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, <br /> PE�rtMIT APPLICATIO�v <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR 3TREET, EVERETT,WA 98201 <br /> 425-257-8910-FAX 425-257-8857-www.everotlwa.ory <br /> APPLICATIONS ARE ACCEPTED FROM!AM TO 4 PM S-17"O� <br /> SITE ADDRE68 0-2 ` MRCEL TAX I.D.M �/ <br /> �� 3 GV• C'/�S iNp /LD d S <br /> LEOA LOT NO. BLOCK TIIACT <br /> OEBC. <br /> BoE1�16. <br /> TfNANT NAM! CONTACT F011►E11MIT M� <br /> 3os��►� � G_ �sr��so�tsKl y2�r- 876-z�r9y <br /> CONTRACTOR ���' �� ��� <br /> CONTR.LICENaE� <br /> USE Of BUILDINO I — HEAT SOURCE I CONTRACT PRICE OR WOIIK <br /> G�-GtG/� Electrlc _Cias_OIMr <br /> WORK DEaCRIPTION <br /> /a��v��-n,-c., A�.n�o�EL <br /> PLUMBINO � C� <br /> NO. TYPE OF FDfiURE OR ITEM N0. TY'8 Of FDf11ME OR ITEM <br /> Toilet AIC—alr h�ndli�p units <br /> Bathtub Forced air qntems <br /> _ LevaWry(wash basin) _ Ges plpinp <br /> Shower Wafer heater <br /> Kitchen sink 6 disposal _ Oae flroplaca <br /> Diahwasher _ �e n� <br /> _ Cbthes washer _ ��� <br /> Weter heater _ <br /> Sink(servicelber/mop/etc.) _ 6dwusl fan <br /> BeckBow preventer _ Heat pump <br /> Urinal Unit heater <br /> Drinkinp Fuuntein _ Bolbr <br /> Floar draln _ R�G��^ <br /> Grease lrep _ Woodsto`ro <br /> Rool dreins �� <br /> Other <br /> CITY OF EVERETT LOCAL SALE3 TA1f CODE O 7105 <br /> 1 hereby cerltlly that I have read and examined lhla appllcaUon and kraw Ne same to be We and cortect. IJI provlWns of Iwn�nd <br /> ordlneces goveming thle type of work will be complied with whether apseNled herein or rat Ths QnnWp ol a pemiN doss not praums <br /> ro give authority lo violale or cancel Ihe provislon of any other state or bcal law repulatlrq comtructlo�or ths p�rlortnmcs ol <br /> conatnic0on.Thal I em aulhorized by the owner of thle property peAortn the work br whkh appl�atlon b mads and I oomply wNh Mis <br /> Slele Contraclors Law 182�7 RC�W�'d 288.200 WAC. <br /> ���ir( ���� ' -5�s <br /> S gnature o wner/ nlracWr ut o zed ent ate l/y <br />