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� I L�� L�L �� i����l I� <br /> PERMIT AF'PLICATIONf�_� 3 Zo�2 �'; <br /> CITY OF EVERETT i�EI�MIT SER'i/ICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 U( !ry� .;:� ' `. -;;�' r�' <br /> 425-257-8810-FAX 425-257-8857-www•everettwa.org I <br /> RPPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��- o��{'-I�/ <br /> PARC=L TAX I.D.# PERMIT# <br /> SITE ADDRESS i Z�1,1 -v3(Fj I <br /> � � b r� `�l �,�= ,., , , . ,� �� , <br /> LEGA LOTNO. BLOCK TRACTORSUBDIVISIONlt <br /> OESC. I <br /> OWNER ADGFESS CITV2IP PHONE <br /> ( � �t < < - fi r'c�/� �i�':�a� y?���� G �'�=i <br /> �� I�����t�I7 �I��� Y � .JI �f" � 1 '� PHONE(`� �{ !��yG Cv <br /> TENANT NAME ONTACT FQr\R PERMIT� pIIU�_/ //�0� J D� <br /> � C`}I1 ��"/l"(^.f-\ I�ItiCL�I LL/Q1�IL�IS E-MAI��WQ,TCl��yOu e1/r1/1 ,�,� <br /> CO�CTO �/ri1.�/X'ADDRES_ i�U �l�tw�j�21P PHONE v�-�'J�_ <br /> i.UAS+fINv�TOn1 I�RTE2 :y��� "-� �,Cc {� t� �5�g <br /> �oN t.��s��� �� oP l�l�e vuc G�a 9�ia5 <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> �j7 C t /��n�(� ( _Eleclric �.Gas_Olher `G �(�'Ci �^ <br /> L Jl�J <br /> WORK DESCRIPTION � <br /> � ��,y �. ��,�� ( C� � � U�a:�l�..°� a�� <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FlXTURE OR ITEM <br /> NO. TYPE OF FIXTURE JR ITEM <br /> A/C-air handling units <br /> Toilel Forced air systems <br /> _ Bathtub Gas piping <br /> _ Lavatory(Wash basin) � Water heater � <br /> _ Shower Gas lireplace <br /> Kitchen sink&disposal Gas range <br /> Dishwasher Clothes dryer <br /> Clothes washer Range hood <br /> _ Waler heater Exhaust fan <br /> _ Sink(,ervice/bar/mep/elc.) Heat pump <br /> Backflow preventer Uni[heater <br /> Urinal — goiler <br /> Drinking Fountain Refrigeration <br /> Floor drain — yyo�stove <br /> _ Grease trap Other I <br /> Roof drains — � <br /> Other _— — <br /> CIN OF EVERETT LOCAL SALES TAl(CODE IS 3105 <br /> I hereby ceritily Ihat I have read and examined this applicalion and know the same to be true and correcl. All provisions of laws and <br /> ordinaces governing this type of woik will be complied with whether specified herein or not.The gran�ing of a permit does nol presume <br /> to give aulhoriry to violate or cancel the p�ovision of any other state or local law regulating consWction or the pertormance of <br /> consiruc�ion.That I am authorized by the owner of this property to pedorm the work for which application is made and I compty with the <br /> State Contractors Law 1827 RCW and 296.200 WAC. � ' �' <br /> �i.ni-��{;y�i,� Gi� :L-...\; l.(�'L' 'r; <br /> � ,l.-f j'= •; �P `� .�,(1 - �,� ��cr;tt�Lu.i-Lr �i�..Y� <br /> ignaWreoFOwned oniract A lhonzedAgent Date r�l�}ti�ul.a � �� <br /> �'���%� u�- C� ��� ��n ��l� r C�-r�-r����-1a�1�����►nu.r r�c <br /> -�— — �1GtMK-l,,lJ��� <br /> .- .. . , . ; . F. . .. � . L <br /> . __ _�—_---_—____ 'yii__�--.. ___ _ ffi1�i' ♦� l e <br />