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SITE ADDRESS <br />l0T NO. <br />DESC. <br />Pf_t2MIT APPLICATIOnI <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org �-�� �-i� 0%- C-.=a � <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PFA <br />PARCEL TAR I.D. # RMIT p <br />,� S�f S�ti ���s �3'�c7����0o i,� o� _� (��c- <br />—I BLOC� TRACT OR SUBDIVISION ll <br />V YYI'ICR ^""^"' � -"' <br />l5 u h ��c.n/ � _� J'� � �'OS t's �-./ �Ut /�v�1 < <br />TENANT NAME I CONT4CT FOR PERMIT PHONE � S�-�2 3`J�/s'"' <br />(` f <br />; r�'�Ir�_i� C.Ji�SI �-���1 E-MAIL �hniryC'cY�1'f CU� <br />�ORiRACTOft � �-- auurct � _ <br />C'/)n �,y �.�rIST JnC �C� j1 /jG �l �f Nt' <br />U <br />CONTR. LICENSE N ��� /� � � .� <br />(u .v.�T�� S ��60/a <br />U5E Of BUILOING HEAT SOURCE � <br />!�/1� �/c7�-�. � <br />�Eledric . _ Gns _ _ nlhar <br />WORKDESCRIPTION �'�� X /� � //���J�� �i^ � �j^(AS'T{/" <br />✓ <br />NO. <br />TYPE OF FlXIURG OR I1EM <br />.___ _. _.._. ..___ <br />iuilcl <br />�alhhib <br />L�valory (wash basin) <br />Shower <br />Kilchen sinN & disposal <br />�ishwash�r <br />Clolhes washcr <br />Water hoattr <br />Sink (sqrvic•�Ibnrhnopl��l��._) <br />�ackllow prr.voNor <br />Urinal <br />Diinking Foun�ain <br />Floor drain <br />Groasr. Ir,q� <br />Roul drains <br />O�hr,r .-- -- - ---- - . . <br />CNl <br />�/J 5" �7i .� — <br />39Y � <br />CONTRACT PRICE OF WORK <br />� �?���✓'�� <br />ZXJ"'.v� �— <br />MECHANICAL <br />TYPE OF FI%TURE OR ITEM <br />NC - air handling uniis <br />Forced air sysloms <br />Gas plping <br />W aler heater <br />Gas fiwplece <br />Gas rangu <br />Clolhrs dryer <br />Range hood <br />Ezhaust lan <br />Heat pump <br />Unil heater <br />Boiter <br />Re(rigeretion <br />Woodslovo <br />CITY OF EVERETT LOCAL SALES TA7( CODE IS �105 <br />I hereby cerilily Ihal 1 have read and examined this application and know lhe same lo be Irue and correcL All provisions of laws and <br />orAin:�cos goveminy lhis typo of work will bo r.omplied wilh whelher specifiod herein or noL Tho granling o( a pemiit does nol presume <br />tu give aulhorily to wol�to or r.anc�l Iha provision of any olher slale or local law regulaling consWclimi or Ihe peAormance ol <br />conslruction/. •Thal I a� authorized by �he ownor of �his propor�y lo perform Ihe work for which applicalion Is m�de and I comply wilh ihe <br />Slatf� Gor�ltpclors L�t(J_27 Rf20� and 29G.2001�'�C. � � <br />1/y <br />