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PcRMIT APPLICATIVN <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 /> SITE ADDRESS PARCEL TAX I.D.A �ERMIT# <br /> �/ S u- OOS 3 o�oao2c» MD �09- �33 <br /> LEGAL LOT NO.- BLOCN - TRACTOR SUBDIVISION p <br /> DESC. <br /> OWNER �/L� n f��'n ' y l/ ADDRESS CITY2IP PHONE <br /> f / /�� � G v <br /> �� __ �S'R-nt� <br /> TENANT NAME I CONTACT FOR PERMIT PHONE <br /> E•MAIL <br /> ��l�� p�c�cN� <<;-,.s/ v7ni s� annuv �- 2�� ��'3'7 <br /> CONiR.LICENSE p �L SC7')1 i2(/fI� Y <br /> <�C /t %/?1 i+� �!s '��I -- <br /> USE OF BUILDING HEAT SOURCE � CONTRACT PRICE OF WORK <br /> - —__[lociric-�'Gas_ _Olher �/ �'�' <br /> ���av <br /> WORK DESCRIPTION � <br /> /N,sl,�c� /���r�a�Ac�.�c-Gf�1-l'`�'� G <br /> i PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TUR[ OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> ._ ._._.._.--_ ._—- . -_ __. . .. __ ____---. <br /> I - ,- luilul _ AfC-air handling uni�s <br /> I -_ �Flll�lub __/_ Forced air systems <br /> lavatory(wash basiiq Gas piping <br /> I __ Shower _�' Walerheater <br /> I _ Kitchen sinA 8 dispusnl ---_ Gas lireplaca <br /> Ulshwashcr Gas ranyo <br /> I _-- Clo�hes washer _ Clothes Aryer <br /> � Walr.r hrr;dcr .__ Rango hooA <br /> � Sinh(servicelbar/muplulr..) -- Exhaust lan <br /> ' _ f3acklluw prevenlcr --- I icat pump <br /> , Uiinnl _ Uni�heal�r <br /> I _. Urinkin9 Founlain _ Boiloi <br /> I _ Roor drain _ Ro(rigera!ion <br /> �� . Greasn��ap _ Woodstovo <br /> Rool draiins Olh�r <br /> - -- Olhar �-- --- <br /> --- -- -- ------�� - --I -------- <br /> I:ITY OF EVERETT LOCAL SALE:TAX COUE IS J705 <br /> I hereby cerili(y that I havo read and examined Ihis applicalion anA know�he same lo be Iruo and correcl. Atl provisions of laws and <br /> ordinares ,yuvamin�Ihis�ype ol wurk will be complied wilh wholner speciliod herein or not. Tha granling ul a permil doe�. nol presumo <br /> �u giv��aulhprily lu violate or cancel lhe provision of any other sla�e or local law re�ulaling conslruc�ion or Ihe peAormanco ol <br /> cunslrucUun. That I am aidhurimA by the owner ol�his propeAy to peAorm the work lor which epplication is made and 1 comply with the <br /> S�i�c Cui�/ar.lurs Law 18,27 RCW ,ind "19fi.2SID WAC. <br /> �f�� � ��� 2_7� J� � �� <br /> Siynal �r ul OwnArl:ontra r�Ai on7ed Agen� Date <br /> � <br /> ii <br />