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/ja� /Q'�N� ��Gyo ,G�i�e����.�rrr �o�a7-o� <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERF.TT,WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED rROM 8 AM TO 1 PM 7l((, �O� <br /> SITE ADDRESS PARCEL TAI(I.D.N PERMIT I <br /> . NT� OS D ��' <br /> LE6A LOT NO. BLOCK TRACT OH SUBdVISION R <br /> DESC. <br /> 1 <br /> /�E�-i/�� .3003 1�/EST ��.��a � <br /> TENANT NAMIE I COHTACT FOR PERMIT PNONE <br /> I e�N� <br /> ��UlyIG <br /> CONTR.LICEN9E II ��n #t��� <br /> l� .J <br /> U8E OF BUILDINO EAT 90UHCE I CONTRACT PRICE OF WORK <br /> /�, Elactric _Gas_Olher � <br /> �� /��QJC� ._ <br /> WORKDESCRIPTION '�5�,8� �ju �,V�f AGG ��: <br /> PLUMBING MECMANI AL <br /> N0. TYPE Of fll(TURE OR ITEM N0. TVPE Of FI%7URE OR ITEM <br /> Toilet _ A/C-air handling units <br /> Bathtub _ Forced eir systems <br /> Leva�ory(wash basinl _ Ges pipinp <br /> Shower _ Weter healer <br /> Kltchon sink 8 disposal _ Ges lireplace <br /> Dishwasher _ Gas range <br /> Clathes weshcr _ Clolhes dryer <br /> Water heater Range hood <br /> _ Sink(sorvicePoar/mop'e�c.) � Echaust len <br /> Backllow preventar Heat pump <br /> Urinel Unit healer <br /> Drinking Founlain _ Boilri <br /> Floor drain _ Reirigerelion i <br /> Grease trep _ Woodslove <br /> Hoof drains _ Other_ <br /> -- Olhor ._ -- - -- — <br /> CITY OF EVERETT LOCAL SALES TAI(CODE IS 7105 <br /> I horeby ceritily thal I heve read end exemined ihis epplivetion and know Ihe same to be Ime and correcl. All yrovisions ol laws end <br /> ordinaces governing tY�s type of work will be complied with whelher specilied herein or not.The gianling ol a permit rloes nol prosume <br /> to give authority to violate ur cancel Ihe provision ol any other state or local lew regulating construclion or the perlormance ol <br /> construction.Thal I am autliorized by the owner ol this property to peAorm the work lor which application is made and I comply with Ihe <br /> Sla�e Contradors Law 18.21 RCW anJ 2A6200 WAC. <br /> ��' ��� `' - � 7���� <br /> Sig u ot OwnedContraclod u onzed gent ate <br />