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, <br /> 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 /> IIPPLICATIONS ARE ACCEPTED FRON 8 AM TO 4 PM <br /> SRE ADDRE6S ,�� PARCELTAX I.D.� � PERWTf <br /> � <br /> / 1 va�ca-i- S37 S �� �r�G�� <br /> LE lOTNO. BLOCK TRACTORSUlDIVIBWN• <br /> DESC. <br /> .Z 5 -.Z9 SC <br /> �ie�-zw�c�r' ���. l/6/( A.-��r�- i2ca. €i,t/t�l-I- 1`8.?oS� <br /> TEMNIfMM1E I CONTACTFORVEIWt� PlIONESii2S- $OL-�''Yy� <br /> �%+N�'�L ��-�c� /�G����f C�e'.n'e-I /�'I:II�-/' e�ru� <br /> o-� <br /> J�l,ller M�l,�..�,-�.I T��- /rlE.2S� /S''a�3vcSF• '�LS-F�d-astYa <br /> ca.rwn...luc�, H.'//c�c��C , c.�a �sc�� <br /> � / IIL/'��OUO D� <br /> U8E OF BUIlqNO HEAT SOURCE CONTRACT PRICE OF WOfiK <br /> I —Electric _Gas_Otlier � /w10� <br /> i vL�CJ <br /> WOHK OESCRIVTION <br /> �AsG- �[S}roa►�, Ow.� �IC+bo -� . <br /> �uMai� MECFYINICAL <br /> fq. TYPE OF FlXTIIRE Of11iEY NO. 7YVE OF FO[fURE O!i fIEIA <br /> Tabt NC-air hardling units <br /> BatMub Forced air systems <br /> � Lavatay(`�+esh besin) �s pP��9 <br /> Shower W ater heater <br /> � Kitchen sink 8 disposal Gas fiiepl8ce <br /> � Dishwashar Gas range <br /> Clothes washer Cbihes drye� <br /> � Water heater Range Faod <br /> Sink(service/bar/mopletc.) Exhaust fan <br /> BackOow preveMer Heat pump <br /> Urinal Unit heater <br /> Drinking FouMain Boiler <br /> Floor drein Refrigerafion <br /> Grease trap Woodsrove <br /> Roof drair� Other <br />, Otlier — <br /> CRY OF EVERETT LOCAL SALES TAl(CODE IS 3t05 <br /> I hereby cerNfy that 1 have read an0 examined this application and kraw the same W be true and conect. All provisbns ol laws and <br /> adinaces goveming this rype of work will be complied xrith whether specified herein or no4 The gran�inp d a permit does rwt presume <br /> � to give authority to violate or cancel ihe pronsion of any othx sWb or bcal law regulating construc6on w the peAamance of <br /> construction. a autlarized by the owner ol this properry to pe�form the woAc tor which applipHon is made and I compty with the <br /> State Co�ctor 18. 296.200 WAC. <br /> -/Z o 9 <br /> Sign wr i a/ orized gen� ale <br /> I _ <br />