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�-------- - -- -- <br /> PERMIT APPLICATIC.,N <br /> CITY OF EVERETT PER�IT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.orq <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS � PARCEL TAX I.D.Jt PERMITJi , � <br /> 'J /� �/1 .f� ..J�/L C-/t Cnt ( — �f ; �'J <br /> LEGAL LOTNO. BLOCK tRACTORSUBDIVI510�:p <br /> DESC <br /> OWNER . ADDRESS CITY2IP PHONE <br /> f �_ Jl r�l/ C �j�u�CJ ��+I�l C— <br /> TENANTNAI:E CONTACTFORP[RM111T PHONE ?n� �.�909� <br /> J1�C 'IE-.. .,G�C C/1irn� ____FF1'� %�ic,��l��c/N!'rI,[�C-� E-n,AIL <br /> �:au�a��a�- �v�r��— --�v�ih—�aA� <br /> CONTR.LICENSE N I �z//J�7ir� f1) <br /> (� �� <<'< <-� <br /> USE OF BUILDING I — HEAT SUURCE --- CONTRACT PRI�OF WORK <br /> Eleclric �Gis Ot�i��r R •� ��J�� <br /> WORK DESCRIPTION � <br /> � l � } i <br /> , - � -' 1� C�� )l��)L) .����-����L <br /> j�� , <br /> I PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR I7EM NO. TYPE OF FIxTURE OR IiEM <br /> Toilel __ NC-air handlin�units <br /> Oathlu6 _ Forcr.d�ir syslems <br /> _ Lavalory(wash b:icin� __ Gas piping <br /> Shower Waler heater <br /> _ Kitchen sink 8 dispus.d --- Gas 6replace <br /> Dishwashcr Gas iangc <br /> Clolhes washer Clothes dryor <br /> Walcn c�alrr Ranc�e hood <br /> Sink (scrvicelbndmop�atc.) Exhaust fan <br /> [�ackflow prevaN��i � Hcat pump <br /> Urinal Unil hoater <br /> � Drinking Founlain _ Ooilor <br /> Floor drain Relri9eralion <br /> Greaso trap Woodslovo <br /> Roof drains Olhor <br /> _ Olher---- — ---- -- �1..✓�« � x �!/��� <br /> / A lf� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7705 <br /> I h^roby ceritily that i have read and examined lhis application anA know Iho samo lo be lrue and correct. All provisions of laws and <br /> urd�nacos governin�Ihis lype ol work�vill be complied wilh whe�her spocilied hmein or nol Tho granling of a pormil does not prosume <br /> lo��vr, aulhonly lo v ola�o or wncol ihe provision of any other stale or local law ra7ulalinn construction or Iho periormance of <br /> cnns!ruction. al I um authorizecl by lho owner of this propehy lo porfonn Ihe wor4 f r which application is mado and I comply with ihe <br /> Slalo J�nirac s 3�v 18.27 RCW and 29f.200 WAC. ,�[a.� <br /> �� �tio�� � <br /> Sign ture Wned�,ontrar.lor/Aulhoriz�d Ac�enl � Dalo � <br /> ', L <br /> �� <br />