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�; 1 ,.� c� Za 3-�1 � �, <br /> PERMI�' APPLICATION <br /> CITY �F EVERETT PERMIT SER�✓��ES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DE6IT 8�CREPIT CARDS ARE NOT ACCEPTE� <br /> SIFE ADDRESS � pARCEL 7AX I.D.if PERMIT k <br /> �-I(o�a rOrPSf Ur• C�er�71" vo �q � oo � �cr�� <br /> LEG�+�� LOT MO. 9LOCK TRpCT <br /> iDESG. "'1 � _ <br /> OWNE ADDRESS CfiY21P PNO E <br /> I�liQri-e, s. �i1'Ylaplc�,c� �f(o3a ForesrDr. ���cre-41� `18w' y'�S-33cr3ro33 <br /> TENANT NAME CANTACT FOR PERMIT PHONE <br /> CONTRACTOR ADDRESS CITYfLIP� ��PHONE <br /> CONTR.LICEN:E M `�(/V//(:/ C/ . <br /> USEOFBWLDING HEATSOURCE CCP,iRR1:TPRICE'ti'r-.YflRt� <br /> I ��SlQ�!'1,�� �ElecUicX,.Gas_Olher I <br /> � �T, Gc� <br /> WORK DE3CRIPTION —�CI i Sce�nn Pc�-ed I <br /> 'C��mD��i -�Or� <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FUCTURE OR REM NO. TY7E OF FIXTURE OR fTEM <br /> _ Toilet __ r1/C—airhandlingunits <br /> _ Batl�tub Forced air systertts <br /> Lavatory(wash Gasln) _ Gas piping <br /> Shower VJaten c�ater <br /> _ Kitchan sink&disposal Gas fireplece <br /> _ Dishwesher Gacrange <br /> _ Ciothes washer � Clothes dryar <br /> i.auntl�VaY Rangehood <br /> I � Sink(service/bar/mop/etc.) = E�austfan <br /> Beckllow preventer Heat pump <br /> ��""a� UnR herrter <br /> L`rinkin9 Fountaln apj� <br /> ( = Floor drain = Refigeration — <br /> Grease 4ap Y,botlstove <br /> Roo(drains ,_ Other <br /> Other <br /> IdTY OI EVERETT LOCAL SALES TAX CO�fi IS]105 <br /> I hercby czriti(y ihat I have read and ezemined thfs application and knrny the came to�e We end cortecL All provisions of laws and <br /> ordinaces goveming!nis type of work will be comV��eC`n1Ui'n'hether specified herein or not.The granting of a pertnit does not presume <br /> to give authority lo violale ot wncel the provision of arry other state or local law regulating construct(on or Lhe per(ortnance of <br /> construction,That I am authorized by the owner ef thi9 propeAy to perf«m fhe wpitc fa whkh appliption is matle and I cart�y wilh the <br /> Sfate ntraaors Law 18 7 RCW end 298.200 WAC. <br /> � �'Ir(oloS PI-��Se CcU� -�or' <br /> Sig a n 1 n dor uthoru t a� ��q-e�,��- ���1 � <br /> !/� <br /> T0 39Cd ntiQ �0 3�I��0 h1tf� 6060LZ9907. OE�ZT S¢0Z/ST/8� <br />