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r- <br /> � <br /> 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 /> APPL�CATiONS ARE ACCEPTED FROM 8 AM TO 4 PM '� _. 7-] ��D <br /> SITE ADDF.ES 5 PARCEL TAX I.D.X PERMIT X <br /> 1.82 Q�c�c- ,wG oo434i669ocao2 '/.'' /�0 7 -� <br /> L[GAL p.L.O.T�NO. . pBLOCK TRACT OR SUBDIVISION N j <br /> DESC. 4�P4M PI.K�� � 1 O"pZ <br /> OWNER ,.JDRESS CITY2IP �HONE <br /> No8+1*� R��t+►q r►�Itsr3 �-�-c Zy{p ti.errw� Avs �ntt 487,n <br /> TENANT NAME CONTACT FOR PERMIT pHONE �j�� 'J�7�Z�r'i'D <br /> P�vL �V E*IAIL �AIN.•(r�eISRMM�. <br /> R p'SR M�/A� l «�ccM�mut. -�� � <br /> s�sz w� ��ss�oH-�,,m� �cs ctic>>c� - <br /> CCNTP..LICENSE N � <br /> Pswiv�sazN�r �x „ �, m, � . � �- <br /> USE OF BUILDING HEAT SOUR E I CONTRACT PRICE OF WORK <br /> O�¢►C.L �Eleclric _Gas_Other �� (Q E�Q <br /> I <br /> WORK DESCRIPTION <br /> (�10f�►d�'K.y R�P�IIOC►M�'i�'M' a�' -gA�{t�G tlf/M'f1�P wtfh M1w,/ �tM' f'�+P �' ll�%t <br /> *r"�e. c.4PHr-+Ty. E�c�r�ac. wor'w ohi9 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTUP.E OR ITEM <br /> __ Toilet A/C-air handling units <br /> ._ 8athlub Forcedairsystems <br /> ___ Lavatory(wash basin) Gas piping <br /> Shower Water healer <br /> _ Kilchen sink 8 di�pos�l Gas 6replace <br /> _ Dishwasher Gas range <br /> __ Clothes washer Clothes dryer <br /> Water heater Range hood <br /> Sink(service/badmoplNc.) Exhaust(an <br /> _ �ac�fluw prevnn��er _L Heat pump <br /> _ Urinal Unit heater <br /> Dnnking Fauntain B�iler <br /> I _ Ploor drain _ Refrigerallcn <br /> _ Gmase Irap Woodstove <br /> Rool Areins Other <br /> Other <br /> CITY OF EVERETi LOCAL SALES TA7(CODE IS J705 <br /> I hereby certify ihal i have read and ezainined this application and know the same to be true and correct. All provisions of lawa and <br /> ordinances governing Ihis type o(wnrk will be complied wdh whether specified herein or noL The granting ol a peimit does nct presume <br /> to grvc aulhonty to violale or rancel the pmvision of any clher state or local law regulating mnstruction or Ihe pedormance of <br /> constructir i.Thel I am authorized by the owner of Ihis property to pedorm the work for which application is made and I comply wilh the <br /> State CuNrar,tors Law 78.27 RCW and 296200 WAC. <br /> �� �L�l/o <br /> S� a e of OwnedConlraclodAuihorizrd Agent Date �/ <br /> L <br />