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�--- - - --------------- -- <br /> F �RMIT APPLICATIvN <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 ADDRES5 I I PARCEL TAX I.O.# I PERMITp <br /> i ; - ! - + , .� . ' , i _ � L xG5a5 00l <br /> LEGFL� LOT NO. BLOCH TRACT OR SUBDIVISION p <br /> I�FS[;.I '�� <br /> � —L <br /> OWNER ADDRE55 CITY�ZIP PHONE <br /> r <br /> � � 1 � i � ��I .r,� � �, � : �,. � ,��r �_� � � ,._ . ,� �, �� i, �, a ,; � ; � � .,,; � �:1 <br /> TENANTNAME J— CONTACTFORPERMIT PHONE , � � <br /> � '� ; i i �i ,� !'' � : ;r r,•,���.:� � � < i ( i - . � � . . <br /> �� E�MAIL <br /> �sura�zrrnr'—� , I��Q 4'� 5� ►w� -►- � <br /> CONTR.LICENSE N <br /> ---�------� � . ._�---�-_�_-_f_�,—'HEATSGasRCE Olhar --� CON --- — I <br /> USE OF BUILDING / TRACT PRICE OF WORK <br /> --�- r� �, . L ,-- �-`---------- <br /> WORK DESCRIPTION <br /> / . 1 <br /> ! � i�l� �1 'I/��1�) � � ) II � l 14 �i �, ii .� .� �'�. . ��� �� �� � � el <br /> II / <br /> �� <br /> __ __ <br /> PLUMBING MECHANICAL <br /> I NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIKTURE OR ITEM <br /> .. ___ . ..—. __. . . . __ . .___ _. _ _ ..__—_ _____ —__. -- . <br /> _ I n�lut _ _ NC - ah handhnc�unils i <br /> _ H:dhluh Forcod air systems <br /> _ L.ro.ilory Iw.�sh L.i,uil Gas pipm� <br /> Showcr Wolcr hna�er <br /> Kilch�n sink 8 dispnsnl Gas hreplaco <br /> � Uishwashcr Gasranyc , <br /> _�� Clolhes w;ishei I� Clolh�s dryer I <br /> _ Walcr healer Ranye twod � <br /> _ Slnk Isorvicoibarimop;ntc.) �_� Exhaust fan � <br /> _ f3nr.k0ow prnvr.nloi _ Hea�pump <br /> i __ Urinal Unil healcr � <br /> I __— DrinAing Pount��in � _ Bui�er <br /> __ Floor drain __ Refrigoralion <br /> I . . Gre�ise tral' . . _ - � Wuodstove _ . — _ .-- <br /> Roo�dr:uns Olhor <br /> C`�hor I <br /> _ � <br /> , . _. . .._ -..------ � <br /> i <br /> �-------------- ----- . _. . .. ---�-----.__ ------------- � <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS 3105 <br /> II hereby�.rrilify Iha�I have rcid anA enamineJ Ihis applicalion and know tho same to bo�rue and correcl All provisions of laws and <br /> urdinaces�uvmninc7 Ihis lype ul wurk will bo cumplied wilh whelher specified heroin or nol Tho grantiny of a permil does not presdme <br /> I to givr, authuiily lu�iulala ur eanr.ul Ihe pruvisiun nf any uther s�ale or local law regulaling consiruclion or Ihe peAormanr,o of � <br /> � �.onstruchon fh;tl I am.iuthurirad hy Ih��u��ner ul Ihis�nopm�y lo pertunn Ihe wurk lur which application is made and I c�rmply�vi�h Ihe ', <br /> j Stalc r.i���lrurlors l a« IN 27. RCIV and.'!!�I 7U0 VVAC. .. <br /> � � ��� ��7 <br /> _��_ -_____ - --�-- - -- - - --- - - <br /> � SiynaWiu ul GamudGunda�.luilMtlhunr.od llgenl Dal <br /> i i <br /> � <br />