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,d <br /> P�RMIT APPLICATIO <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 /> IAPPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SI 4E ADDRESS PARCEL TAl(I.D.p PERMIT A <br /> r <br /> - � : ��: �-" ��' ,i. i <br /> IFGA LOTNO. BIOCK TRACT „ � . <br /> r <br /> DESC. i- i I:. � •> ._� ..�. ;�" . ,-, • . ' <br /> OWNER � ADDRE CITYrLIP PHONE <br /> � � i } <br /> -- • - � - " '� . j>, .�in�:� i.l. rll. r � 1��+ � 1`l'� / �� -� ;l.t . n , .., <br /> TENAN7 NAME ' I CONTACT FOR PERMIT . 1 PHONE <br /> � .- .� _ . �.: ; <br /> CONTRACTOR ADDRESS,� CITY2IP PHONE <br /> . . . i• . . . . , . _. .. _ j ;-, ,: ,; :i,i :' ' � � - � �_ <br /> CONTR.LICENSE if <br /> USE OF BUILDING I Y HEAT SOURCE CONTRACT PRICE OF WORK <br /> � ' • � Elecldc Gas Other �=� �, <br /> WORK DESCRIPTION . <br /> _ , , , . . - / " r . �. <br /> . ' - . �, . . .. . � .. _ . . - �� . . . , . , :�, . �t. � . <br /> PLUMbING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXiVRE OR fTEM <br /> Toilel A/C-air hendling units <br /> fialhlub Forced air syslems <br /> Levalory(wash liasin) Ges plping <br /> Showcr Waler haator <br /> Kilchon sink 8 disposal Gas firepince <br /> Dlshwasher Gasrenge <br /> Clolhes waslmr _ Clolhes dryer <br /> Walor lioalor _ Range taod <br /> _ Sink(servicoNarlmoplela) Exhausl tan <br /> 6ackllow prr.ventcr Heal pump <br /> Urinal Unll healer <br /> Ddnkinp Founlain Boiler <br /> Floor dr�in Refrlgeratbn <br /> Groaso irap Woodslove <br /> Rool draii�s Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES Tti(CODE 19 7105 <br /> 1 hnrr.by ceritily Ihal I havo roau and examined Ihis applicatbn and know the srime lo be Irue and conecl. All provisbns of laws and <br /> ordinacc�s povorning Ihis typo ot work will be complied wilh whelher apecif:ed herein or rwt.The granling ol a permll does nol presume <br /> lo flivo aulhorily to viol�to or cancol lhe provlsion of any otber slale or local lae regulaUng conslruclion or the peAormance of <br /> conslruclion. Thal I am autlx�rir:d b�tho ownor,of lhis propeAy to pedortn tho woAc for whkh applicalion Is madn and I comply wilh Ihe <br /> Slale Conlraaors Law 10.7.7 RCW and 296200 WAC. <br /> - � <br /> -._-�-.. "�—_'� %/ )-�' _. i-' ?%'—" <br /> _. , � <br /> fSiynaluroufCNi�n.r/(r�ntradq�nzr!i7Agant � �ale' <br />