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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.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM � „a b _ � `� <br /> SITE ADDRESS �•2D/ PARCEL TAX I.D.# PE IT# <br /> L� L"1 oa.y�5 �� . E rEe� v�l.�. .`w.,Jal OoCcWSobZ�7.(ooO U� ��� <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION N <br /> DESC. Z��L'7iZ9�Zq loZ� <br /> OWNER ADDRESS CITYIZIP PHONE <br /> 2l2"1 �aKES LLC.. Z."127 oak€s AvE. E�iT '�8za �Izy-Z�t-at5�°,� <br /> TENANT NAME I:ONTACT FOR PERMIT PHONE yZy-Zc�-oDC�y} <br /> PS(� WD�FII�l6Conl, 1NG . qNUy NAI.I. e�a� nHd��rJbn�Ulcl„�c,w�— <br /> R A S �ZIT�I/n� <br /> F9NINt�Y toa�+S�z.�Li� � P.o•5�c IIZ�i G�E�T `"��•S-'�yd - iSL2 <br /> ;� �cn.� <br /> CONTR.LICENSE# - i � c��7ylp <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> I �Sp � <br /> U���G� _Electric _Gas_Other <br /> WORK DESCRIPTION <br /> /,Zu3 SF oFFic6 TEnu.,f� �M PeoJE���N"f <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C-air handling unils <br /> Balhlub Forced air systems <br /> �avatory(�vash basin) _ Gas piping <br /> Shower Water healer <br /> Kilchen sink L disposal _ Gas(ireplace <br /> Dishwasher Gas ranc�e <br /> Clothes washer Clolhes dryer <br /> lVater healer Range hood <br /> Sink(serviceibadmoplelc.) _ Exhaust fan <br /> Backllow prevenler _ Heat pump <br /> Urinal Unit heater <br /> Drinkin9 Fountain _ Boiler <br /> Floor drain Refrigeration <br /> Grease trap _ Woodstove <br /> Roof drains _ Other <br /> Olher <br /> CITY OF EVERETT LOCAL SAIES TN(CODE IS�105 <br /> I hereby ceriti(y lhal I have read and examined this applic2tion and know lhe same to be true and correcL All provisions o(laws and <br /> ordinaces goveming this lype o(work will be complied wilh whether specified herein or not.The granting of a permil does not presume <br /> to give aulhority lo violate or cancel the provisior o(any other stale or local law regulaling consWction or the pertormance of <br /> cons�ruction.Thal I am aulhorized by lhe owner o(this properly W peAorm the work tor which applicalion is made and I comply with the <br /> Slate Cor , turs Law 1�RCW and 296.200 WAC. <br /> \ <br /> ����� �t- C -S�-C� <br /> �� SigrydTure ol Owned�ra�dAuthor�zed Ac�enl Da�e y/ <br /> / ,� <br /> I <br />