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F �RMIT APPLICATIC :� <br />CITY OF EVERETT PERiVIIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — !=AX 425-257-BB57 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 Ahl TO 4 PM <br />SITE ADDRESS ���� n ,L,,,� „/ljQ <br />►�c,� � I nn N� <br />�OT N0. , � � , BLOCK <br />DESC. <br />TENANTNAME <br />CONTRACTOR �� /Jm�Q, <br />,����� <br />CONTR. <br />U9E OF dl11LDING <br />PARCEL TAX I.D. N <br />Cx'�3 `j(t U'Gt�� �Y7/ C.' C, <br />TRACT <br />��tlE �/oz <br />� CONTACT FOR PERMIT <br />� �Br�'� <br />pDDRESS CITYIIIP 'lP�N�� <br />. <br />95/5� �f� �i/��OZ, ���il�' <br />h� <br />f <br />r� - Od,j <br />pHONE <br />-�%�L.i .. <br />LfJi4-- <br />HEAT SOURCE CONTRACT PRICE Vt wunn <br />Eleclric �as _ Other <br />WORK D SC� � �� . <br />. <br />N0. I TYPE OF PI%NRE OR ITEM <br />Toilet <br />Bathtub <br />Lavetory (wesh besin) <br />Shower <br />Kitchen sink 8 disposel <br />Dishwesher <br />Clothes wosher <br />Leundry trey <br />Sink (servicelberlmopletc.) <br />Beckflow prevenler <br />Urinel <br />Drinking Fountain <br />Floor dreln <br />Greese trep <br />Roo1 drelns <br />Othar _ <br />N0. <br />� <br />MECHANICAL <br />TYPE OF FIIRURE OR REM <br />AIC — alr handling unfts <br />Forced eir systems <br />Ges piping <br />Weter healer <br />Ges fireplece <br />Gasrenge <br />Clothes dryer <br />Renge 600d <br />Exhaus! 1en <br />Heet pump <br />Unfl heater <br />Boiler <br />Refigerelion <br />Woodslove <br />Othef�— <br />CITY OF EVERETT LOCAl8ALE8 TAX COOE IS ]106 <br />I heraby ce�itify that I heve t ea�d' µ dle�Imi�ne�mpliedPwlth iwhelhe ep dfhed hereln ob�ortU. The grenling ofal perr�it daea no presume <br />ordinaces goveming lhis ryp wlth the <br />to give nuthorily lo vlolete or cencel 1he provislon oi eny other stele or locel lew regulellng conslructlon or the pertormence o <br />construction. Thal I am authorized by Ihe owner ol this property to per(ortn Ihe work for which epplicetlon la made end I cort�p�y <br />Stete ConVactors Lew 18.27 RCW end 286.200 WAC. <br />��v .. l/. �/ GL___._ aS o <br />i� <br />