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- _- ---- � <br />PERM�T APPLICATION <br />ClTY OF EVERETT PERMIT SERVICES <br />3200 C[DAR STREET, EVEFETT, WA 9A2Q1 <br />425 257-H81p - FAX 425-257-B857 - www.everetiw3 org <br />{�%Z �� APPLICATIONS AiiE ACCEPTED FROM 8 AM TO 4 PM U/ I Z'Z9 _ <br />� �-- -- --- ----- — <br />SITE ADDRESS `� �� % PARCEL TA% I.D. # pERM1T p <br />�:a��-- ii2�" 5T. �S'�'. I oo5379aba045o1 +00537�4G�a� �:�j� 1�__ ,� <br />i I 4i l0T NO. 9lOCK � TRACT OR SUBDIVISION p <br />�"'„� TRACtS 45+46 PIAT oF PA�Nfl FIEiO ADO aQ ___ I <br />OWN� � I --AUORE55 CITV�ZIP PMONE � <br />InAPI�In� Co�R.T LLc IQ6o7- TN1RD C12. S.E. W 98o�i2�' 425•35'7-028Co �i <br />TENANT NAME � CONTACT FOR PERIdIT PMONE I <br />� E-MNL <br />CdNTiIACTbR ---A-66piTS�— �iiPi�P_.— <br />CONTR UCENSF.p <br />USE OF BUILUING <br />HEAT SOUflCE <br />Sit�tGt,E FiLnu.Y l'cwNNouSE� � <br />WORK DESCRIPTION <br />X f_Ica�ic Gas _ _. O�ha <br />CONTqACT PFlICE OF WORN <br />� <br />alb'7o6 <br />CGl�S?2UGT A SINGL� F��^«L�{ TOwIvNOuSE � U1�17 ��`% <br />NO. I TVPE OF FIXTURE OFl ITEM <br />I oilei <br />�aih�ub <br />Lnvalory Iwash basinl <br />Shower <br />Ktichen sinh 8 dispo:��al <br />�)15�11YSISI1Cf <br />Clothes washm <br />Walei hoalm <br />Smk �scrvicc'bar%mop �cic. i <br />B�ckllow prevenler <br />Uiinal <br />Dunking fouMam <br />floor dram <br />Giease Uap <br />Honl draiiis <br />Olhc� _ _ ._ _. .. _ <br />NO. I TYPE OF FIXTURE OR ITEM <br />I <br />I <br />I <br />4 <br />Ar" - air handliny units <br />Pon:ed nir systems <br />Gas piping <br />Water hoater <br />CiAS �IfCU13C0 <br />G.;s �anyc <br />Clolhes diyer <br />Ran�ae hood <br />Cxhausilan <br />Hnnl pur:.p <br />Unit heater <br />Boiler <br />Relrigcrahon <br />W oodslove <br />Oiher_ <br />CITY OF EVERETT LOCAL SALES TAX f.00E IS �1U5 <br />i he�eby cernily Ihol I have read end exanunr,d Ihis applic�Iion nnd know Il�e same lo br. !�ue and correcl. All provisions ol laws anJ <br />, ndmaces guverning Ihis rype ol woik will be cu�nplmd wiih whether specllied heroin or noL The granling ol a pennil does not prosumc <br />t� � yrve.wlhority to vidale nr cancel Ine provision ol Tny othei sta�o or local I,�w regulating constiuction oi Ih�; perlormance ol <br />��nnstruclwn. That I nin aulhori:ed by Ihe owner ol this pwpaAy lo pertorm �he wak br which applicatio�i Is made and I comply wnh Ihu <br />'siatc ntraclas Law 18.27 RGW and 29G.200 WAC. <br />� c�`� /C-//- (J% <br />'��,ri�dweolC)wnei"C nlr,!cror�Aut oricedApen� Daie <br />