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PERMIT APF'LICATION <br />CITY OF EV�RETT QERMIT SERVICES <br />3200 CEDAR STREF_T, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.evereltwa.org <br />APPLICATIONS ARL• ACCEPTED FROM 8.4M TO 4 PM �_ <br />SITE ADORESS � Uf� <br />,�- �f�,• .�� � ���.�- i <br />_ � <br />LOT NO. BLOCK <br />DESC. <br />SEE �a�?/ l`�2��L=�I �1=� �- <br />< < <br />TENANT NAME <br />,�'� /�!`iJ�v�° �! <br />CONTRACTOR <br />S�L'f�=1�'c �/G. <br />USE OF BUILDING <br />l (-l/�i <br />�C'� .�v� <br />�� 4 �r" <br />PARCEL TAX I.D. # <br />iRAC70R SUBD�VISION # <br />S"�/? �ti%-'�v� c� <br />CONTACT FC R PERMIT <br />PHONE/�.� J <br />! <br />�33 <br />i � � � `, ��� ti�- C� . S��L�-�� `. `Yzs :; � � S. <br />� �9���- <br />` GGf( 98�'_5�� <br />HEAT SOURCE CJNTRACT PRICE OF WORK <br />�eclri; _�s _ Olher -'t' �i �� �� ��� <br />WORK= SCRIPTION ,G� i /i..�LI ��'�� �/ �)`�E-GL-�c:� cL l�, .5'�� u�%tl ic; <br />,��'j'c,c:-'t� S� l' / /.%;'C� G ��Ct'�'z <br />� � �5 , � ;��Z �GtGC_F- ���1'aC- ��J � `i <br />_ ��1r� s(?!Svi�i`1 I�`i`'� CP/!/.' : � <br />PLUMBING � <br />N0. I TYPE OF FIXTUR'e OR ITEM <br />Toiie.t <br />�3alhtub <br />Lavatory (wash 6asin) <br />Shovrer <br />Kitchen sink & dispesal <br />Dishwashcr <br />Clolhes washer <br />Water heater <br />Sink (service/badmop/etc.) <br />6ack(low preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />_ Grease trap <br />Root drains <br />—I other _ <br />NO. <br />MECHANICAL <br />TYPE Of FIXTURE OR ITEM <br />{VC - air handling unils <br />Forced air systems <br />� Gas piping <br />_ Waterheater <br />Gas tirepla�e <br />Gas range <br />Clolhes dryer <br />Range hood <br />�Exhaust fan <br />Heat pump <br />Unit heater <br />8oiler <br />Re(rigeration <br />Woodstove , <br />�I Other Ql(GS �t,(/YLGG��.—�- <br />T— <br />CIN OF EVtRETT LOCAL SALES TAX CODE IS 3105 <br />II hereby ceriti(y Ihat I have read and examined this applicalion and know the same lo be lrue and correcL All pi ovisions o( laws and <br />Iordinaces goveming this type o( work will be complied wilh �vhelher specified herein or noL The granung of a per,nit does nol presume <br />to give aulhority to violate or cancel lhe provision of any other state or local law regulaling consWclion or ihe pedormance o( <br />construclion. Thal I am authorized by the owner of lhis property lo perform the work for which applicalion is made and I compiy with the <br />St2le Cynlractors Lav� i 8.27 f2C�V a d 196.200 WAC. <br />,_ , ,. <br />'%�=GG�;' %�,,�'�L' :t �'2�' _ � �- 7� _ �- ;� <br />Signalure of O nedConiraclodAuthonzed Agenl Gale � 1/� <br />� <br />