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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 8 AM TO 4 PM <br /> SITE ADDRESS k`U�, PARCEL TAJ(I.D.N PERMR N <br /> <_ovo3 �$P-� O�JE r�Je�,i �'LBoc(.p2c�C�3dnSad �S�- 0=L <br /> LEGA LOTNO. BLOCK TRACTORSUBDIVISIONN <br /> oesc. ��-- z�g L��p, Z, <br /> OWNER ADDRESS CITY2IP PHONE �S-v3, 420- � /O <br /> TOG MAr�AG�MtrEi" S£R1��GES ��i�L��.'^I• 5+�''�(�2G �I. 71G�n20. O�Z. �1722�i <br /> TENANTNAME CONTACTFORPERMIT PHON ✓�� �v�._��Z <br /> �QP01�-'rMF� IM1G�ir'�Ll.- f�, G�-fP++�.�r1,�Ae�a�wt���e� sr.� ���� <br /> [o,.,� <br /> �1�2}1�Ey GOL� b�KouYrtEs U.� tDlo �. ��b�'ff"vW� �"- lavW-o�l� � <br /> CONTR.LICENSE M ja/E�r M!}L6. <br /> iG,rLrl.a�..�isi F�� �A�Y�s�,r� �o� qbza� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> �4�J�+T.� IS <br /> 'F�S�n1�S �Electric _Gas_Othcr �,���,g g7... <br /> WORK DESCRIPTION <br /> 'f�6n�Ar1i )r^Y�►a�6MEr�li � r� �'i(�-yT �w�(z, 'T�+�IA,Si S�a� Pn <br /> TOG P�J1���I1-lU . hIo)ZIG If-iGL�.d%GS in�'1�/Z/y'L r�3lL1)77tA� �r-L's+�-S, G�`�L1rJ� � <br /> �l.W 7�rr.IG� A+-�7 ri��II�.T l•-� Gi�Lt�-.��7JL. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FOCTURE OR ITEM <br /> Toilet A/C-air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water healer <br /> � Kilchen sink&disposzl Gas(ireplace <br /> I Dishwasher Gas range <br /> Clo�hes washer Clothes dryer <br /> Water heater Range hood <br /> Sink(service/barlmop/eta) Exhaust fan <br /> Backflow preventer Heat pump <br /> Urinal Unit heater <br /> Orinking Fountain Boiler <br /> Floor drair, Refrigeralion <br /> Grease trap WoWstove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify ihat I have read and examined Ihis application and know the same to be true and correct. All provisions of laws and <br /> ordinaces governi g this type ot wo will be complied wilh whether specified herein or nat.The grar.ting of a permit does not presume <br /> lo give authority� violate or canc the rovision of any other state or local law regulating construction or the peAormance of <br /> construc T a_ _ thori b e owner of this property ro pedorm the work for which application is made and I comply with the <br /> State ,, aw i8. C and 296200 WAC. <br /> � � ��J � <br /> Sign re ol wnedConir to thorized Agent ate � <br /> �Z <br />