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PtRMIT APPLICATI(,,�V <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8870 - FAX 425-257-8857 - www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS � g/(c+ /( Z� 5�� 5' t-- PARCEL TAX I.D. p PERMIT # <br />'��"�"�'�1- 98 z�8 ' CJ� � c �, � <br />LFGAL LOT NO. BLOCK TRACT OR SUBDIVISION R <br />DESC. <br />S/� <br />TENANT NAME <br />utiNr - rrzi� <br />n ��Z�t. 5/ . �'.k. <br />CONTACTFOR PERMIT <br />J!�'F—� L _F'�� <br />�� ' %�tr-�� <br />I.UIYIRNI�I R HUYRCJJ NI�ILIY YIIVIYC <br />yr�i2y-�ez ��,�s��-r����1 `-�� ��,,�1 r�r�rzr�r�s;. �"�rrc� z�- 3sL-1�� <br />CONTR. LICENSE p yr��Q� <br />C��N�TLI i7( ��� � <br />USE OF BUII.DING <br />/Z�1Nl /1ll?�% <br />WORK DESCRIPTION <br />— HEAT SOURCE I CONTRACT PRICE OF WORK <br />[ler,lric Gas Olher `� /���� <br />�2,��r�rrL 7� ������ -�i�t.rr� ,�,���-y �3,� �rt� o���� � <br />PLUMBING <br />NO. TYPE OF FIXTl1R[ OR ITEM <br />___..________..._. ..._. __.___— <br />Tuticl <br />-- Ctalhlub <br />_ lnvalory (wash bnsin) <br />Shower <br />. . -- Kdchen slnV A dispn ;:d <br />o�5mv,�5r,��� <br />---� Clolltr.s w,tshcr <br />- -- W:ilcn c�aiti�r <br />_ _.. Sink (san�ir.o�Ir.iNinop'cic 1 <br />_ I?:ichlluw prevenlcr <br />Urinal <br />Drinkinp Founl�un <br />Floor drain <br />Greasutrap <br />Ruol drains <br />Olhcr <br />MECHANICAL <br />NO. I TYPE OF FI%TURE OR ITEM <br />!llC - air h:vidling untls <br />Forced air systems <br />Gas piping <br />Water healor <br />Gas �ireplaco <br />Gas rango <br />Clolhas dryer <br />Rangc hood <br />Exliausl lan <br />Hoal pump <br />Uni� heater <br />Boilor <br />Rolrigeralion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 3105 <br />I heroby cerilily thal I havo reaA and examinod this application and Y.now tho same lo bo true and c;orrecl. AII provisions of laws and <br />ordinacns �ovemin� ihis lypo o� work will be complied wilh whelh�r spocilied herain or not. The granting o( a permi� does no� presume <br />lo c�ive authoriry to viulate or cancel lhe provision of any olher stale or local law regulaling construction or Ihe perfurmance ot <br />cunslryc:4 Th�t I am �idhoruMirv tlie ownor ol lhis property to portorm Iho H•ork lor which �pp�ication is maao and I comply with the <br />Stat�Conlr , ors Law 1i1 2� RC��nd 20�.200 WAQ . <br />. lr - Z <br />� - / !�: �� _�E`'�% ' <br />9igrtn re ol OwnodCuNrar.loriAGlliorized Agent ale Z <br />