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r-� <br /> +� '. <br /> � PERMIT APPLI�CA�ION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810–FAX 425-257-8857–www.everettwa.wg g .�(, .-'7 <br /> ApPLICATIONS ARE ACCEPiED FROM 8 AM TO 4 PM <br /> SfTEADDRESS "nt,�. /1- PARCELTAXLD_i �RMfT <br /> r s� E��e�-�- � .t c�E�� .� • � 3�, ��-� 1��- �' <br /> LEGA LOT NO. BLOq( 7H�►CT Oli SUBOI��SION i <br /> oesc. � 3 <br /> 5eeo--ikc,.� �S'iu� <br /> ��1� l�2 t�u A 3-Tt � [ � Z.(:.'Ll �JI CTL'1 it6 J.�-v r � -� � c u-c.l 3z�{---��4-I 7 <br /> TENANTNAYE CONfACTFOHPEl�fT �E C4-Z5� G7u. C .�- <br /> Pgy�es _� . s � - r_a1��� a�n�s rr. <br /> E�IAIL h c�"i`"o'i�:•Te-f..c.n�-� <br /> M.7a�rJ GC,v1?'Racn..� 4a L�r�� E•'7u-�'7c,t�. <br /> I '(�L't - •�G.i <br /> COHiA.uCENSE I ( ��L � �,Y�•.+••�w.. �7 c�� �i$t i t� <br /> M uc� J U�1 Y L N .7 �_}�.p ��,��� ,-,�' � <br /> �E�8��� I — HEAT SOURCE CONTAACT PRICE OF WORK <br /> C,�..,�.�-.rz � _�_ar� .^- �(,G' v.,�, <br /> U f=S'–+•c:� <br /> WORK DESCRIPTION �(�'M c�y L c:X�$ 77 v G P3.fZ%l 'T'/ �ti j poc�!r,f �/v�–C:=..,,e� T <br /> C Q'��- l..-+ ��G_.�L � I v 571' 'L.i. �v ��..: {��TTt� .J�� 1 �V �T'C'�-�..r2 Pv�2j � � I <br /> GI31 (-` L-� '-'�-1�- I'/3--1 �J_1Nt �i' Fa.�,�tL�U � c..3Y� NCS <br /> PLUMBING MECHANICA <br /> ra. �ra�aF Rx�ur+e on tTe� No. �rrE oF AxtunE oe rre� <br /> Toilet _ AIC-ak hardGnp wrts <br /> Bathtub _ Faredairsystems <br /> lavatory(wash basin) — ��� <br /> Shower _ Wffier heater <br /> IGtchen sink&disposal — ���� <br /> Dishwasher — ��"� <br /> Gothes washer _ Clothes dryer <br /> Water heater _ Range hood <br /> �� Sink(service/bar/mopletc.) _ Euhausi fan <br /> Backflow preventer — ���mP <br /> Urinal _ Urit heater <br /> Drinkirg Fountain — �� <br /> Flaordrain _ Refrigeratian <br /> — Woodstove <br /> _ Grease hap — a� <br /> Roof drains — <br /> Olher_ --- <br /> CIfY OF EVGRER LOCAL SALFS TA%CODElS 3106 <br /> I heroby ceritity that I have read and examinetl this appRcetlon and know the same!o be tnie and cortect• M Provisfa�s of laws and <br /> ordinaces goveming lMs type oi work wi�l be complied with whether spedfied he�ein or noL The gmntlng of a permit does rwt presume <br /> to give autFarity to vidate or pncel the(xovi�on of arry other state a local law regula��9 conshucUin or the performance ot <br /> conshudion.That I am authorized by the owner ol this poperty to perFam the wo�ic�or wrlwch�pN��ion fs made ard I comply wilh itie <br /> State Conhactors Law 1827�and 296200 WAC. <br /> �� ���� � I �/U 7 <br /> Sign•at�otDW�rlContraclodAuthonzed Agent Date <br />