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. .. � <br /> PERMIT APPLICATIbN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-25,'-8857- www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.p PERMIT <br /> I W �PS'�alu �p�v -Ib o03651010 lol 00 Q 70�- � � <br /> LEGA LOT N0. BLOCK TRACT OR SUBDIVISION M <br /> DESC. <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> SaMU�-�Ft' �'A�{- Cd�oom�nl��Ms 143o WCPS�►� �v �f�SC °►S2a4 <br /> TENANT NAME CONTACT FOR PERMIT PHONE � fpdZ 62I I <br /> SOm�QStt" $D�Rk �IM`�lNG �V� �i�16� ���•MaLJIM@k�dPNAfo1lQXxf. <br /> �aarma: .,�,�� 5 � <br /> CONTR.LICENSE p <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> (,O(��111����I� __. Eledric _--Gas_-- ,_Othci � L'���� �— <br /> WORK DESCRIPTION � <br /> ��rE � r�euw� s�o� tu� � r�1.a'ac� �uJ�P� cu�Mrzs <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FII(TUAE OR ITEM N0. TYPE OF FIXTUNE OR ITEM <br /> __ _ Toilet ' . �� . , , • . ; .'�� , .___ A/C-air handling'uhils � <br /> — p�p��i��� ____ Forced air systmns <br /> - --- Lava�ory(wash basinl --_— Gas piping <br /> Shower ___ Water healer <br /> � Kitchen sink 8 disposal _ __ Gas lireplace <br /> Dishwashcr ___ Gasrange <br /> Clolhes washcr ____ Clolhes dryer <br /> Wa�cr heatcr ___ Rangc hood <br /> Sink(scrvicNbadmop etc.) ____ Exhaust lan <br /> Dackllow prcventci ____ Hca�pump <br /> � Urinal .__ Unit heater <br /> __ Drinking Founla�n ___ Boiler <br /> Floor drain __ Refrigeration <br /> Grease trap Woodstove <br /> Rooldrains _._ Olhcr___ _ <br /> Other <br /> CITY OF EVEpETT LOCAL Sa�tS TAa CODE IS?IOS <br /> I hereby ceritily that I have read and examined this application and know lhe samt to be true and wrrecL All provisions ol laws and <br /> ordinaces goveming this type of work will be complied with whether specilir.d herein or noL The granting ol a permil does nol presume <br /> lo give authority to violaln or cancel the provision ol any other state or local law regula:i^g construction o�the perlormance ol <br /> construction. That I am authorized b�Ihe owner of Ihis property lo oe�foim the work lor which applicalion is made and I comply with the <br /> S� Contraclors Law 18 27 RC\N and 296.200 WAC. �jpp'T <br /> VV � G� <br /> nati e ol O iev ontractouAutho�ized gent ate I <br /> I �j <br />