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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.eve�eMNa.ory <br /> APPLICATIONS ARE ACCEPTED FROM�AM T04 PM g `�'�b <br /> SITE ADDREa8 PARCEL TAX LD./ ����� ,'� <br /> (� � t.J���" � /r i <br /> LE lOTNO. BLOCK 7RACT <br /> oesc. I�I I ✓ J�' J�r�o�J C� . <br /> 98L�s" <br /> �� h +� �S eMw�l :s`�� • �o ��= s�-�s�.a �n�k�[reo <br /> �� ���� � <br /> �s I �'unc,� � Z 6 . 3 } . <br /> `°'"""�'�` �S C � �fso a-rti�•.�d k Se�'te 48'! 99 <br /> CONiN.IICENEE/ w�.5 t�ri �5 �C�J l�� - �i7v : oy/3y9 <br /> U3E OF BUI NO HEAT EOURCE CON��CT�RICE OF M�O�`K <br /> ��-.�'u�—` I _e� �c.s_on,s► M'3,Or,1p � <br /> WORK DESCRIPTION . <br /> �'4r..,c�t a�T ktto �-'�aTG` � ��.. �c �tC'i�G �'O ��S <br /> '�l n+��J T4n�c l e�� �Z o }4��'PJ�.' �`�Nn�C.ti.� �12£l�- <br /> PLUMBIN(i � � <br /> No. Trae oF F�xru�ort rt� No. TrrE aF Fan�e on rter <br /> Toilel — '�—���� <br /> Bathtub _ Farced ak syetenr <br /> Lavatory(wash basin) ��p <br /> Stwwer .� W�� <br /> Kitchen sink 8 disposal — ����8 <br /> Dishwasher — �a�� <br /> Cblhes washer — ��� <br /> Water heater � <br /> Sink(service/badmop/etc.) — ��y^ <br /> _ Backfiow preventer — ��� <br /> Urinal — <br /> Drinking Founlain — B°N°� <br /> Fbor drain — R��� <br /> Grease trap _ Woodsoove <br /> Roof drains — �� <br /> = Other � a n�� <br /> r <br /> cm oF�rtneTr�xa.aues r�x cooE�s»os <br /> I hereby ceritlfy that I have read and exami�ed thfa applicadon end kraw the same to be Uus e�d eonseL AM Provlabro af I�S a�d <br /> ordinaces goveming this type of work will be complied wHh whether apeciHed Mreln or nol Ths Q�an�Mq of e Pamit doss�Pro� <br /> W give authority to vblate or cancel the proWabn of any other stete or bcel lew repuletlrq corotructlon or Ihs D�o�m�a�1 <br /> conatruction.That I am euthorized by the owner of thls properly W perform the worlc(o►which�PW�a�O��S�^����PN�� <br /> State Co�nhado�j w 18.27 RCW and 293200 WAC. <br /> Yit����- S'/.r/oG <br /> Signature o er/ ntractOFlAUUi6ni� ent <br />