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PERMIT APPLICATI�N <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 8 AM TO 4 PM �D—�7`p 7 <br /> SITE ADDRESS PARCEL TAX I.D.� PERMIT A <br /> 2�2 � Ocr`GP�S OC-oZ7 <br /> LEGA LOT NO. BLOCK TRACT OR SUBDMSION N <br /> DESC. <br /> OWNER ADDRESS CITY2IP PMONE <br /> TENANT NAME . ` �.�� � � ! CONTACT FOR PERMIT PHON����g � � <br /> a'�5�'l? r �I ( �,,���f/O/��s5�u r � <br /> e.�a�suJCt�eY�vci' <br /> SGv�Ih� �/c�.�;.�°�e - B=FZ ll�G l� rt� � ¢zs_ srB:�s8g'.¢ <br /> CONTR.LICENSE M S �/�-°'�� <br /> sGv�-77�f!<9s-F��" 98L.� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> ����'GGPiCC(Q � I �leclric �s_Olher �D'S�D <br /> WORK DESCRIPTION s^�� �c�z� ��7j'S' f'���j� � O�� �� 4,lr�L�i(� <br /> �,ct�6 c'G��t�� G,�t • � ���1.. �a-.s li�r-ut�cr� �c a�?�' <br /> � ��� <br /> �� ` � ��--��. � . P'J.-t� ��"l�`'�LP.+.� �r� <br /> PLUMBING MECHANIC L <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet �air handling units <br /> _ BathWb Forced air syslems ��� <br /> _ Lavatory(wash basin) � Gas piping <br /> Shower Waler neater � <br /> Kilchen sink 8 disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryar <br /> Waler heater Ra�ge hoc+d <br /> _ Sink(service/bar/mopletc.) � Exhaust fan _ � � /' <br /> _ Backflowprevenler Heatpum� !i(iL/(�j�{— ���SY/S7' <br /> Urinal Unit heater � <br /> Drinking Founlain Boiler <br /> Floor drain Refrigeralic n <br /> _ Grease trap Woodstove� ��/� <br /> Roof drains � Other � <br /> Other <br /> CITY OF EVERETT IOCAL SALES TN(CODE�S 3105 <br /> I hereb�•ceritify thal I have read and examined this application and kn�w thu same to be ln�e and correct. All provisions o(laws and <br /> ordinaces governinc�lhis type of work will bo complied wilh whether specified herein or rol.The granting ot a permit does nol presume <br /> lo give authority to violate or cancel lho provision of any other stale or Ie�al law regulaling construction or the pnrfortnance of <br /> conslruclion.Thal I am aulhorized by Ihe owner of thi;property fo perform lhe work for which application is made and I comply wilh ihe <br /> S`atel�rs Law 18.27 RCVJ an �2�J620U WAC. <br /> t/V 5�/�- 9 -��-0� <br /> Sic�nalure OwnedGonlractodAuthorized Agenl Date �I� <br />