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� <br /> j PERMIT APPLICATION <br /> i CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREE7, EVERETT,WA 98201 <br /> 425-257-8870- FAX 425-257-8857-www.evereliwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �O` �p _�� <br /> SITE ADORESS �S PARCEL TAX I.D.k PERMIT N <br /> i �7 Cy... • <br /> �� �li� � I IZ VA %) / l, � <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION N <br /> DESC <br /> OWNE�R ��p ��"',pp� � ADONESS 1�/\ CITY2IP PHONE • <br /> � � Il. �IU�LL.J� VU Ill.�v lC7✓ S�. Sr�areU.r�o��v4 �a� <br /> � TEHANTHAME C0ITACTFORPER PNONE ' -(�,0'�I �M <br /> I�(�o,,,,�, ,,�,� �\ �y� �ar�rg(a� 1�,C- � <br /> \,1�115 \1 V C.i J e�na� "` <br /> "�dRt�6R�"••••.�� . ZTt� <br /> ;' H�r�SUn C.l� �Z�z� 2�U �� u• �.nt q&�32 <br /> ', CONTR.LICENSE N 1 1 r (�\ 1(�(.1� /����T ?�I� 5�5-�7.L�(Z <br /> � i�.,<<.�, �`u..�� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> �. ��a,1 1 I _Electnc Gas__Other I "rJ���� -' <br /> �, WORK DESCRIPTION �,�,��� 2 ga,t�r�,c�x�m �,�.h�Q� (� �J � ('�,� <br /> �r� YQ,�-� �- � J TLJ�� � 1GlJ_ � <br /> U.xZ�'iS � Cu�d � (�S 1� t� h �Ur 2 2��� O�G.S <br /> PLUMBING MECHANICAL <br /> � N0. TYPE UF FIXTURE OR ITEM NO. iVPE OF FIXiURE OR ITEM <br /> ioJet AIC-av handling unils <br /> Oa�hlub Forced av syslems <br /> ___ Lavalory(wash basin� � Ga5 piping <br /> _ Showcr Watnrheater <br /> Kilchen suik 8 Aisposal Gas fveplaco , <br /> _ Dishwashcr Gas iange ; '� y <br /> __ Clolhc5 washcr CloUies drycr <br /> _ Waier liealer �s Range hood <br /> _ Sink(scrvicclbar/mo�'cic ) _` Exhausl lan ! ��� • <br /> _ Bar.kOow preventer _ Heal pump i� � <br /> Unnal Und hoaior ] <br /> Drinkm9 Founlain Boiler <br /> Floor drain Reingara�ion <br /> Groase tr.ip Woodstovo <br /> Rao�drains O�her <br /> O�her — — <br /> CITV OF EVERETT LOCAL SALES TA%CODE IS J/05 <br /> I h�iuby certdy Ihal I havo reaA and eKamined Ihis apphcaLon and know the same to be Irue and cortoct. All provisions ot laws and <br /> orAinancns goveminc�lhis type ol wvrk will bo complieA with whelher speci6ed hmem or nol. Tho gran6ng o1 a permtl does no�presume <br /> ID gwe aulhon�y lo violn�e or clnr.el Ihe pmvision ol any oth�r slate or local law regWating conslruc6on or the perlormanco ol <br /> conslruction 1 hal I am a�Rfio d by Ihe ownrr ol this pmpr.rty lo perlorm Iho work for wh�ch apphca6on Is made and I comply vnih Iha <br /> S�ate C mraclGrs Law 16 27 RC and 29 0 WAC <br /> SignaWrcol i or/ConUaclor/ u za Da�a ✓ <br /> 1� Z <br />