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PERMIT APPLICATION <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT. WA 98201 <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425�25]-8010-FAX 42535]-88T - wrv�r.everei�wa org <br />425-257-8810 -FAX 425-257-885' - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM8AM T0<PM-OE8116 CREDIT CARDS ME NOT ACCEPTED <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIi &CREDIT CARDS ARE NOT ACCCPTED <br />SITE ADDRESS <br />SITE ADDRESS <br />5aUo��S3�/Do00o30d <br />5�v r� �E, <br />P�RC5L"TAtID A P�PMIiY <br />PARC L TAX I.D. # P�RMIT # <br />oo53y0000o300 �L yo1 ol� <br />iew LOT NO' <br />LEGA LOT NO. <br />DESC. 3 <br />0E8O. 3 <br />e�oce <br />BLOCK <br />,D00-D-0a <br />400- 9D <br />*necr <br />TRACT <br />O��ONibDR=�R�n �n M�DL N9uL CONS <br />O�tpNGlblL?'CR�n �n rh�DlA�uG 60Ns <br />OWNER E6bFF9�—�IVTi 11 FiSi! <br />OWNER ADDRESS CITY/ZIP IP PHONE <br />/l7 � �"IN �• sv �� iL_ m � � .fa o � a S� ��e`�`- �$ yd 5" 3 5�35" <br />/77uxriN v So nN £fmitiZE tao yaS� £��5�7� 9ds3y3 <br />TENANT NAME <br />TEN<,NT NAME <br />Cdliltl FOR PERMIT YM011E <br />CONTACT fOR PERMIT PHONE <br />I/Y'li�e I�'v�',�Ny yAsas9ai9/ <br />CONTRACTOR ��/ d �� � ` PHONE <br />°o","K'°" g0%o'�n77uC </a5as9di9/ <br />fa Sa39�i9� <br />CONTR. LICENSE# �I7/� .���.JY���'J� 9A�7� <br />oox�a.i�E�aE���ciN��/H7JS 9�a�� <br />/� <br />USE OF BUILDING/" <br />HEAT SOURCE ONTRACT PRICE OF WORK <br />USE Of BUILDING HEATSOURCE I /ON'^iM^CT PRICE OF WORN <br />�( Electric —Gas <br />WORK OE9CflIFl10N �71y-AGL ����AC� n /17.os/8drm, C:�.S�Try�%ASYi�X� <br />zcOco%Ltrs L�P•P��('3Sl��C to <br />1/m %.PAR <br />RKk AGvm. {Vir'eaw5, �g %. <br />PLUMBING <br />MECHANICAL <br />N0. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />TdIN <br />NC-ali�nJlry units <br />garyy�ry <br />— <br />FwaEW[yakm <br />�eaxory (wash basin) <br />—wax <br />on piping <br />y�„„.,,, <br />—a.m.nwae <br />n.nx <br />amm�.mxamewa.i <br />— <br />— <br />oienwe.en <br />r,.e nee. <br />Cygp V,g�py <br />lau�ONInY <br />LbIM� dryer <br />— <br />���u.r��a,�wb�.i <br />� <br />Ea118u�11e $� romp <br />leGAw gererb� <br />XaM pump <br />UMeI <br />Unit Me1Bl <br />O�InMI�q Fountain <br />f1001 E�eln <br />BOIk� <br />ANryBRIbn <br />Grease 120 <br />WmEebw <br />Fwl drains <br />�� <br />_ <br />Other _ <br />CRY OF EVEREi! LOLL SALES i/JI CODE IS J10� <br />I�Mby IB�MNy Me11 �eW Kb BM examined NIe BOC���on enEXmwlM same to be 4ue0M<O�IBCI. Rp [MubMeN4weeM <br />oNMNmgOvemnp IMv type of work will Da complied with wlielliT egdfii] IN�tln arnot. ThepPontlp of ptl�mHMa ml presume <br />to 6u1MNlyb �wIM or the provision W eM�� [4b or regulating ml�MMIM pW pY10�mNW M <br />EomluibM1 iliel l m aN141xBtl by IM owner Mle O�OeM � OelloTl the work for application dmBL end I Wmglyml�IM <br />SIeU Contractors 183 PC tlNBICO WAC. <br />�j � 9dT D� <br />8 <br />—Other <br />