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PEl�"A.T APPLICATI�N <br />CITY OF E�fERETT PERI�IT SERVICE� <br />3200 CEDAR STREET, EVERETt, WA 98201 <br />425-257-8610 — FAX 425-257•9857 — www.everettwa.org <br />APPLICATION9 ARE ACCEPTED FROM 8 AM TO 4 PM - OEBIT & CRECIT CARD3 ARE NOT ACCEPTED <br />91TEA�D� �/_�Oy j�V�� DQT�I,�DGG#(�IO 0i� I � RM)T# _ � <br />_j <br />LEGA1 LOTNO. eLOCK TRACT � x e e�- <br />o=sa �'� —/� � UOL.OYI E� v� PJ=+�-c� Pe�+e �� �`�..,..�"r <br />?��r �UC�zc r T CUn��c ��90 I�IoYT� Ei/��FTr -i��o / <br />TENANT NA.ME CONTACT FOR PERMR PF ON6 <br />��' �� C�� r� i� ��.s-as�- i� � 3 <br />CONTRACTOR ` AUDRES9 CITY2IP PHONE <br />rS�M F(�FF7��/Goatr p� <br />CONTR.LICLNSEC ��slr �D��pLNF LJ( �2RG �p��7/^S�DO <br />'C,nF2e�o�7 MN <br />USE OF OUILDING <br />WORK DESCRIPTION <br />��O�aL <br />HEATSOURCE <br />� Elsctrlc X Gas _Othar <br />CONiRACT PRICE OF WORK <br />.�` o'� c'JO O• o° <br />IT/Dn.l a� EXtS?�n1 G� f!flUs C-'" <br />NO� I riPE OF FIXNRE 9R ITGM <br />Toilet <br />� Bethtu6 <br />Lavdtory (wesh beain) <br />Shower <br />^ Kitchen alnk d dieposal <br />_ plsl7wesher <br />Ciothes washer <br />Laundry ;rey <br />Sink (service/bar/mop/etC.) <br />Backflow preventer <br />^ Urinal <br />Drinkinp Fountaln <br />� Floor tlraln <br />Grease trap <br />� Roof dreins <br />Olhsr <br />NO. I TYPE OF FIXiURG OR R@M <br />fVC — air handling unita <br />Foresd alr eyatems <br />Ges piping <br />Weter heeter <br />Gas fireplace <br />Gas range <br />Clothes dryor <br />Ranpehood <br />Exhauattan <br />Heat pump <br />Unit heeter <br />Boiler <br />Rafriyeretion <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL BALES 7AX CODE 13 7105 <br />i hereby carillfy that I hava reed and ew3mined lhls spplicetion and know lhe eame M be we and rorrect. Ali provi�lone oF lews end <br />ordinaces goveming lhia rype ot work will Do compliatl wllh whather specified her�in or not, The grenUng ci a permit do�s not presume <br />to give authorlty to vlolato or cancel the orowslonp i eny other atate or locel lew ropulaling coneitudlon or tha peAormance oi <br />co on. That I am author¢ed by Iha o+�ney�t ihie properry to per(orm tho work for whir.h applicntlon Is made end I comFly wilh the <br />a:e Con racloB Law 1$!19 R291� and 236.7,90 WAC. <br />� . ��.;��0'� 1:U:�� ll:u3n: Il��l�,�� '-_�jii�':�l'�11� <br />"66 <br />