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�� _ -� <br /> PERMIT APPLICATIQN <br /> CITY OF EVERET�T PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �p "a-� `�I <br /> SITE ADDRESS I PARCEL TAX f.D.p PE IT# <br /> �';���-a3 <br /> LEGA LOT NO. BLOCK f TRACT OR SUBDIVISION R <br /> DESC. I <br /> OWN R • ADD E53 CIN21P PH NE <br /> l�itf l'r�-F-F� �oi� f�yf 1���. C�.rictf �i�2o� �s��x� i��b <br /> TENANT NAME I CONTACT FOR PERMIT PHONE <br /> E-MAIL <br /> 0'ryTRAC ES � <br /> I�D f'�1 ce�C�{in� 1 �G2�� �S�h !�✓�. � �/�.�t L��`ILII �I�DIZ �ZS��ld3•79�"(i <br /> CONT .LICENS�Ro�1ze2 <br /> USE UF BUIL�ING HEAT SOURCE CONTRACT PRICE OF WORK <br /> _,Eleclric _Gas_Othor �����7�'�� <br /> WORK DESCRIPTION <br /> %ar 6FF cxis�ri1�/ 3 fa.�crs �� �Qdfn� �a�er�'al. lnsf���� 'l�'' c'lyC <br /> GVcr ex�s�iiiy ski� 5�ie.c-hri� . lns�n.11 �rr- L�znarna-�e sGuhy(u . <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXiURE OR ITEM <br /> Toilel _ A!C–air handling unils <br /> Bathlub _ Forced air systems <br /> Luvatory(wash basin) _ Gas piping <br /> Shower _ Watcr heater <br /> Kilchen sink&disposal _ Gas fireNlace <br /> Dishwasher _ Gas ranga <br /> Clotheswashar _ Clothesdryer <br /> Walcr heater _ Range hood <br /> Sink(servlcelbarhnop/elc.) _ Exhaust fen <br /> BackOow provonler _ Hoat pump <br /> Urinal Unit heater <br /> Drinking Fountain Doiier <br /> Floordrain _ Refrigerelion <br /> Groase Irap _ Woodstove <br /> Roof drains _ Other <br /> Olher — <br /> CITY OF EVERF.TT I.00AL SALES TA%CODE IS 9106 <br /> I horoby corlify that I have road and examinod this applicalion and know the same lo be Irue and correcl. All provisions of laws and <br /> ordinances governing ihis lype of work will be compliod wilh whelhor specified herein or not.The granting ot a permit does not pmsume <br /> to flivo orily fo violale or cancei lhe provision of any olher slate or local law regulating conslniclion or Ihe performance ot <br /> conslr II n.The!I am aulhorized by Ihe owner of lhis proporfy to perform tho work for which appticalion is mada and 1 compiy wltli lho <br /> Stale on actors Law 2i RCW and 98.20 AC. <br /> �,J � G-Zi-Z�ii <br /> ignal r af Owned o raclo lwthodzed A Dato <br />