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( ' <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 �J� O �� <br /> 425-257-8810-FAX 425-257-8857-www•everetlwa.org S p a- <br /> APPIICATIONS ARE ACCEPTED FRONI B AM TO 4 P61 ��,,�og��D3s� <br /> ��RE� PARCEL TAX I.D.1 VERMIT Y <br /> bp � t kp, �4 03 (00 D O�O <br /> LE LOT NO. BLOCK TRACT OR SUBDIVISION• <br /> DESC. <br /> OYVIER ADDRESS CRY?JP PHONE <br /> U l�t�D 1. K 2 2 - ' �Zt� <br /> 'E "a'� I.DC� � � I cart�cr Fon vewnr P"� 253-?L3-31DaQ <br /> S1b-�SIF S wS �-b�'Sb'1� 1'��6R�M►WIµ ea�N� f is.st3werl�r .u•• <br /> �1t'1 Cs�.►st�� 1"(So t'�wa�.M►� �iqzo StAtnt `($lol 1�6-581�� <br /> `°"'"."'�' s-Tt�cac*�sl � <br /> �E���� I HEAT SOURCE � CONfRACT PRICE OF WONK <br /> ��'/ —Electric �Q Gas_Other � `��/O�O - <br /> WORKDESCRIPTION ��� �rb.ili jt��SWl�k1i ��" ��RV ��'` �'"- -/ <br /> G aT� <br /> �ls U�luP6L, fatthP�►14 � �e's� Cd►..tR•��'�a�N1 , <br /> PLUMBING MECHANICAL <br /> �, TYPE OF FlXTURE OR YfEM N0. TYPE OF FI%TURE OR 17EM <br /> Toilet _ aC-air hardling units <br /> Batl�tub _ Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower _ Waterheater <br /> Kitchen sink&disposal _ Gas fireplxa <br /> Dishwasher _ Gas rarqe <br /> Clothes washer _ Clothes dryer <br /> Water heater _ Rarge hood <br /> Sink(service/badmop/atc.) _ Exhauslfan <br /> Backflow preventer _ Heat pump <br /> Urinal _ Unit heater <br /> _ Drinking Fountain — ��� <br /> Floor drain _ Refrigeration <br /> Grease trap . — WOO��O� <br /> Root drains — a�r <br /> Other — <br /> CITV OF EVERETT LOCAL 6ALE3 TA7(CODE IS 3105 <br /> I hereby ceritih thet 1 have read ard examined ihis application azM kraw lhe same to be true arW cortect NI provisiw�s W lav+s erd <br /> � ordinxes goveming[his type of work will be canplied wRh whether specified herein or not The pra�tirq of a pemrit does nol presume <br /> to give authoriry ro vi �ata or cancel ihe provision of any other state or bcal law regulatirg cor�atnretion a the Perlomience a <br /> consWdion.That I am authorized by tAe owner of this property to pertorm the work br which applica�on is mede a�d�comWY��° <br /> State Con adors Law 18. CW and 296200 WAC. <br /> � �"r2'o9 <br /> Signature er ontracrodAu�zed ent e� (L <br /> /z <br />