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PERMIT APPLICATtON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810-FAX 425-257-8857-www.everettwa.org �i-16 -/o ,) <br /> APPLICATIONS ARE ACCEPTED FROM 9 AM TO 4 PM �'► /OD 6 -aa-d <br /> 31TE ADDRESS PARCEL TAl(I.D.N PERMIT N <br /> 14- LCvcYt. ►�E �ll�.'�j- p041 Zdoo 1013J� M��`1 -v3� <br /> LE LOT N0. BLOCK TRACT Olt SUBOMSION/ <br /> OESC. <br /> ADDRE88 CITYfLP E (�•Z5 <br /> 7.10►1 Lv�qn1 Gt�Rc.H �34- 11t6��h�E t11o2C�f `1kZu� Z5Z-14Zsj <br /> TENANT NAME CONTACT FOR PERM PMONE 4'ZS�S3V'�64p <br /> �'1t,�— �L I�RJ� `��'��L� E#IAIL�I�eVr��l�]t'�� , <br /> � <br /> CONTR.LICENSEI ��,[/n�/v <br /> U8E OF BUILDINfi I HEAT SOURCE I CONTRACT PRICE OF WORK <br /> �{PR-r11N1lC�c. ��.t�` �Eleclrk Gas Other <br /> L <br /> WORK DESCRIPTION <br /> �1iTN� �UL'RE'3S t1��i "p.,,�,P. P(���(�-"iy �nIH�a6c�2.�,� �n�6�� <br /> �nFi�n.�r�Nh w�a�, <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE OR REM NO. TYPE OF FII(TURE OR ITEM <br /> Tdlet A/C-eir handling units <br /> 8athtub Forced air systems <br /> Lavatory(wash besin) Gas piping <br /> Shower Water heater <br /> KNrhen dnk 6 dieposal Gas fireplace <br /> Dishwasher Gas range <br /> Cbtlrea waaher Cblhes dryer <br /> Weter heater Range haod <br /> Sink(servicelbadmoplelc.) Ezhaust fan <br /> Dadclbw prevenler Heat pump <br /> Urinal UnH heater <br /> Drinking Fountein Boiler <br /> Floor drain Refrigeration <br /> Greaeo trap Woodstove <br /> Roof drains Other <br /> Other <br /> CITV OF EVERETT LOCAL 9ALES 7A%CODE IS J106 <br /> I hereby certi(y that I have read and examined this applicelion and know the same to be true end corred. All provisions ol lawe and <br /> oMinances goveming ihis typa of work will be complied with whether apecified herein or not.The granting o1 a permit doas not presuma <br /> to pive autl�ority to violale or cancel Iha provislon ot any other state or local law regulating conslniclion ar ihe perfortnance of <br /> conatnidbn.That I am aWlwrized Ay Ihe owner of Iha property to perform tl�e work tor which applicalion is made and I mmply with the <br /> S CoMradoro La 18.27 RCW and 2 200 WAC. <br /> �� Rl�i'�KT( haAw�6<rZ �I/S��IJ <br /> �afure ed r t q zed pent ate <br /> / <br />