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- - - - --- - - -- -1 <br /> F �RMIT APPLICATIvN <br /> CITY OF EVERETT PERMIT SERVI�ES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857- Hrovw.everettH,:.org <br /> I APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> I SITE ADDRESS PARCEL 7AX I.D.# PER IT p <br /> � i ��� � � , _ � � � _--_� � ��rc 5 <br /> , ' . �CG�. <br /> LEGAI LOT NO. BLOCH TRACT OR SUBDIVISION p <br /> IIiFSC __'_ <br /> OWN� ��ADGRE55 CITY/ZIP PHONE I <br /> r <br /> � � i � � i ;'I � �_( �i : - �'� ' i ' � � � � �--- � i �' �, � .�— . �.—= -'L'-�'� `` ��� <br /> TENANTNAME I CONTACTFOR PERMIi PHONE � � . <br /> i ^-� <br /> � � ;�� I �I i'. � ' ; �� �,� ��• I � i- ( � , �' ' 11 E-MAIL ' .. , , <br /> IZ`bF1�•--_ ---�—. - <br /> CONTR. LICENSE 11 i <br /> i --__ _._ . ... <br /> _ _ __. _..._ _-_- _ _ _ .__-____ — I <br /> � ` C � �L I HEAT SOURCE I CONTRACT PRICE OF WORK <br /> . <br /> ----� DING � _Lleclnr, Gas O�her �1� �� . � � I <br /> ----- ----- —� ------- ---- ----- --- ---------'--- <br /> WORK DESCRIPTION <br /> ;�� .��r� 'i '„ �,� ) ' � � .��� ! � : A � i � , .� •��' ��� �' ` � ' � � <br /> � <br /> PLUMBING MECHANICAL I <br /> NO. TYPE OF FI%1URE OR ITEM NO. TVPE OF FI%7URE OR ITEM <br /> .__— _._____. <br /> . -_ . ._. _ .. _ _ _. _ . __- -. _-..-_.— I <br /> .__ lutlut _ _ NC auhnndhngunils <br /> . _ fl+tlhtub furced ;�ir syslems <br /> I.ao i���rY Iw�isli I�.�,inl _ __ Gas pipmy I <br /> _ Shrnvi�i Walenc�alcr <br /> Kdchnn sink 8 disputi;il Gas lireplace � <br /> Uishwash��r _ Gas ranpc � <br /> _.IJ Cluthcs w��:her . � Clolhr,s drycr : <br /> , ._ W:ticr hent��r R�nyc hood i <br /> Sinh (service�b�dniuple�r.J i.J F■haus�fan <br /> � _ [3acAllow prnventer Heat pwnp <br /> i __ Urinal _ _ Unil hr,ala <br /> I _ Drin6ing Founl;iin _ Boiler <br /> Roor drain __ Refriyoration <br /> IGreasr.irap Woudstuve � <br /> I � Rooldrains.. . I I Other _ i <br /> _- Other_ - . . . _ _ - - -- - � <br /> - -- -------- �---- - . .. .------------------- <br /> CITV OF EVERETT LOCAL SALES TA%CODE IS 3f05 , <br /> I horolry r,erilily�hal I haoe road and examined Ihis appliraliun and Vnow Ihe same b bo lrucf and correcL Ail provisions of laws and <br /> orJinar.es guverning Ihis rype of wurk will be curnpliod with whelher specilied herein or nol. ThA grantiny af a ponnil daes nol prasume <br /> 1.�give auUiwity lo �iolalu ur canr.cl II1L'�/fU\9511111 U�.7f1� UlI1P.f 5(7IL`Ilf IOCII I�7W fC(JllI2�111O COI15W�;IIUO Of�I7�PUAOffT1�000 OI '� <br /> inunslruclinn I h:d I �m authunzod by Ihe o���nar u�Uiis prupe�ty lo p��rtunn Ihr. wurk fur which applicalion Is mado and I comply wilh Ihe ' <br /> Sl.de Cunirnrlurs l a�a tH 27.RCl1';inJ 2NG 7UU l'VAC. / <br /> , �t � / 1-U C' � <br /> . __�__�_�__—.' J � � <br /> I biynolUrn�d GanwdConli�iclouAidhurilud�geM . . ---- - -�Dale <br /> � <br /> i � <br />