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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, FVERET i, WA 98201 <br />425 257-fl810 - FAX 425 257 8857 - www everetiwa org <br />' APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM j' �� %-.�{Q <br />'. _ _ L� —'_ �—s' —'— _ � <br />SITE ADDRESS ����-� PARCEL TAX I.D. p PEiiM1T p <br />2t�20 - 112'� ST. 9.�" �Oo5319odo045o1 +005379�4Goo �� %�(% �}� _ <br />I C�,nl LOT NO. BLOCN TRACT OR SUBDIVISION tl <br />� TRACTS 45+4(o PIAT oF PA�KH F�ELD ADO k 2 <br />,,� s�: � -- ----- <br />� OWNEfi� ADORESS qTV41P PHONE <br />MqPI.EWOOD Co�R`�' LLC 1�1607- 11HRD L12.S.E. kiLLGRt��tC ¢25-357-028<0 <br />wA.98oi2 ' <br />TENANTNAME I CONTACTFORPERMIT PMONE <br />� E-MAIL <br />-�dNTFiA�Y6� —Ab6RE8� �---�1TP�Zf - <br />CONTR. LICENSE p <br />USE OF BUILOING— I <br />StNGt.B FAMu.Y "TcwNNou5E5 L <br />WORK DESCflIPTION <br />NO. <br />Cc�NSiiZu[.-� A S�µ��.E FA�u��{ <br />f IUMBING <br />TVPE OF FI%TURE OR ITEM <br />� loJoi <br />z C3ulhtub <br />3 Lavatory Iwash basin) <br />ShoWe� <br />I hnchen sink 8 diSpoSal <br />1 Dishwashcr <br />� Cluthes washer <br />I Walci he;Uci <br />Sink (seiviceNadmop�cic 1 <br />�achllow prevenler <br />Unnal <br />Unnking Founlam <br />I�loor drain <br />Giease irap <br />Hool dr�uns <br />- Olha <br />i <br />HEAT SOURCE CONTRACT PRICE OF WORK , <br />� � <br />X r,,,����� c, : on���� � l S, 7o L•� , <br />TOwivNOuSE --l�N�r ��y <br />-� - - MECHANICAL <br />1 NO. I TVPE OF FII(TURE OR ITEM <br />I A�C - air handliny units <br />. forr.ed air syslems <br />_ � Gas piping <br />W�Ien c�aler <br />Gas hreplace <br />Gas iangc <br />I Cloihes drycr <br />� Range hood <br />s{- Ghausllan <br />Hcal pamp <br />Unit henter <br />Ooiler <br />,_,_ Rcingcration <br />Woodslove <br />� ---� Other <br />CITY OF EVERETT LOCAL SAlES TA% COOE IS 3105 <br />I hereby cerilily Ihal I have read anA examined Ih�s applicNion and know Ihe samc �o be Irue and corred. All provisions o� laws and <br />��idinaces �overning Ihis type ol woik wtll bo comphod wi�h whether specilied herein or noL The �ranting ol a permil does nol presumo <br />iu give nuthnrily lo viola�e u cancel the provision ol any other slalo or local law regulaling conslmciion or Ihe perlormr.nce ol <br />,�onslrur.tion. Thal I am authonzvd by Ihe owner ol Ihis pmperty to pertonn Ihe work lor which application is made and I comply wilh Ihe <br />'aalc nlracluis Law 18, 27f CW and 296300 VJAC. <br />� �� /� �� �d . ��- L " <br />�-� -= J <br />r:��yr.,Uure u� Ownui'C lraclurA�nrized Agcnl Dele <br />/� <br />I <br />