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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVI�.:S <br />3200 CEDAR STREET, EVERETT, WA 96201 <br />425-257•8810 - FAX 425•257•8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDpESS ! <br />��/J �/`�/n /�". �f <br />I.EGA LOT NO. BLOCK <br />DESC. <br />DWNER <br />i� f{-�1�1�� Gl.KF7Z <br />I PARCEL TAIf I.D. X <br />1 z- �'>53c�C>O /o�� <br />TRACT OP SUBDIVISION 1 <br />�t 7�� c—. c.nr<�� ���Uin/,�.� <br />TENANT NAME � CONTACT f0� pERM1T PNONE y �- <br />� _ Gi��c 5 Z� Z%B`� <br />��t�.,^i�� j.!IcKf�AFf E�IAa�RAu.'vc��tNJci Ib�M �l. <br />�ar�raa-- ---a�;na's�-- ----- - --�mm►*—�►rar� <br />-( -� i_ �'YrL- ` r�C.P�i' hV� <br />CONTR.LICENSEM \ -� ' ��� F,�/i"�i�C'il � '�� `��/Z��, <br />PERMIT R <br />� .' <br />USE OF BUILDING HEA7 SOURCE <br />,-• �, <br />'� I � � ___� _ Eleclric ✓ �as _ (hher <br />WORK DESCRIPTION <br />U PP�=J2 �-��YL 4c-nic��cr.; <br />PLUMBING — <br />NO. I TYPE OF Fl%TURE DR REM <br />Toilet <br />Balh�ub <br />Lavatory (wash basln) <br />Shower <br />Kilchen sink 8 di5posal <br />Dishwasher <br />Clothes washor <br />Woler ��entei <br />S+nk (service/bar/mo{YcIcJ <br />Bnckllow preven�er <br />Urinnl <br />Drinkmg Founlain <br />floor tlrtiin <br />Greaso trnp <br />Roo� drains <br />C�Ih,1i ...--- � - -- <br />PRICE OF WORK <br /><� � Ld "rJ v � <br />MECHANICAL <br />N0. � iVPE OF FlXTURE Oq ITEM <br />___ rvu - an nenanng u�lls <br />_ Forced air systems <br />._ Ges piping <br />__ Wa1er heater <br />Gns lireplace <br />Gas rango <br />_ Ctathe, dryer <br />_ Renge laod <br />__ Exhaust fan <br />_ Heet pump <br />Uni� healer <br />Boile� <br />Relrigeralion <br />_ Woodslovo <br />CITV OF EVERETT IOCAL SAIES TA)( CODE IS 710.5 <br />I i�ereby cerilify Ihal I hava read and ezamin2d �his application and know Ihe same �o ba irue and correc� All provisions ot lawe and <br />ordinaces governir�p Ihis �ype ol work N�dl be complisd with wheiher specilied herein or nol. The granting of a permit doos not presume <br />lo give 2ulhority lo violale or cancel Ihe piovision ol any olher stale or �ocal iaw reguleting con�uuclion oi the pertormance ol <br />constructinr Th„1 I am authori�ed by Ihe owner of Ihls D�opeqy tn p�dorm the work foi which applicaGon is made and I comply with ihe <br />State Conlracto•� �w.t8.27 RCW and 295,200 WAC <br />�-, � ,� n <br />y , . - ' /�[/C: 2 � �� <br />SigPalure o1 �ned onlra4tor/Aulhorf; ed Agen� � ,' e� <br />�y � <br />"�..i' l�'i�-(•'-i/Lf_; /Z <br />