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�l3Y E. L(i�� [:L6Yh� <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STflEET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FHOM 8 AM TO 4 PM <br />SITE ADDRESS � <br />��E�A LOTNO. <br />DESC. <br />OWNER <br />�iL� <br />fENqNTNAME <br />cr�i�a¢u�inq In� �4i5 8r wa.� �.ve.rett c <br />COMTH LCE se <br />C�11�;� nq �R4_____ <br />USE OF 8UlLDING HEAT SOURCE <br />v Eleclrl� _Gas_Other <br />WOpK DCSCRIPTION <br />InSiu,�l d�cS4�1,isS h�-t �u�n,�' <br />���• I TYPE OF flXTL1RE OR ITEM <br />I ollet <br />Bathlu6 <br />Lnvalory (wash 6asin) <br />Shower <br />Kltthan slnk & dl5posal <br />Dishwasher <br />C�olhes w26he� <br />W6fer he3ler <br />Sink (serviceibar/mop/etc.) <br />Backllo•.v prevCnier <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grvacetrap <br />Roo� drnins <br />Olher <br />�vo.23�1 f'. 2 <br />�� ` <br />PERMIT M <br />5 <br />�+252S91o%611 <br />CONTRACT PRICE OF WOFK <br />�!�(05. U-R' <br />N0. I TYPE OF FD(TGRE OR ITEM <br />A/C — air handliny untls <br />Forcnd alr systorns <br />Gas plping <br />Waler hoalcr <br />Gas fireplace <br />Gasrenpa <br />Clolhes dryer <br />Rang� ��ood <br />Exhausttan <br />Heatpump <br />Unit hoatr.r <br />Boller <br />Relrigcratlon <br />Woodstove <br />CITy OF EVERER LOCAL SALE9 TAJ( COD� �9 3105 <br />1 hereby cerlli(y Ihat I have read and examined Ihis applicallon anA know the same (0 ba true and cor�ect. All provisions ot laws and <br />orAinflces goveming Ihis lype of work will be tomplied with wholher specdietl hereln or not. The granting ol a permii does not presume <br />lo grve aulhotlty to vlolate or cancet iho provislon of any other slate or local law regWating construc�ion or the pedormance ol <br />consirvction. That I am aut�ortzed by Ihe owner o( lhis properry lo perlarm Ihe work for Which applicalian is made and I comply with the <br />Slatc Cpntracbrs Law 18.2> RCW and 296,Z00 WAC. <br />�_ . . � •� _ _ <br />