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Oi ID."2007 'PIII' 15:07 I':1S 42:i�_6i�kA4:� m001:00_ <br /> � _______— '_--__ __'_"'___--._ � <br /> � PERMIT APPLICATION <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CGDAR STREET, [VFRETT, VJA 98201 � <br /> 425-257-f3810- FAX 425-257-Se57 -v,tivv✓.everettvda.arg <br /> APPLICATIONS ARC- ACCEPTED FROA1 8 AM TO 4 PM <br /> SITE ADDR[SS PARCEL TNC I.D.# PERh71T# <br /> �-�L'�2. i�'��LV' ;��� i.l "��� ` � ���,`:LC. ����-'�� � ��.. _ � <br /> L[GA LOT NO. �LOCK TRACT OR SUF3DIVISION N <br /> DISC. <br /> ONNCR AOORE55 CIN/ZIP PHON[ <br /> ��'h:�t�>�� Ci�� � �� ����P�• II � l'i-'�� �-� O�i,�` _;� j-V,ri7;l 1'.A1�(: � `(`�,)C�;� �,I.'i.2�`7 ..5� }� <br /> TC-NANTNAMG CONTACTFORP[RMIT PHONG,����.� .���_:���,��_ <br /> �� ( I(�� . ��� ���Ci� 1 �.� L MAILI 1 UVI_I���y_'_�� r'1 1-Vl�iib f j� .�iA�: <br /> �71 A 1 It \ . � .- . OHES CI /ZII ONC''7^� .r- � <br /> /\ � 'i- 11Z�111(: 1��� • � . . . � I IL � T' <br /> � CG l'Cl',::. A �— ' '��.1�--� ;i�' �1-� �Vlrc. �V� �1\Ul.�j� I,�\tY, �,r��'v;tt <br /> L <br /> CONTR.LICCNSEtt ���.` ���i`��' - <br /> 1 <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRIC[O�IVORK <br /> . :i•�` �t``� _C-lertric ___Gas.__Olhcr <br /> WORK DC-SCRIPTION � <br /> -�.�'.ti1L:�V-'>A� ��sC:l�Si' � ��j1�1 �� IV� i <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF PI%NRC-OR ITEId NO. � NPH Of FIX7URE OR ITE�7 � <br /> � Toilcl ' NC—air h andlinp units <br /> 6atidub Porced air�.yslems <br /> _ l.a�alory(�vash basln) _ Gas pipirg <br /> _ SI'.o�ver Water heat.,r <br /> K tchen sink&disposal Gas(roplacc . - <br /> Ciishwasher � Gas ranno <br /> Clothes washcr CbUias dryer <br /> � 1Nator hoator Ranc�o hood <br /> � Si„k(sorvlco/badmop/olcJ [x:iaust fan <br /> �ack0ow preventer lieat pump � <br /> Urinal Unit hoater <br /> i _ Drinklnp Pountain _ �oiler <br /> _._ Floordrain Ro(rircration <br /> _ Graaso irap PJoodstovo <br /> Roof drains Olhcr __ . � <br /> U;h�;r <br /> � CITY OF EVEFETT LOCAL SALES TA?(LO�fl IS 3105 - � <br /> I horeby ceritily Ihol I have read ond or�mined th'��s applic,t!on and know,hr,same to be lrue and corrcct. All provisions of laws and � <br /> ordinaces flovominp this typo o(�sor{,�sill bo compfod vrilh e:he;her specifed herein or not.The prantin�of a pormit do�s not pr�sumo <br /> to glvu authority to��lolalo.or cancel Iho pro�•islon of any other stato or ILcal la�,v regulating censtruction or tho portormance ol "'?��`� <br /> construc:icn.That I am nulhorized by lhe o�vner o(ihis property tn pertorm Iho�rork for v:hich application is m�dc andl wmply ti�ith the <br /> Sla;o n r�ctors Law tII.27 RCl'J and 29�.20(11q41C. � <br /> , ,� r�, t_ __ � l�� 1 <br /> � Sipn� I wnedC�traclor/qaw nzo�ttt—� Uale / <br /> ��_ <br /> � <br />