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( % <br /> - - -- _ --___ - <br /> �------- ------ ---- - <br /> PERMIT APPE ICATION <br /> CITY OF EVERETT PERMIT SER!/ICES <br /> 3200 CEDAR STREET, EVERF_TT, WP 9£t207 <br /> 425-257-8810- FAX 425-257-8857-www.everellwa.org <br /> APPLICATION5 ARE ACCEPTED FROM 8 ANl TO 4 PM <br /> 47z7 A��(��C�1 W C�P�EL TA�I.D.�� I �i��_� <br /> Q �a 17 <br /> LEGAL L NO. OLOCK TRACT OR SUBDIVISION q <br /> oesc. $- � Uf7 D� <br /> OWNFR ADORE55 GI VlZIP PHONE <br /> E��uirl ���+icS�C 2�31 �-2Tttl/�A- �ue!'�(�1�! -�j�'�,,�( <br /> TF�NT�ME��� � � I �O��A���G ERMIT PHON �— <br /> 41� - 1 <br /> k N � � E�MAIL �v,IJ�IA�IC�V��' <br /> �NTRACTO�e�ec'slf���' AUUP.J'�17r-•� OR7lj1� �W../ �qr(pU��21P _PHONEI"1L��)32 �' <br /> � L �' <br /> CONTR.L�CENSEMIAQ�,/�StiU3S�� ror �l.ck;k-�-'Y'.�,-�l ,�,vT. 9�Z�3 <br /> r� z <br /> USE O 8 ILDING I — HEAT SOURCE I CONTRACT PRICE_,QF VyORK <br /> R��Y ' <br /> v [leclric Gas Other I�� v�U/ <br /> WORK DESCRIPTION <br /> ��.�}-u,1�1 � t�a.l( 5���,5 <br /> PLUMBING I MECHANICAL <br /> NO. TVPE OF FIX7URE OR ITEM NO. TYPE OF FI%7URE OR ITEM <br /> Toilel A/C—air handling wiils <br /> Balhtub Forced air systems <br /> Lavalory(wash Sasin) Gas piping <br /> Shower Water healer <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clolhes washer Clolhes dryer <br /> Water healer Range hood <br /> Sink (servicelbar/moplelc.) Exhausl fan <br /> Backflow preventer � Heal pump <br /> Urinal Unil healer <br /> Drinkiny Founlain Boiler <br /> Floor drain Refrigeration <br /> Grease lrap Woodslove <br /> Roof drains Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I here6y certify Ihal I have read and examined Ihi�application and know the same lo be Irue and correcl. All provisions ol laws and <br /> ordinances goveming Ihis type of v�o�k will be complied wilh vrhelher specifed herein or noL The granling of a permil does not presume <br /> lo give authoriry lo violate or cancel Ihe provision of any other state or local law regulnling constmclion or the perTormance of <br /> conslruction. Thal I am aulhorized by Ihe owner of Ihis property lo perform the work for which appfication is made and I compiy with Ihe <br /> SI�Con�rs La�v 18 27 RCW and 296200 WAC. <br /> � � jLt �,- i�- �v <br /> Signature of OwnedCo tractouAuthonzed AgeN Dale � <br /> � <br />