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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425.257-8810–FAX 425-257-8857–www.everefim.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO d PM <br /> ITE ADDRESS PARCEL TAX I.D.a PER,,,M��IT$ <br /> ��L►L, D2^GZfI <br /> LEGA LOT NO. DLOCK TRACTOR SUSDINyON e <br /> DESC <br /> OWNER ADDRESS - city IP PHONE <br /> vc i ss� wi L,{ 1 D� 5 X10- 19 i3 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> ` � r�o� aaa moo <br /> �i llili k rtJ L�rYu<< <br /> -oT+Tt n�r�o AO ss ci E-MIAt Z)b' En <br /> C)NTTt.LICENSC e I PL SPO. alt a� as 8 �q o ccrr% <br /> '�a �16titoE <br /> USE OF BUILDING HEAT SOURCE <br /> NTRACT PRICE OF WORK <br /> `� Elcehic Gas_Other 8a <br /> WORK DESCRIPTION <br /> iCGft QKI�"1 qa S �IVf VSA C 2 <br /> PLUMBING MECHANICAL <br /> No. <br /> Toilet True of FIXTt1aE OR ITEM <br /> NO. TYPE OF FIXTURE OR ITEM <br /> _ <br /> Bathtub A/C—air handling units <br /> Sava <br /> Lavatory(wash bas,n) _I Forced lir systems <br /> Kdchon sink b disposal — Water heater <br /> Dishwasher — Cos fimplaea <br /> Clothes washer Gas range <br /> Water heater Clothes dryer <br /> Sink(servloe/bartmoptetc.) Range hood <br /> Backflow preverl Exhaust fan <br /> Urinal Haat pump <br /> Drinking rountoin Unit heater <br /> Floor Grain Boiler <br /> Grease Trap Refrigeration <br /> Rauf drains Woodstow <br /> 00mr Othef�` <br /> CITY OF LVERLTT LOCAL SALES TAX CODE IS 7105 <br /> 1 hereby certify that I have read and ezemined this application and know the same to be true and Correct. All provisions of laws and <br /> Ordinencen 90WITing this type Of work will be COMplied with whether specified herein or not. The granting of o permit does not p esumn <br /> to give authority to Violeta or ranoel the provision of any oilier ahM or local low r.mulspng oonatructlon cr Ina pFarmit doe n <br /> can et on Thai I am outhon d by the Owner of this property to pedomt the work rot which apuctl0l on is made and I Comof <br /> ply with Ilio <br /> slate ontracter9 Low 19.27 and .20D WAG. r� <br /> alure of nor/ entire r/ u orizctl Agent Q I v 1 <br /> Oa <br />