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( <br /> PERMIT APPLICATION <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!AM TO 4 PM (D f/Z�O� <br /> SITE ADORES '� PARCEL TAX I.D./ PERMIT N <br /> 7,�0 `�. e� ��� r�� ot� -oe� <br /> LEGA LOT N0. BLOCK TIiACT OR SUSDM510N N <br /> DESC. <br /> ER ADDRE68 CI 21P PMONE <br /> �D� I (�C� <br /> TENANT NAME C TACT FOR PERMIT ��� <br /> g�E� N� � ��� do� K� `��.�N� ��-Z��y <br /> -�,� <br /> G�N�'r�}-v �d NS T � <br /> CONiR.LICENEE M <br /> USE OF BUILDINf3 HEAT SOURCE I CONTRACT PRICE OF WORK <br /> M �' (�, �Electric _Gas_Other �� � V�I �Q <br /> WORK DESCRIPTION <br /> / ,�15 fg-c-c. W�h�7� W/i-�[.,S /}N,� �rt.�o/r� �-S <br /> PLUMBINt3 MECHANICAL <br /> NO. TYPE OF FIX?URE OR ITEM NO. TYPE OF fIXTURE OR ITEM <br /> Toilel _ AIC—air handling units <br /> Balhtub _ Forced air syelems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower _ Water heater <br /> Kitchen sink 8 dieposal _ Gas flreplace <br /> Dishwasher _ Gas ranpe <br /> Clathes washer _ Clolhes dryer <br /> Water healer _ Renge hood <br /> Sink(servlcelbaNmoplelc.) _ Exhaust fan <br /> Backflow prevenler _ Heat pump <br /> Urinal _ Unit healer <br /> Drinking Fountain _ Boller <br /> Floordraln _ RefrigereUon <br /> Grease trap _ Woodatove <br /> Roo(drains _ Other <br /> Other — <br /> CITV OF EVERETT LOCAL 6ALE5 TAX COOE IS�105 <br /> I hereby coriliry lhal I have read end ezamined this epplicaUon and know the same to be true and corted. All proviebns of laws and <br /> ordinaces governing lhis type of work will be complied wilh whelher specmed hereln or not.The grenling o(a permll does nol presume <br /> lo givo authorily to violale or cancel the pravlsion o(any other state or local law regulaUnp construcUon or the pertormance ol <br /> constru on. That I am authorized by the owner ol lhis property lo peAorm the work(or which epplicetlon Is made end I comply wilh the <br /> State nlrecrors Law 18.2 C end 29 200 WAC. <br /> -�.�-•,�rU,( �� �! �° "� j <br /> 5lgnalure of Owner/ContraclorlAulhorized Agenl ate / <br /> r� <br />