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-� --( <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREEf, EVERETT,WA 98201 <br /> 425-257•8810-FAl(42&257-8857-vwvw.everettwa.org <br /> APPLICATIONS ANE ACCEPTED FROM e AM TO�PM N „a.�,�� <br /> SRE ADDNESS PARCEL TA)I LD./ PENMIT• <br /> S33 00 0 OU ) ) rn t _ <br /> LEGA LOT SLOCIf 7RACT OR BIIBDIVI9�OM� <br /> DESC. � c� � t,l+1' q>. n.00 6-cl ' ' 1� �� <br /> r+,(�iss.. !1 Sc.e.cS 4LS=5�z•�o7� <br /> To ��r�� S_53 C«u� tZ.e��,ct C r e k � -- <br /> rEwwr Mw� carr�c*Fa+rEarr► _4sS-3y4-zz 7'1 <br /> 5C.1�'�L GS Cwntii I Jl�mQS .)VF�G.Y�S(�i'l H1AlL�t.nvt.S.'µ,it,i,x���c'1++� 1•��a. <br /> �� <br /> CONiN.LICFl19E Y I� <br /> OWher <br /> USE OF BUILDINO HEAT SOURCE CONTRACT PNICE OF WORK <br /> ��ICSI G�r 11'�1G11�.. I �Eiea�c _c�_ane� <br /> YVORK DESCRIPTION <br /> PLUMBING MECMAIdI AL <br /> NO. TYPE OF FlI(iU11E OR ITEM NO. T'PE OF FlIlTIN1E ON fIEM <br /> Toilet A/C-air handlirq units <br /> Bathtub Foroed air systams <br /> Lavatory(wash basin) Gas piping <br /> Slrower Wete�heater <br /> Kflchen sink 8 disposal Ges fireplace <br /> Dishwasher Gasrenge <br /> Cbthes washer Clolhes dryer <br /> Water heate� Range hood <br /> Sink(servicelbadmop/etc.� Exheust lan <br /> Badcfbw preventer Fleat pump <br /> Unnal UnN healer <br /> Drinking Fountain Boiler <br /> Floor drain ReMgeratbn <br /> _ Grease trep Woodstove <br /> Rool drains O�her <br /> Olher � A�I' n���� <br /> CRY OF EVERETT LOCAL fALES TAX COOE IS�tOS <br /> I hereby ceridfy ihat I have read and examined Ihis aipplicalbn er�i krqw ihe same to be true and corred. All provisions of laws arxl <br /> ordinaces goverrwrg this type ol work will be complied with whefhEr apecHied herein a nd.The grantirq d a permit does not presume <br /> to pive authority to violate or cancel the provisbn of any other etah�a bcal law regulatlnp cansWcbon or the peAormanoe ol <br /> constniction. That I am aWhorized by ihe owner ol this property ta perform the work lor wh�h eppicatbn is made and I wmply with the <br /> S le Cant ors Law�2��W and 296.200 WAC. <br /> S�-,��'0 y <br /> gnat o� ner n ctor t onr ent ate <br />