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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STR[ET, EVERETT, WA 98201 <br />425-257 8810 - FAX 425-257-8857 - www.everettwa.org <br />' APPUCATIONS ARE ACCEPTED FROM B AM TO 4 PM L�I �1 �-z� -- I <br />L C /�-------- <br />SITE AODRESS PARCEL TAX I.D. p PERMIT p <br />rj,9�1l- I12,TM ST. �18. `��J o05319�bo045o1 +005379�00 ����_ � I <br />--- ---- <br />! I C:AI LOT YO BLOCK TRACT OR SUBDIVISION p � <br />n": �--- TRAGTS 45+4(o PLNT OF PAiNB F�Et.D A0� �'L I <br />-- -- ---- -_ - --- - <br />OWNER ADORESS � CITV2IP PHONE I <br />MAPLEWooO Co�R.'f LlC Ia607-'�QD C12.S.E. M�LLGRE�K 425•357-azBCo I <br />u�A.9goi2 ' <br />-- ---------- — ---- ------ -- --- — I <br />TENANT NAME I CONTACT FOR PERMIT PHONE <br />cOr+TanC7ap — -�— ---�-- <br />CONTR. LICEN3E p <br />USG OF BUILDING � <br />SINGLE FAinu.y Ta.uNNou5E5 <br />WORK DESCRIPTION <br />� HEATSOURCE <br />i <br />� i: ❑ot'd��__ Gas Olhr.i <br />E•MNL <br />�ITv%£p----�FaFig--" � <br />C�NTAACT PRICE OF WORK �� <br />0� <br />a��,3y� � <br />-- - - � <br />CGlVSTRVCT A SINLLE FA��tIL�' TOwivNGuSE <UuiT�� i <br />--- PLUMBING ----- <br />NO � TYPE OF FIXTURE OH ITEM <br />3 Inticl - - --_—_____.___ <br />2 [3+tlhiub <br />3 Lav��ory �wash basin� <br />Shower <br />I Kqchen sink 8 Aisposal <br />1 Uishwashc� <br />� Clo�hcs woslici <br />I Wa1ci hcalcr <br />Sink (serwcc bairmup cic.l <br />� Oackllow pwventa <br />Unnal <br />Diinkm� Founlain <br />f loor Uiain <br />(ifCll50 If0{1 <br />Huol d�ains <br />011m� . _ ... .. . _ _. <br />I <br />MECHANICAL ; <br />� <br />NO. I TVPE OF FI%TURE OR ITEM <br />� <br />A C- air handling units <br />f arced mr sy5iems <br />Ods piping <br />Wmen c�ator <br />t fas lirr.ploce <br />Gas range <br />Cloihes dryer <br />�iange hood <br />Cxhaustlan <br />I lcal pump <br />Und hoatar <br />[3ude� <br />Refn�eration <br />WOOd51UVl <br />Olhcr <br />CITV OF EVERCTT LOCAL S4LES TA% COOE IS 9105 <br />i here�y cerilify Ihal I have read and eta�mned th�s .yipin ;it�on ;ind know the saine lo be �rue and correct All provisions ol laws and � <br />�!iJinaces (Joverning Ihis lype ol WOih Wdl bC comphUd wilh w��Ciher S��Cihed hrit?in or nol. Thv �r-nnling ol a permil does noI presume I <br />�,�� yrve aulhoniy lo wolalr. oi cancel Ihe provision o� any olhei state or local law regulaling conslruc6on or �he perlormance ol <br />�.nstiuc6on That 1 am authorired hy tho owner ol �his prupeny Io peilorm I�ie work lor which applic�tion is m�de and I comply wtlh Ihe , <br />`nate C�tiactois Law IB?7f�CW and'19G200 WAC. <br />' � 11i.��v`.. � /F-aa-y_ /O - 1 / - G 7 '. <br />�Z <br />