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.__ <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES �� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 I� ����I -� (�� <br /> 425-257-8810— FAX 425-257-8857—www.evereliwa.org ^ �7 <br /> APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ' '�"� �ti y /� <br /> S�� <br /> SITE ADDRES$ PARCEL 7Al(I.D.C PER IT p <br /> W. � �p..o Zao �Zoo sulqoo - - � `�i�7 -l��I <br /> L[GAL LOT NO. BLOCK TRACT OR SUBDIVISION k <br /> DESC. <br /> OWNER ADDRESS CITY2IP " PNONE <br /> MUKI�'itC) SUto�'i. r�sT °lo °1401 �tP�¢o� �n��F EVeaeTr`1KZab 425-�- Itzz <br /> TENANT NAME CONTACT FOR PERMIT PHONE �-���5�� <br /> 17�(Y.GHM�1 <br /> C�rQEK-Q'x7� � EMNLDR¢E�oPWY-kNA�•aEt <br /> ��� <br /> CONTR.LICENSE N � <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> ��� ___f lectrir, x Gas _ _Othcr _ ��j77��� <br /> WORK�6ESCRIPTION � <br /> `Df�HJUTIJN ()[ rWC S11w�-"T»�S h/J� �F� cu1J7T�C�1 C't7b� AC !. SZO211bE c(k,��,�Ttf. ��� <br /> 4h(A.. I rJC.wt.rF� [19i1L1_G�'I.JGG-rw�J:,�1.1��..7-L+tr-�oy(.Af+�•J6 MJ� Nk4HM. S I�L- PAJIN4. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE OR ITEM NO. TVPE OF FI%TURE OR ITEM — <br /> ioilel A'G-air handhng unils <br /> BathluL _. Forced air systems <br /> Lavatory(wash basin� __ Gas p�ping � <br /> Showor .___ Waler hea�er <br /> Kitchen sink A disposal . _ Gas lireplace <br /> Dishwasher __ Gasrange <br /> Clo'hes washer . __ Clolhes dryer <br /> _2_. Water heater (I�s'T7� NoTI _ _ _ Range hood <br /> Sink(corvico'baNmop'etc.) ___ Exhausl lan <br /> oN p enler Heat pump <br /> .._-�� Urinal .t{ Unit hcater <br /> Drinkmg Faun iin Boiler <br /> . �_ Floor drain ._..__ Refrigera�ion <br /> Greasetrap ___ Woodstove <br /> Rool drains __ O�her__ _ <br /> _�_ Other �NG�a. _ -- --- <br /> CITY OF EVEHETT LOCAL SALES TAX CODE tS 3105 � <br /> I hereby ceritify Iha1 I have rrad and examined this applicalion and know Ihe same to be true and correct. All prorsions ol laws and <br /> ordinecos govornm�this Iype of work will oe wmplied with wliether specilied herein or not.Tho granting of a permi�does not presume <br /> �o give aitlho�ily lo violate or cancQl tlie provision of any oiher state or local law ragulating consiruclion or Ihe perlormance o� <br /> consUuclion. That I am authori[ed by Ihe owner of Ihis property lo pertorm the work lor whlch applicalion is mado end I comply with ihe <br /> (�f��o� 1P.27 RCW and 296.200 WAC. <br /> �_____ lo-Z9-Zav9 <br /> Si nature ol Owner� omractov uthonzed Agent ale <br />