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( � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425•257-8810-F!U(425-257•8857-www.everetlwa.org <br /> APPUCATION3 ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SREADDRESS�Ki.y�Il.� bI � PAHCELTA7(I.D.I RMITI � <br /> pl • boJ <br /> LEGA LOTNO. BLOCK TqACTORSUBDIVI510N1 <br /> DESC. <br /> ow a � ��� �pM,���� �oor�ss an'mP %+ Hii.flrl.�i33� <br /> '��w�•�v cRt►t �3 W C�wo Qo �Frcta�r W��! <br /> TFNANT NAME C1ONTACT FOR PERMIT MOIE �.f4�,�j,{�j'�S <br /> �e , I a G.� e�wu� �o brwrK._b�z <br /> 'P�wtwc �4iR+�tac,,�r.,►e. <br /> CON1A.LICE E• <br /> �,,vN�,;,•. •T �q�aN �a1o�, � b�� S ��Wk4ee;2 Wa,G.v�1.qd11 <br /> USE OF BUILDINO I HEAT SOURCE CONiAACT PRICE OF WORK <br /> q►LP Ir. t W .– .6iu9aLa1I� —Elactrk _�as__Othor �p '7� �7 <br /> . � <br /> WORK DESCRIPTION <br /> PLUMBIN(i MECMANICAL <br /> Np, TYPE OF FI%TUHE Ofl REM NO. TYPE OF fl%TURE OR ITEM <br /> Tollet A/C—oir handllrq unlb <br /> Bathlub Forced air systoms <br /> Lovatory(wash basin) Oas pipinp <br /> Showcr Wator heelcr <br /> Kitchon sink 8 disposal _ Gas IiropWco <br /> ^ Oishwasher Oas rarpe <br /> Clo�hes washcr Clolhes dryor <br /> Wator heator Ranqe hood <br /> Sink(service/bar/moWetc.) _ Exhausl fan <br /> Backtlow preventer Heat pump <br /> �' _ Urinal _ Unit hea�er <br /> _ DrinkingFountain __ Boi�ei <br /> Floor drain Roldgeration <br /> Greasc trap ! Woodstova <br /> Raof dralns Other_____ <br /> --- Olhor _ — <br /> CITY OF EVERETT LOCAL SALE9 TA)f CO�E IS 7/DS <br /> I herehy ceA�ify Ihat I have read and eramined ihis npplicatian and know the same to bo Imo eod correcl. All p�odslom ol Iawe end <br /> orAlnacos qoverning this type ol work will bo complied with wholher spocilled herein or rwt.The grenting ol a permit does rw�pesuma <br /> Io give author'�ry to violate or canccl the rovlsion of any other state or local law roqulatirq conslrucUon or Iha parformence ol � <br /> con u �on.Th om aut odz ownor ol this property to peAorm Ihe work lor which applkatlon Is made and I comply whA Iho <br /> S to Co Iracto s o . 7 296.200 WAC. <br /> i r�� (e <br /> r ol OwnmlConlractor/A Iha zed Apent a i <br /> � <br />