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i <br />P�RMIT APPLICATIG�� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET. EVERETT, WA 98201 <br />425-257-8810 -- FAX 425-257-8857 - www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />(',��� �U;f� <br />�� CraiS - �� ( <br />SITE ADDRESS I PARCEL TAI( I.D. !t PERMIT M <br />(�iZi /0.3a" �L .$•E,---- --� CK�S35bdOC��oo . — --l!'%'oS---_CY'1 <br />LE�li,il LOT NO. BLOCN TRACT OR SUBDIVISION p <br />��t�� , ? _ f_--�'-� _ o�,�� A�a„��r---- <br />- ----- --- ----_ ___ <br />OWNFR ADURE55 CITVIZIP PHONE <br />_�CIS�P� /li�L _�---- �9L9_ u�'/1d�417, --/�1uKiG� `lcfz7� <br />TENANT NAMF � CONTACT FOR PERMIT °HONE <br />� EfilAll <br />-�bNfRA�fib� - ---- �HbR�S---- ---�1fiF7fi�_�HbA�- <br />rik1T O,ULG i�'��, ��'C iiz2 Z�� 3i Su1 ��/NN[UacA��tf1+ 96c�(�, vzs� ��S-l� z3 <br />CUNTR. LICENSE M <br />r �kiTo��+3`J�� � �Y.ac- /�ls__14.�_1��� <br />------- --- <br />USE Of BUILDING I HEAT SOURCE � CONTRACT PRICE OF WORK <br />siN��cr fi�A�-Ly 2�s�dr�'cc I 1s._ ri�., i���. �:,ti _: o�i,�,� <br />WORK �ESCRIPTION <br />f/� Y/j7'�'�AEi (�OA% SC<L i A%/J/l� <br />N0. <br />PLUMBING <br />TYPE Of fIXTUPf UR II[ M <br />Inil� l <br />b�dlduL <br />Lavatuiy Iw;c;h b,rdn� <br />Shnwor <br />KAchr.n sink 8 dis�x�sal <br />�11ti11 W pSI1Qf <br />Clalhcs washur <br />Walur hoator <br />Sui! (servir.olbar�mup�olc.) <br />RucAllaw pre<venli3r <br />Unnnl <br />DnnViny Founlain <br />Floor drain <br />(iff3HSC lfB�) <br />Rool drains <br />Othm . . _ . . . <br />— _- <br />MECHANICAL <br />NO. TVPE OF FIXTURE OH IiEM <br />�_. �. AIC � nu han�lhnq wuL, <br />- - Forcad av tiysl�rnis <br />-- Ga, pipmy <br />W alcr healar <br />. . Cins hrc, I:u'.0 <br />_ G�s rang� <br />-- Cull�es dryc�r <br />_ Rangr.hood <br />Ezhaust fan <br />He:�t pump <br />Um� hr.alr.r <br />Boiler <br />Rolrignratron <br />Woodslovo <br />��hBf <br />-- I ----- <br />CITY OF EVERETT LOCAL SALES TA% CODE 19 3105 <br />I heruby cerilify thal I hav�3 rea<I onA e.ammed Ihis apphc;�tion and know Ihe same lu be Irue and wrrect. All provisions of laws end , <br />ordinac�s govemmp this rypr. ul work will he cumplied wilh whelher spAcilrod horein or nol Thn 9rai!ing ol a permil does nol presume � <br />lo plve aulhority t�.� vi��l:it�� ri can��ul liir. ��mwsion o12ny ulher staln or luc�l law repulaling construction �r tho performance ot � <br />ronsh u� i�� n, Th,it 1.im wdh�e�: rJ b;, thr� „wn��r ol Ilus prup��rty lo prrlonn Ihe work for which applicalion Is made and I comply wlth iho � <br />.`;��d�� � 1 nh.i� L�is I,n•. I H�. ; lii �! ;' dm 1 7!ni 700 W AC <br />� / <br />ired Ayunl . .--__ �� Dal� <br />