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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425 257 8810 -- GAX •t25 257-H$57 - www.everetiwa org <br />�'� �� �� _ APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM I �� f �Z =� g i <br />SITEADDRESS __.___.__—__-- __---_—__—_—_____._ ...___ ._.. <br />�202� - I12TM ST. 5. E. <br />I I i7n� LOT NO- BIOCK <br />UI bi' <br />OWN R._ __ _—'_ —_ <br />MAPI-E�aD Ca�R7 LlC <br />PARCEL TAX I.D. p � PERMIT p p <br />I o05379odoo45o� +0o5379acbo4Gool i ,��J— <br />—�----- ---- — � <br />TRACT OR SUB�IVISIUN a ; <br />l'RACTS 45+4�o PU1T OF FA�NB rIELD A00 f�'L <br />.—_.___ _-- --_--___ ._ ! <br />IA6o7- TNt2D G12. S.E. <br />TENANTNAME CONTACTPORPERMIT <br />-�6NiRa�fibH -----------�ADD�ESS --- <br />µ'LL�« 4�25•357-oz8� <br />'.uA.98oi2 ' <br />PHONE <br />EMNL <br />� CITV-ZI�_-- PHb.Fi�— _ - <br />CONiR. LICENSE p I <br />_ _ _ _. __— _ _ _—__ _-_. . �i <br />USE OF BUILOING HEAT SOURCE CONTAACT PFICE OF WOHK <br />S�DtGt.E FM�u.Y ZcwNHou5e5 i X i �;,�:���� c,5— o�i,o� �� ���o��. � ; <br />------- — -- -- _ . -- — � <br />WORK DESCRIPTION I <br />� <br />CGNSi2uGT A SINGLE FAr✓'.;L�{ TGwivµOuSEI.-UN�� � II <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />� Io�L�.�_-.__—_-___ - _ .____—." ._' <br />2 (fnlnluh <br />�j l,rvatmy �wash L�asinl <br />IIUWCf <br />1 hnchen sink 8 Aisposal <br />� �11shWt75�101 <br />� Cioiheswasher <br />/' Vla�l:!n c�eler <br />hink �smvicabaiimop�etc.l <br />�nr.hllow pr�rven�er <br />Unnal <br />Drinhin� founlain <br />� Roor �rain <br />I Gre2se pap <br />Roo� drains <br />iOlher .. -----_-_- <br />NO. <br />MECHANICAL I <br />1VPE OF FI%TURE OR ITEM ' <br />_ J. n c- au nano�uig unds <br />_ , Pomcd air syslc�ns <br />Gas piping <br />__� WdIQ! (1C810f <br />_ . Gas lueplace <br />Gas range <br />I Clothes dryvr <br />!- Range hoad <br />s{- E�haust lan <br />Henl pump <br />Unit hca�ei <br />Bodr <br />_ Rclnpera�ion <br />Woodslove <br />--- Olher_ _...-------- <br />CITY OF EVEPETT LOCAL SALES TA% CODE IS ]105 <br />i hricby r,erilily Ihn1 I have read and eramined Ihis .�pplication ard hnow the same lo be Irue and cortecl. All proeisions ol laws nnd �, <br />ard�naces govcnun� Ihis Iype ot work w�ll be complied wilh whMhur sp�cAied herei�i or no1. The ��;�nling ot a pemut does no1 presume <br />to pive aulhonly lo violala or cencel Ihc prnvision ol any uther stale oi local law iegulaling construciion ur Ihe pedormance ol <br />consliuchon. Thal I am aulhorizod by Um owner ol Ihis proporly to pertoim �he work lor which application is made 2nd I comply with thr <br />Slate Contrar.lors Law 1827 RCW erd 296200 WAC. <br />. '�..1-�+-�-� / �� ' �/ - O I' <br />..,,tlure ol Owner' nlraqor' dhunzed Agenl Dalc / i <br />�/--. � <br />( � <br />. _.. ____.. _. __ _____-- ___-__. .._. __ .. �- i <br />