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_ __ _ _ ti— <br />P._RMIT i4PPLICA'TIG.J ; i� �� �`� <br />� <br />C17Y OF EVERETT PERMIT SERVICES ��� �r <br />3200 CEDAR STR[ET, EVERETT, WA 98201 ` <br />425-25 i-8810 - FAX 425-257-8857 - www.evereUwa.o� � <br />I APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - L'91T 8 CREDIT CARDS ARE NOT ACCEPTED <br />� SITE ADDRESS . � PARCEL TAX I.D. N PERM�I' # <br />/J�i-___L/� y� �•�`� c�C� s; 7`/-d Oc�S�' � E _C �SoG -43 �-- <br />L! �,AL LOT NO. BLOCK T T� <br />I �,E��.� „� .� {y _ i - . - - � ;, r�. 1 _ <br />U� 'IVII � <br />-�.a � � n noocc CI7V/71P PHONF <br />TENANTNAME <br />CONTRACiOR // <br />!��'���)'fT� /`�`��1.✓1 <br />CONTR I:ICENSE Jt <br />_ _L�ll4s/r /73 d S <br />USE OF IIILDING <br />� /- �' <br />L_ <br />WORK UESCRIPTION <br />NU. <br />a,t�rS ?`nC___i� <br />I CUNTACTFORPERMIT <br />�^1` <br />ADDRESS <br />._� 4 �w-Q <br />HEATSOURCE <br />_ Cledrir,� Gn� _. <br />, <br />S'/ /� _� << S � c <br />PL:iMBING <br />TVPE OF FIXTURE OR ITEM <br />I i_ luilct <br />, '�T-- Ha�h�ub <br />� Lt�eatory Iwash b.isin) <br />! Shuwnr <br />� / Kitchen sink 3 disposal <br />i Dishw:ishor <br />I / _ C:lulhes washer <br />.! launJry Iray <br />� Sink�stivicol6arlmuplelcJ <br />. Eia;:hflow proventer <br />Urinal <br />, Drinking Founlain <br />Floor Arain <br />Grease Irap <br />Rool Jrains <br />� Olhcr---- .— <br />� �i� ��,. y��"�LS"L �� 6'y7 <br />PHONE <br />CIN/ZIP PHONE <br />CONTRACT PRICE OF WORK <br />othcr ---�`_`"r� U <br />f � �� — ) --- <br />MECHANICAL <br />1 NO. I TVPE OF FI%TURE OR ITEM <br />NC - au handling unils <br />_ / Forced air systems <br />�._ Gas pipiny <br />�_ Walertiealer <br />_(_ Gas fireplace <br />Gas ranyc <br />_ � Clolhes dryer <br />_� Ranye huod <br />Exh.wsl lan <br />Healpump <br />Unil henter <br />�oiler <br />Relrigeralion <br />Woodslnvo <br />Other <br />CITV OF EVEHETT LOCAL SALES TA% CODF IS N05 <br />� I h��reby ccritily ihal I have read and eraminmi this npplicahon anA knuw Ihe samo tu be true and correcL All provisions ol laws and <br />� ��rJinares quverniny ihis type c' work will ba complled wilh wholher spocifiod hur�in or not. Tho c�ranliny of a permil doos nol presumo <br />to give aulliorily tu viol�le or cancel tne provision ol any oihor slale or local law reyulating constmr,tion or tho peAormanco of <br />� ��onstruclion. Thal I am authorizeA by Ihe owner ol �his pr�perty to peHorm the work for which application is made 2nd I cumply wilh lho <br />�;tale Conlructors Law 1827 RCW aiyf 2�G2Uil WAC. • <br />L ..', /D_ <br />/ <br />