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!-ERMIT APPLICATIUN <br /> CiTY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREf "f, EVERE7T, WA 98201 <br /> 425-257-8810 - FAX 425-�57-8857 -www.everetiwa.org <br /> Af'PLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � � a i ._a �' <br /> SITE ADDRESS I PARCEL'IAX I.D.M P�ERMITIt <br /> �z - �,�. 0 � -�,a J - — �' ��<�U - ,��;� <br /> LEGAL LOT NO. BLOCK 1 RACT OR SUBDIVISION N � <br /> DE��. <br /> GWNER ADDRESS � CITYIZIP PHONf <br /> `J <br /> '. ..��`. Cj���� �,�.��, <br /> TENANTNAME CONTACTFORPERMIT PHON �{2--r� �J^ I�'�3 <br /> ✓L� 1�\I�J�2��F� E�t.1AIL <br /> �6NTR7«Tbl�-- — �IISU�FFES3_--�1TP.�I��Ab� � <br /> ���fK v�(Zca'r���R�-��ztcs ;11C h�11°� lr 1���-k,��Z LJrazG'�,1�)A ��z`�l l� 131� <br /> CONTH.LICENSE N <br /> l���AcPR�ZZR� ' �U �� �f37��3 <br /> USE OF BUILDING �j HEAT SOU C� CONTRACT PRIC�OF WORK <br /> Cpl-1M��Z� 11��f 1�CS\(�C N�I q . _Eloctric ---Gas _Olher Iv/A� Cl 1 r� <br /> Y tiz���Ef� - — <br /> WORK DESCRIPTION ���J ��h�N <br /> ICeZi��rin-rt `� �n�K_, 1�u1� r�..•n S�Nr- ON O�Poi � "� SiD�. [�F Witt <br /> �f�l 1�1(i S P,r�r� 5..+1 PLi C:.� -3 l���N . I N k-�-SC a�-t� . <br /> PLUMBING MECHANICAL <br /> N0. TVPE OF FI%TURE OR ITF.M NO. TVPE OF FIXTURE OR ITEM <br /> Toilcl A/C-air ha. dling units <br /> _ Ba�htub C n�0 C — Forcod air syslems <br /> -- Lavatory(wa,h basin)J9Y.K �Ct C,TE- C� � N - _ G2s piping <br /> Showor Walor heater <br /> Y,ilr.hen sink 8 dlsposal Gas(ir�place <br /> Dishwasher Gas range <br /> Clothes washcr C�olhes dryor <br /> Waler heater Ranpe hood <br /> Sink (servicolbar/moplelc.) _ Exhaust fan <br /> Backtlow prevenler Heat pump <br /> Urinal Unit healer <br /> Drinking Foun�ain _ Doilar <br /> Floor drain Relrigeralion <br /> Grnaso Irap Woodstove <br /> � Roo(drains Other <br /> i _ Olher----. ---- — — — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify lhat I have read anA examined this application and know the same to be true and correcL All provisions o(laws and <br /> ordmaces goveming lhis type ol work will be cornpliod wi�h whelher specilied harein or nol.The granting o(a permit does nat pr�sume <br /> to yive au�hority to violale or cancel the provision of any other stale or loc;I law regulaling construcUon or Ihe pedormance ol <br /> construclion. That I am authorized by the owner of this property to peAorm Iha work lur which application is made and I comply with Ihe <br /> State Contr�cwrs Law 18 7 CW:�nA 29fi.200 W AC. <br /> ._ �,� I � � �- - �.��-,.a�— )�21 ���) <br /> Signa e o � edC n raclor/Aulhorized Agont Dale <br />