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�ERMIT APPLICAT�N <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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 5`22"`O� <br /> SI F��CJG � � ' PARCEL TAX I.D.# I P����j <br /> G � <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> pyyN ADDRESS CITYIZIP PHONE <br /> /' �� t /� <br /> /��7tE'IS O��/`J�Ci.('�'' —_ <br /> TENANT NAME C NTACT FOR PERMIi PHONE <br /> �rrfltr'rs o/� fvnre//l' �(x�S �y�E��� %�S�'C� .s'�'` <br /> CON�RACTOR / ,� AD S CITY/ZJI' PHONE <br /> l�Fkf/%C�rt �PrY/R��cy' Ccr/1 ,�.i// /�n�/�i.� �: �rtiY.✓�.�T��7��`i!' '/�S��SY6 <br /> c o N r���i�/�TSC'O�s7l�C <br /> fl <br /> USE OF BUILDING I HEAT SOURCE CON7RACT PRICE OF WORK <br /> �f, _Eleclric _Gas_Olher <br /> �. .ic <br /> WORK �CRIPTIO�N� �^ <br /> �� r�%i:�CIfS !2'/ /4`tc'. !B/��`� lL'9�/S <br /> _� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF fl%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A!C—air handling unils <br /> Balhtub Forced air syslems i <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Walec healer• <br /> Kilchen sink&disposal _ Gas tireplaco <br /> Dishwasher Gasrange <br /> Clolhes washer Clolhes dryer <br /> Waler healer Range hood <br /> Sinh(service/badmop/elc.) _ Exhaust(an <br /> Backflow prevenler _ Heal pump <br /> Urinal Unil heater <br /> Drinkinc� Founlain _ 6oiler <br /> Floor drain Refrigeralion <br /> = Grease lrap Woodslove / <br /> Roof drains � Olher x�t �!` � <br /> Olher _� <br /> CITY OP EVERETT LOCAL SALES TN(CODE IS 3105 <br /> I hereby cerilify thal 1 have read and examined this application and know the same to be true and correct. All provisioos of laws and <br /> ordinaces goveming this type of work will be complied with whether specified herein or not.The granling of a permit does not presume <br /> to give autl nly to violale or cancel the provision of any olher slale or local law regulating construclion or the per(ormance of <br /> conslrucli n Thal I aulhori e by the owner of this property to perterm the work for which application is made and I comply wilh the <br /> Stato Co t clors v 18.27 and 296.200 WAC. <br /> / sd�"� <br /> SignaWr f OwnedConlractodAulhonzed Agent Dale <br />