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. _---_. . ._. __�- —�- ------ -- . -- — <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425 257-8810- FAX 425-257�9857-www.everetiwa.org <br /> APPIICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADUFESS PARCEL TA%I.D.M PERMIT N <br /> 52.12. 100�" PL $F=ir-�<..H,W4 L �� � i �lC, i �:_ 1`� � c, ���, �� C./�(..' <br /> IFGA I 7T NO. BLOCK iRACT OR SUBDIVI910N N <br /> DFSC (1rU.n �[.���� ZGv�- <br /> OWN R ADORE83 CITV?IP PNONE <br /> �-�-u�.���1A P�.� k L� c y'jl�l �{" :if NL ; �, ini I �� kc Stn�o�5 �t7Ji-�.5� - IK�O <br /> TENANT NI1ME CONTACi FOR PERMIT PHONE ?C'V- �i$-4 I 4 q <br /> �'ln�n�i(.� C7\'1 qa�6���•�<�r0.l��.w�l.ta <br /> E-MAIL <br /> �qrun{ tclJ V... k-,��c Q$14 �1'`' Si . NE,i,.n . �,�� ��,kc Si.v�,� `lLS'�53 - �`4�-0 <br /> CONTR.IICEN9E M <br /> c-,QeeNP� n4zdt ' <br /> USE OF BUILDINO I — MEAT SOURCE I CONTRACT PRICE OF WORK <br /> lAY'yc' h .{o• C 0.v�✓0.t1� . EIec�11C�j/�as_._ O�her �� 1�sC�,G. �'-` <br /> WOFKDESCRIPTION , Z�{ <br /> � ��Ifll _ <br /> ' -4 -f Dv �0.r�✓a.Sl. A.�C c- � ,L�+ <br /> 1',,,;1r1� ( a°e°` _ _._ � <br /> ��ru...(�•t�� Purk . -,1���Z`i I <br /> � <br /> PLUM8ING MECHANICAL � <br /> NO. TYPE OF FI%�URE OR IiEM N0. TYPE OF FIXTURE OR ITEM <br /> Toilel A'C - air handling unils <br /> Ea1Mub Forr,ed nir sus!em5 <br /> I.�valory Iwash basml Gas piping <br /> Showe� Waler heater <br /> Kitchen sinh R d�sposal Ga5lveplace <br /> Dishwasher Ga5 ranpe <br /> Clolhes washcr Ciothes dryer <br /> Wnler healei Range hood <br /> Snk(5ervice ha� niop i�Ir 1 E�hausl lan <br />' BaCkflow prevrntei Heal pump <br /> Unnal Unit hea�er <br /> prutkinq Fnwi�ai�� Boil@r <br /> Floor dr�in Reingeration <br /> Greasc trap Woodslove <br /> Hool di.uns Other ___ <br /> + Oihe� �t+s• l�it� ___ __ <br /> CITV OF EVERETT LOCAL SALES TA%CODE IS 3105 <br /> I he�eby cerit�ly Ihal I have read and examinetl Ih�s apphc2hon and know the same lo be due and correcl All pruvisions of laws end <br /> ordmaces�luverning this type ol work will be comphed with whether specilied he�ein or nol The granling of a permit does nol presume <br /> I lo grve autho�ily to vblate or cancel Ihe pio��rswn ol any other s�ate or local law regulaling consVuclion oi the perlormance ol <br /> consVUUioi That I am aulhonzed by�he owner ol this pmperly lo pedorm the work lor whlch app6cauon Is made and I comply with ihe <br /> Slale Conlraclors Law 18 27 RCW and 296 200 WAC. <br /> � � ( 'l �� (r L Iof $ ID } � <br /> ISigna nl neri antraclorrAulhonzed Agenl T— l Z <br /> �. � .. . - --� --------- <br />