE �-L�/�, <br /> %'a-�nq "�or.il �e.✓n�c�oa,�ut'f l(oY00 �e�.�cs,.7�zn'' t'!fw✓ �702 � <br /> tENANT NAME , CONTACT FOR PERMIT � PHONE �I <br /> Nlou,�'�u,,., Vr�w ��' . 0 �,�yti� C7� lvr��. �53 -� 3�1—SS�� � <br /> CONTRACTOR ADDRESS �f CITYlZIP PHONE i <br /> U�:'%✓ev-�i��%�P�-r�'iey"w�a fivH %'C I�U� �O/`� flul.w�N� W.�4-. Q6� %I <br /> CONTR.LICENSE z � �y,3) c�3q�SD/ <br /> USE OF BUIL�ING HEAT SOURCE C(fkTRACT PRICE OF WOl2K <br /> ._,�.., _ -� /� /8Z G-` � <br /> �L'�,�^��.cn7s� �� �'�aU'�c� _Eiectnc �Gas Ot`e� <br /> 1NORKDESCRIFTION y�/A-C �vJ�C�✓,!q/'u�'( — l/i�,'(�ii� (Z � G�+'ti� G1F+Cl<%�'".S W�IvI <br /> q.tc �a����0•e�� L=� t����' / Q?�C4bKFl �S. <br /> V <br /> PLUMBING MECHANICAL <br /> k0. TYPE OF FI%TURE OF ITEfVi N0. TYPE OF FIXTURE OR ITEM <br /> Todet _ A�C-av handling units <br /> Bathtub _ Forced air systems � <br /> Lavatory(�+�ash basin) � Gas pip�ng <br /> Snower _ Wa:er healer <br /> Kitctien sink 8 disposal _ Gas freplace <br /> Dlshwasher _ Gas range <br /> Clothes washer ,_ Cio;hes tlryer � <br /> Laundry tray Range hood � <br /> Sink(service.'bar,5�op�etc) Z Exhaust tan <br /> 6ac4flow F'eventer Heat pump i <br /> Unnal Z Unit heater ��,, <br /> _ Drinking Fountam _ Boiler � <br /> Floor drair _ Refnae2tion �� <br /> Grease trap _ Wootlstove n <br /> — O;her � � <br /> _ Roof dreins — 1 il <br /> Other — <br /> I <br /> CITY OF EVERETT LOCAL SALES TA%COOE IS 3105 � i <br /> II hereby cen6fy lr2t I have re2d and examined this apphc24en and know the same te be hue and correct. All prcvisicns ot la�.cs and I <br /> ortlinaces aovem�ro R,is type of work will be coTplied e-ith wheUier specified herein or roL The granting o`a permit does not presume <br /> �, fo give authority tc���olate ur cancel ihe previs�cn of any other state or local law reguiating coistrucLon er the performance of � <br /> I wnstruction_Th2.�o, �� .-lhonzed by lhe o�n-�e•ot;r,�s Froperty to perfoon Me work for which spphwbon is made and I comp!y H�rth the � <br /> I� State Cont ors La�v �S�; FC��tl 29E:OJ 1'JHC <br /> `�'" j l ` `�.-� -og <br /> � S��7 wfe� �,^�:�acto�Authonzetl Pce^I Date � _ � _ �, <br /> \�� <br /> i / <br /> � _ -- <br />