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P�RMIT APPLICATI <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810-FAX 425-257-8857-www.everoUwa.ag <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 1 PM S�3I"Ob <br /> 81Tt ADDRESS PARCEL TAX LD./ � <br /> D c ' <br /> LE LOTNO. BLOCK TRACT <br /> OESC. <br /> TENANT NAME I CONTACT FOR rE111MT h� . <br /> CONTRACTOR fibb��dil1��//^�''� ��� ' ~�� � . <br /> s /06 iY�/,� t>s� yw��� 1'sr-�l�'N 2 <br /> CONIR.LICENSE N F/0�,�/�/��C�Z�DO �1 <br /> USE OF BUILDINO HEAT SOURCE �P���� <br /> _Electrk _Gas_Olher ��ZOO <br /> WORK DE8CRIP110N � ��`� <br /> �1.�r4�� <br /> PLUMBIN(i MECHAN AL <br /> NO. TYPE OF FIX7URE OR IiEM NO. TYPE OF FO(711RE OR 11EY <br /> ,�, Toflet _ NC—Nr hrwflkq unNs <br /> ���y _ ForcedaksysEems <br /> � Lavalory(wash basin) — W�� <br /> Shower <br /> Kitchen sink 8 disposal _ ��aP� <br /> � Dishwasher — �8�� <br /> Clolhes washer _ G°th°°dryer <br /> _L Water heater — R�� <br /> � Sink(servicelbadmop/etc.) _ E�duual tan <br /> � Backflow preventer — �P��P <br /> ,� U�(nal _ UnR heater <br /> Drinking Fountain — ��� <br /> 3_ Floardrain — W��� <br /> L Grease hap — <br /> Roof drains — �� <br /> � Other �a��'/�P f'`l.f' — <br /> __L__ �r ii�t r �i�2C_ I — <br /> CI7Y OF EVERETT LOCAL 8ALEE TAl(CODE IS 7103 <br /> I hereby ceriGry that I have read and e�mined this apalfcatlon and know tFs same lo be true and corroct• AO proNdaa o(I�ws e�d <br /> ordinaces goveming this lype of work will be complled with whether apecMed herein or ral The praMing oi a PemQt doss not Pr�u� <br /> to give aulhority to vfolate or cancel the provision of any other state a bcal lew regulatlnp conatructlon or 1M ps�formance M <br /> constnrcUon.That 1 am euthorized by the owner of this property lo pertortn Uie wak for whkh appliratbn is m�de and I compy wilh Ihs <br /> State Contradors Law 18.27 RCW and 296.200 WAC. <br /> i p �'� 5 - 3/-o! <br /> S ture o Owner/ ontractar Authonzed Agent ete <br />