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�'�rt -g��t'�� b 'F F� . �� '�"� �.� C ?~�u",��"�+�..,�"A��'���-6��'�Y ����14a.`S.S�f.F � �� <br /> �- .-: �=-- : <br /> a � �. <br /> ' �.� _ -' t �'- " �. `` .�7t1 +. i <br /> - � . s� ;ji�1dt. � y,;� 35� �' �.� "h+�."" �"'„y� ,!4'�1���""lb'i 'i`Lti n1�'�t'� <br /> ro � ''- . " �.�.�:%' 4,.r. '$� X: �> \C �-'�?�ta�� 15�} ��~h��R�`�� �',��t1t+. <br /> � . _ _ .��.. __ _ ,�.._�'d. .���'2 ._.._ S l�t�r_s:.� ys.r�1�.��A�� _•':.,'ie.. .�.__... � � <br /> P�R�lIIT APPLICATiON ' <br /> CITY OF EV�RETT PERMIT SERVICES -� _��; _�� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 — FAX 425-257-8857 —www.everettwa.org <br /> � —�� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 P17 'J�� <br /> SITE ADDRESS! I �J I c P�CE�AX I.D.# �� , G, n P�MIT# � � <br /> �>'2/� �� r�- nl� F�'�r�ii A Z lc � O � �'�' / i D .� ,' 'ii <br /> LEGAL LOTNO. BLOCK TRACT � <br /> DESC. �c;j 1 <br /> OWNER ADDRESS n CITY/ZIP PHONF{7E� 7�]->I < � II <br /> C � I�CIl �� � I�( �L�.[ S'f � (/ 6� ()x �-�\t? " I'�•���'�✓�Jr� Z'U/�1 ��� � j �I <br /> TENANT NAME CONTACT FOR PERMIT PHONE i <br /> � �r ' il n�r ' ��� �sr �un ��ti ��Fa � -157 - 3 / 1- 1 i <br /> CONTRACTOR ADDRESS CITYIZIP PHONE I <br /> CONTR.LICENSE# �/� �/ — <br /> ( l �GJ/`�� <br /> USE OF BUILDING HEAT SOURCE COUTRACT PRICE OF WORK <br /> Electric _Gas_Olher � <br /> — _. � <br /> WORK DESCRIPTION <br /> fJ��� ��,-;s�fr���� <<�., • �\ �_ �P��'y- �,,'�c 6���/ �/�,��- ��!p����,f;�� . ,�/�,fP S� � <br /> . /�l�E c7 ff��[!7 C'F� �FP� :�'n S-c y -� ��h./� �`f s.. pC�C- nnd' �PL(C'� �'- C� l Z - <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> k�.a,, i Toilel _ A�C-air handling unils <br /> : j � BathWb _ Forcedairsystems <br /> ' � I Lavalory(wash basin) _ Gas piping <br />��.�,�"'�.. i Shower _ Waterheater <br />�i5`" i _ Kilchen sink R disposal _ Gas fireplace <br /> I Dishwasher _ Gas renge 'I <br />-= Clolhes wa°�her _ Clothes dryer <br /> ' Waler heal.r _ Range hood <br />'""�� — Exhaustfan � <br /> .� Sink(serviceloadmop/elc.) — <br /> Backflow preventer _ Heat pump <br /> Urinal _ Unit heater <br /> Drinking Fountain _ Boiler <br /> Floor drain _ Refrigeration <br /> Grease lrap _ Nloodstove <br />' Roof drains _ Olher <br /> Olher — <br /> — — — I <br /> GTY OF EVERETf LOCAL SALES TAX CODE IS 3'105 I <br /> — — � <br /> I hzreby cerili(y thal I have read and examined this application and know the same to be trua and correcL All provisions of laws and I <br /> ordinaces governing lhis type of work will be complied with whether specified herein or not The granting of a permit does not presume <br /> to give authorily lo violate or cancel the provision of any other slate or local law regulatinc�construction or the performance of i <br /> conslruclion. That I am authorized by the owner of this property to perform lhe work for which application is made and I comply with lhe I <br /> � Stale Contrectors Law 18.27 RCW and 296.200 WAC. I <br /> '��� /�—� .S/ 7 /v 7 i <br /> �naWre of OwnedContrector/Aulhonzed Ayent �� I <br /> ll <br /> . _ : . . ,- , - ;� <br /> r.....�. .�..,......� _ ' . '__ . _ .,-.. . .. ., �_. � . � � . ':e:;'s� .v,zis�.a_,.�..1Nt �n. ar,fcr ..+as:� .hn.as La::aaa:^.�3i�4�'c k. (`_'�a.crti}i <br />