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PcRMIT A�'G�LICA►TIU►N <br />CITY OF EVERET7' P�RMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425•25'I-8810 - FAX 425•257-88.`,7 - wr�vw.evere!twa.org � <br />, .�; � �'t�4 - <br />i� �' ///, �; ,}, /y` APPLICATIONS �RE ACCEPTED FROM 8 AM TO 4 PM r l.� �� _ <br />P �LL'L---- <br />SITE ADDRESS PARCEL TAX I.D. k PERMIT # <br />I�}ua f��•y-���t,:,.•�/?I [:urN,�✓A 7i y�14�iH �U 'LJO�D�i•��� <br />—� � — <br />LEGAL LOT NO. BIUCN TRACT � <br />oESc.� k •PLS 3» 0 7 Lo <br />OWNER ...,..��.,., _.. - -- wL) `l5> �Y,(� <br />�It��i��fc,t I�it��i LLC., �I'``jl�j �1n, `:J1Y[rt �1�. x�C1- 4nk1 �icVC�1�T`� �_'�� <br />TENANT NAME CONTACT FOR PERMIT PHJNE <br />�� ( I.,L-�. I( i C.Li %i L � I�� .1 �- �� c'� <br />CONTRACTOR ADDRESS CITY2IP PHONE <br />�,t�.h�C ��'> n�„. � � . <br />CONTR. LICENSE p ��/i Ii'�I L �l L�I �{ �- f. F � <br />USE OF BUILDING <br />( (l.�t�l (U. ll'�.,.,�� <br />WORK DESCRIPTION <br />j i`varlo� (u�u�..�l� <br />NEAT SOURCE CONTRACT PRICE OF VVORK <br />_ [Ir ;�flf. _ _ G35 _ �IhCf - �T`T�` r j � �.%/i�_' � <br />s � - <br />� �� ��r 4.�� II -Lr, � il� Y!G_F'i✓r�£. �-�iy�..�.� �� <br />V <br />PLUM8ING <br />�!n. I TVPE OF fl%TURF OR ITEM <br />Toilot <br />Bathlub <br />Lavalory (wash basin) <br />SIIOK'P,f <br />Kilchen sink 8 disposal <br />pishwasher <br />Clolhos washer <br />yV;dr,r heator <br />Sink (service/barlmop' :.1 <br />-- Backllow prov�nlm <br />Urin.�l <br />Drinking Founlain <br />Floor drain <br />Groaso trap <br />Roof drains <br />Olher --- ---- <br />NO. I TYPE OF FI%';URE OR ITEM <br />A/C - alr handling unils <br />Forcad alr sy���ms <br />Gas piping <br />Watur haator <br />Gas fireplaco <br />Gas range <br />Clothes dryor <br />Ran�ehcod <br />Exhaustfa� <br />Heal pump <br />Unil heater <br />Boiler <br />Rofrigeralion <br />Woodstove <br />—� — <br />� CITY OF EVERETT IOCAI. SALFS � tit CODE �5 3105 <br />I hemby cerilily Ihal I have read and examined lhis applicelion ano kno�v'ra same lo be true and currect. All provisions oi laws and <br />ordinaces �oveming this lypo ol work will bo cc• npliod wdh whr,ther spec��lie:A herein or nol The granting of e pormil d�as not presumo <br />to yivo authority lo violaln or cancel the provision ci any olher slate or looal law rec�ulating r�nslructlon or the perlormanca ol <br />consiruction. That I am .wlhoritod by ihe owner ol Ihis pmperty to podorm the work (or which applicalion is made and I comply with Ihe <br />S�ate Cootraclors Gaw 1E1 27 RCW and 29G.200 WAC. <br />�,-r � ( , /. (��,I.. _ -, � / � " � � � �' ,% . <br />,, <br />