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P. O1 <br /> Nov_30- 11 O1 : OSP _ _j _ — — _ <br /> i <br /> � PERMIT AP'PLICATION I <br /> ' CITY OF EVERE7T PERMIT SERVIC�S <br /> 3200 CEDAR STREET', EVERETI', WA 98201 <br /> 425-257-8810 - FAX 425-2;�7-885) -v�nvw.everettwa.org <br /> _ APPLIGATIONS ARE ACCE:PTED FROM 8 AM TO 4 pM f2 �f --I/ <br /> � <br /> 517E ADDRESS PAttCEL TAX I.D. it I PERMIT# <br /> 55�.2 6 Z�� :�_'� � ._�L..�� ��v$ <br /> L�.clAi l W f NO. -� BLUCK TRACT oR SUBDIV1510N 8 <br /> UL ti!1 i <br /> OWNER ADDkESS CITYf21P PHONE <br /> ���T /�lu, ��of f SSz� �'s��,��.�� ���Ys2�syzs -�ic- 977 <br /> I 1�ENANTNAME CONTACTFORPERMIT PHONE <br /> i <br /> E-MAIL <br /> CONTRA ,CY6R -� ��� � ADDR� ,� G PHONE �� <br /> �Y�va�/'�*3.' y�r/rs �fSPr ci r� i6�n� �'7.�'r.��/��.c yzy-..z.i`7'- '�'-/�^/ <br /> CUNTa.l,ICENSC p <br /> . ___ �"-���-��,�zk� ��t� y���r _. ..- <br /> VSE OP BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> ' �t'� _ElecVic �Gas_Olher 7 1 .� <br /> ��`- <br /> WORK DESCRiPTION <br /> �(',� GlC� �tti'rdc.'� <br /> / <br /> � � PLUMBING � � �MECHANICAL <br /> I No. TYPE OF FIxTURE OR ITF.M NO. TYPE OF FIXTURE Oft ITEM i <br /> � _ Tudcl ^ A/C-air handlinc7 unils - � <br /> i _ Oathwt� Z Forced air systems <br /> Luv:�tory (wash t�i:;in) Gas piping <br /> ahu�tinr � Water heater <br /> _ Kitr.hr.�� ;ink 8 dispos�l Gas�irepiace <br /> , . Uishr�asher Gas range <br /> C�ulhes w�shor � Clolhes dryer <br /> _ Watar he;iler Range hood <br /> __ Sink (serviceroar/mop/etc.) � Enhauslfan <br /> � _ Bockfl0�v pre��t:nlnr ` Heat pUfnp <br /> _._ Urin21 Unit heater <br /> _ . Urinki�7g FouMain Boilpr <br /> . Floor dr❑in —' Re(rigeration <br /> . _ G�ease lrap ^ Woodstove <br /> � Ftoot Arains Other <br /> Olher - <br /> I . __ .._. _ .. <br /> i i <br /> - ---- .- . _ -� - _ � <br /> � C�7Y OF EVERETT LOCAI.SALES TAX COD�IS 7105 � <br /> I heroby cciiYfy tha[I h2ve re�d and examined lhis applic2liun and know tho same to bo lrue and cor�ecL All p�ovlsions oi laws anA <br /> vid,n�ces�o�erniny this lype of wurk will hn cumVlied w;th whethnr;pecified he�ein or not.The grantiny of a n�+rmil does nrit presumc <br /> lo yive authrnily In viulale ur r.ancr•I Ihe provisiun ul any other sl:,to ur local law regulating consiruction or lhe pr.rfonn�nce ot <br /> cr.nsUw:liun. I hot I am aulhori7ecl by the owner uf this properfy to poAurm lho Work lor which applicalion is made and I cumply wilh Ihe <br /> Jtulc ConU�aclurs Lntv �IB.'L/ � :'!J and Ly(i.200 WAC. <br /> ,i rj%� � �i� ��r, <br /> ,� � <br /> S�ynalumbt`O�vncr/ n a WrAu!horiZedAganf pale <br /> � -- ----- -- ---` ---- - ----�. .. .. . .._. , .._. � <br />