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OESC. <br />PERMIT APPLICATIOId <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. A <br />LOT N0. I BLOCK I TFIACT OR SUBDIVISION � <br />�'%9�l ll.!J�, �F,� µ <br />PEHMR If <br />n <br />TENANT'NAME FOMACT f R PERMR, PHONE �QQ.-y ��- � J��� <br />`JC� CC 1�Q 171 e. �S E.�a,}�D/wQ {�vy ou �� n/i <br />G(JASMIIUG1TI/A1 dU/iTE/L �l�irC/� ��'�Xl �C.�c�r S�� GS1- /�'— <br />COMR. LICENSE ��u � k A ��-�g <br />��t� �IS� �P _ /�Ilc vu� l�a 9Sva5 . <br />USE OF BUILDING �1 HEAT SOURCE CONTRACT PRICE OF WORK <br />� l li' ��� t'� ( I ��" l�_ [IecVic --- Gas __ Olhar � ✓ d �" _ . . —__. <br />WORK DESCRIPTION <br />C' 11�� ��<,�� ��1�! I�IPcF����lc l,ua����Qc���v <br />NO. I T!PE OF Fl%TUfIF OA ITEM <br />Toilet <br />�alhtub <br />Lova�ory (wash basin) <br />Showor <br />Kilchen sink R disposal <br />� Dishwashor <br />C�OIIICS W05hCf <br />Walcn c�alcr <br />S�nk (scrvicc/bar/mopictc.) <br />�ackllow pravenle� <br />Urinal <br />Drinking fount�iin <br />floor drnin <br />Greasc Irap <br />Roof drains <br />Olhm ... __._ <br />NO. I TYPE OF Fl%7URE OR ITEIA <br />.__ NG - air hOrKlling units <br />_ _ _ Forced air systems <br />_ _ Gas piping <br />Waler heater <br />, Gas Greplacc <br />__ Gasranp� <br />,__ Clolhes dry�cr <br />_ Range hoou <br />Ezhaust inn <br />. __ Heat pump <br />Unil hcater <br />L oiler <br />_ _ _ 9elrigoration <br />W�vJs�ove <br />O�her <br />CITY OF EVERFTT LOCAL SALES TA% CODE IS 9105 <br />I hereby ceritify ihnt I havo rend end e:amined Ihis application nnd know Ihe same to bo true and correct All p� �visions ol laws and <br />ordivaces povr.ming Ihis lype ol wak will bo cumplied wilh whother specilied hmein or not. The gran�ing of a perm�; Aoos not presume <br />to give authority �o violate or cancel Ihe provision ol any olhor stale or local law regulalinp construclion or the podorma. �ce ol <br />r.onslruclion. Thal I am authonzed by Ihe owrm W Ihis property �o pe�orm Ihe work for which appliwtion is made and I a..�ply with Iho <br />S�ale onlraclors Law 1827 NCiN end 296200 �IAC <br />-,�i� r�° i�� �l �l�v�t,i�u-`�J 1- 1'>�� <br />