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—J <br /> PERMIT APPLIyATION <br /> CITY OF EVERETT PERMIT SERViCES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 : <br /> 425-257-887!1—FAX 425-257-8857—www.evorettwa.org <br /> V <br /> APPLICATIO�S ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS <br /> PARCEL TAX I.D.N PERM�T N <br /> �fl�" �. f�r�5%�c�� ,�� � D_7 � G�e�o 0 1 0 � - <br /> LEGA LOT NO. BLOCK TAACT OR SUBOINSION� � :� <br /> DESC. <br /> O ER � G 21 P E . � � , <br /> S' l�C�N �� ceNtl�' C��=� / s.��J��` ��! s' ZGXb �1P�t e-J�2e� (i�1J- <br /> CONTACT FOR PERMIT PHONE Y�,� <br /> �N�, _-, � Y�CS� 3c�--� 'r° <br /> C ,vr, � t.c� '�e(�,�Il�� E�AAIL <br /> ,cc c ._�{7leu�� �c�— iY.S. ., . "i�—�S f_3 - k�u r�xt.P_ c�. '�G,•�'� h �. <br /> � ca+rn.uc e��� J�� gl��'?��►� <br /> USE OF BUILDIN6 ` � HEAT SOURCE �ONTRACT PRfCE OF WOPK <br /> IKC� Y �I�.�� "Elecirk _Gas_01hor �Pi�LIC2l`'J Ti d17 <br /> �WO K DESCRIPTI N �� �j��,�E� �� -�- - <br /> �C`�''�/��C. Z ;.: f: <br /> .=�r- -- — r- -�- <br /> PL MBING MECHANICAL <br /> N0. TYPE OF fl7CTURE OH ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Tollet _ �–aIr hendling unils . <br /> ��� Bathlub _ Forccd alr sysloms <br /> Lavelory(wash basin) _ Gas pipfnp <br /> — S�a�� _ Weler hoalor <br /> � Kilchon sink 8 disposal _ Gas liroplaco � <br /> � . . Gns rango <br /> _ Disliwaslidr — Clolhos dryor <br /> Clolhes washer Rargo hood <br /> � �_' Wetorhoaler Exhaus�lnn �- <br /> _ Sink(service/bar/mop/etc.) Hoal pump � � '� '- ��' <br /> _ Backflowproverilor — Unqheeler <br /> _ Urinal poiler <br /> _ Orinking Fount�in — Refdgeralion � <br /> Floor drain '— yyppdstovo <br /> _ Groase trap Olhar <br /> Rool drains — � <br /> Olher__ — <br /> CITV OF EVERETT LOCAL SALES TAX COOE IS]105 � <br /> I'hcreby cmitity Ihat I have mad and azaminod Qiis eppticolion and knaw Iho samo to be truo and correct. Atl proJisions'ol laws and <br /> brdinacos govarning this type ol work will be compliod with whethar spocNied horein or nol.The grenting ol e pormil doos not presume <br /> to pive aulhorhy lo iolale or cancel the provlsion of eny olhar atala or lacal law regulaling constructlon or the podortnance ol <br /> construction.Th am aulhodmd hY�tlio ownor ol Ihis proportY to pedortn Iho work lor which applicallon Is made and I comply with Ihe <br /> Stn�o Conlr rs Law��7 HC�:�296.200 WAC. <br /> /� - "�-.7c��7 <br /> A �/ � <br /> �I ia wo o edContraclorl ulh o gon� ate <br /> � <br /> 1� <br />