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F�RMIT APPLICATIUN <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 /> �� —U� / APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS t PARCEL TAX�.D.A RMIT# �7 <br /> - c , �i ���� � ,,� , (�p(�o e -/1 (� <br /> LEGA LOT P10. BLOCK TRACT <br /> DESC. <br /> OWNER AODRESS CITY2IP PHONE <br /> n <br /> /�C� i� / ;�r1 — <br /> / <br /> TENANT NAME I CONTACT FOR PERMIT PHONE <br /> CONTRACTOR / ADDRESS CITYIZIP PHONE <br /> �Q C.-i-1' C�'�.f K ^--���_� <br /> CONTR.LICENSE U <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> [Ir.ctnc Gas Olher <br /> WORK ESCRIPTION <br /> ,��c�� �/.s _. u.�� '�3L()(,' , <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEM N0. TYPE OF FI%TURE OR ITEM <br /> Toilol A/C-alr handling units <br /> Bathtub Forced air syslenis <br /> Lavalory(wash basin� _ Gas piping <br /> Shower Wator hoalar <br /> Kitchen sink 8 dis�wsal Gas fireplace <br /> Dishwashor Gas rango <br /> Clolhes washor Clothes dryer <br /> Waler healnr Range hood <br /> Sink(servicolbadmop/elc.) Exhaust(an <br /> Back(low provenlcr Hoat pump <br /> Urinal Unil hoater <br /> Drinking Founlain Boiler <br /> Floor drain Rofric�eralion <br /> . Greaso trap Woodslove <br /> Roof drains Olher <br /> Olher <br /> LI7Y OF EVERETT LOCAL SALES TWC COUE IS 7105 <br /> I hereby cerilify Uial I havo read and examined ihis applir,alion and know lhe sama lo be hue and correct. All prooislons ot laws and <br /> ordinaces govemin9 ihis lypo ol work will bo wmplied with whelher specifiod horein or nol The granling of a permit doos nol presume <br /> to give au�horily lo violale or cancel tho provision of any olher slato or local law rogula�ing construclion or lhe periormance o� <br /> construr.lion.That I am authorized by Ihe owner ol this property to perlorm the work for which application Is made and I comply with Ihe <br /> Statc Conlraclors Law 1827 RCW and 296.200 WAC. <br /> Signaliuo ol OwnodConlractodAulhorized Ayent Date �/Z <br />