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� <br />PEKMIT APPL.ICATION <br />GITY OF EVERETT PERMI'T SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8010 - FAX 425-257-9a57 - www.everettwa.org <br />S�TE ADORESS i <br />, . 1 �� l l � <br />, , <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 P�A <br />.� <br />PARCELTAXI.D.M <br />-?Go"1'19 Z <br />� <br />:� ��/i, <br />I.EGAL LOTNO. BLOCK TRACT � -� <br />UESC, �� �� �i , � �_ �_ � _ <br />UWNE A�S CITYIZIP PHONE <br />Wa�tr .�r� L-a��-��.,__ �J32S _��r a Sn��noM�cl� 98tf/. 3G�•S6�-y�( <br />TENANT NAME CflNTA(:T FOR PERM T PHONE <br />— �,lark r19�a/'� `(ZS"'33� '���SS <br />CONTRACTOR /,�S �^� l��t'� ADDRESS CITY/ZIP PNOflc <br />Gor1��u�ie•s :�L-�-- r <br />GONTR. LICENSE N I� ' I � I. V� GnZ�� ��.� i_83�6 <br />(�pR�'�c:L9$`�kL �` V� Qb� 2t�U �noinon+, w �� -- <br />USE OF BUILDING � HEAT SOURCE � CONTRACT PRICE OF WORN <br />VlORK DESCRIPTIPN <br />�; ,� y ��e_ �'� rw : �� <br />-- --_ __— <br />PLUMBING <br />N(�. I TYPE OF FIXiURE OR ITEM <br />_t- <br />Toilcf <br />[3:dhldb <br />l.avalory (wash basin) <br />Showr,r <br />Kilchen sink 8 Ais�wsal <br />Dishwasher <br />Clolhes wash�r <br />Wal�r hoaler <br />Sink (servicaNarhnoplelc � <br />Packflow preventcr <br />Urinal <br />Drinkin� PauNain <br />Floor drain <br />Greaselrap <br />Rool dralns <br />O�he:r <br />� ��S k <br />-- [I��dric r✓.�_ G.�s _ _ Olhcr I ----- <br />II, � f , <br />�� '�.��._��(i� , �..��1 <br />- j MECHANICAL <br />Nn. I TYPE OF FI%TURE OR ITEM <br />A/C - air handlinp units <br />Fori nd air SyS�omS <br />('>21 II(l�lly <br />`�Naler healer <br />Gas lirepl�ce <br />Gasrange <br />Clolhos drver <br />Rango hood <br />Exhaustfan <br />Heal puttqi <br />Unil h�ater <br />Doiler <br />Zefrigoration <br />Woodsluve <br />Olhor <br />CITY OF EVEREiT LOCAL SALES TA% COOE IS J105 <br />I hernby ceritily Ihal I havFl rr.ed and examined th�s a{rplir,ation and know the sarne to be true and conacl. All provisions ol Inws and <br />nrdinaces yov�rning this lype of wora will be r.omp�,c+d with whelher specllied herein or no1. The pranti�g of a permil doee no� presume <br />lu gWo d ttity to vir,�at� ur cancr,l Iha �r '� ol �ny olher state or local law regulating construction or lhe peAormance ol <br />co,��i�i� Th: .in ", �� y io owner of Ihls property lo pr.rlorm ihe work lor which applicalion is made end I comply wilh thc <br />Slnt�� i.+� ��� I�rn � C✓ anA 2962D0 WAC. <br />I � 2 � - 0-1 <br />