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' � �✓� <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CFD�R STRG[T, [VGR[TT, WA 98201 <br />�25-257-6810 - FAX 425-257-8857 - wv�nv everettwa org <br />APPLICA7�ONS ARE ACCEPTED FfiOM 8 AM TO 4 PM / '� / � <br />_ , � " -' /� <br />SITE ADDRESS <br />�=_v_ee� �P lace=r Pe-4erSQhi�-;- QQ_ <br />I [ ,nl �O.r7 BLOCK TRACT <br />n!: SC �� ~_! ���S,U �' �� S I C-' <br />OWNF ` ADDRE <br />PARCEL TAX I.D. p _ I PERMII+� <br />�3�-00��.09� 0'J�-� G '/ � � .� ��G <br />� A�3 --- <br />NGdAYf�1'�-- �V�aP�u'�"rk- Ii�IS ?02�o Rti/E 5 <br />TENAN f IAME CONTAC7 FOR PERM T <br />N�/� I �,cl A� ue �b4�.— <br />CONTRACTOR �O BE A���KM�NG� ADDRE55 CITYIZIP <br />CONTR. LICENSE t <br />IIO <br />Kavr W�4 `'iQo3Z <br />PHONE <br />Y�- � � 7Y3 S <br />PHONE <br />USE OF BUILOING ,SiN� Ie- �A11h� I HEAT SOURCE CONTRACT PRICE OF WORK <br />7 � �sr: <br />RPSi � Q �G I � w+Dor:u;u,. . _ Fler.tnc VG.is __ Other ��� �' �) <br />__._-------- ------- — � -- <br />WORK DESCRIPTION , <br />'(D CON57fGULi' 1 SINraLE `A7r1iLy .pQ'f14�k�� COIJDOMi M�4n1 LlA/�T <br />� � . -� ) -- <br />, <br />PLUMBING —(— F�EC'iANICAL <br />NO-� TYPE OF FIXTURF. 0f71TEM <br />yZ TndM <br />_(_ Eiathlub <br />� Lavamry (wash basin) <br />_� Shower <br />J_ Kdd�en smk 8 disposal <br />_ �_ Uishwaslier <br />J_ Cla�hes washer <br />�_ �aundry Iray <br />_J_ Sink (service/badmoy/elc � <br />BacMOow preventer <br />Urmal <br />Dnnking Pounlain <br />Ploor diain <br />� Grea;e trap <br />�_ Roof drains <br />Other <br />NO. I TVPE OF' �%TURE OR ITEM <br />NC - av handhng unrts <br />�FOfrRd 811 SYSIEfT15 <br />Gas �iping <br />_L Watei ��ea�er <br />_�_ Gas lirepince <br />Gas range <br />Clolhes dryer <br />Rangehood <br />�t _ [rhaust lan <br />Heal pump <br />UnA heater <br />Ooilcr <br />�(_ Refngeral�on <br />Woodstove <br />Olher <br />CITY OF EVEREiT LOCAL SALES TP.X COOE IS ]105 <br />I hereby cenlAy that I have reaA and examined Ihis apphcation and know Ihe same to 6e tme ann -.ect All p�ovisions ol laws and <br />ordinaces governing Ihis lype ol work vnll be complied with whether speUfieA herein or not The granting ol a permit does not presume <br />lo gwe authonty lo wolate oi r,ancel thr. provision ol any other slate ur local law regulaling construction or the peAormance ol <br />constry' qyion Thal I arn auUionzr.7 b Ihe owner ol this property to perform Ihe work for wh�ch apphwtion is made �nd I comply with the <br />SlateF',6plra��ors�Law 18 27 RC�N�d 7y6 200 WAC <br />