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f� <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVI�ES <br /> 3200 CEDAR STREET, EVE4ETT,WA 98201 j <br /> 425-257-SS10—FAX 425-257-8857—www.everettwa.org i <br /> APPLICATIOlIS ARE ACCEPTED FROM 8 AM TO 4 PM �2�j_Q�j <br /> SfTE ADORE83 PARCEL TAX I.D.i I /�/Z �"' <br /> a31�z! h�.�vo Av�' oo s�39/s�d�a2 iio � <br /> �cn �or No. e�ocu TM"cT ' <br /> oesc. �/. ,z? 1�d <br /> �R ,��� �� �«E ar- � <br /> ✓,4�i'El �Ou/aitDs' �j-}2 �a�NO �¢d� EY�J'1F'T� 9�0/ 6'102 <br /> 7ENANTNAME !- <br /> I CONTACT FOR PERMT PlIONE <br /> ��A7f ..V�'/�/� _ <br /> �CT� ��� qTM�pp PlIONE <br /> Cq17R LICENSE• <br /> USE OF BUILDING I HEAT SQIIRCE I CONTRACT PRICE OF YY�RK <br /> /J � I <br /> /�ff/Of1dC�' _E�edric ✓Gas_O:her � <br /> WORK DESCRIPTION <br /> ^/Fl✓ �f f�2vte'(P.r�) r=v2 Nwh� �rr�rr.�r�� <br /> PLUMBING MECHANICAL <br /> NO. <br /> rvrE oF FlxTurt�oa n-�r wo. rne oF flxtuaE oa ir� <br /> AIC—air handling unds <br /> Toilet Foroed air systems <br /> BaMtub s PW�^9 <br /> Lavetory(wash basin) yy�r heater <br /> _ Shower �y fiR� <br /> _ KRchen sink 8 disposal — r�D ro� <br /> _ Diahwasher — ��dryer <br /> _ Cbthes washer — ��� <br /> Laundry trey — Exhauat fan <br /> Sink(servioe/barl.nop/etc.) — Heat pump <br /> Backfl°w PreveM�r — Unit healer <br /> _ Urinal — gal�r <br /> _ Drinking Fountain — Rehigeration <br /> Fbordrein — yy�datove <br /> Grease hap — p�r <br /> Rooi drams — <br /> Other — <br /> qN OF EVERETT LOCAL 5ALE6 TA7(CODE 16I106 <br /> I heieby ceritiry that I have read and ezamin�W this application and knowthe�M� �9ro�.�°����s rr�t presume <br /> ordinaces governing this type oi work will be complied with whether sPeafied ���a���ence ot <br /> to give authoMy to violate or can provision of any other state or local lew repu�atin9 <br /> mnstrudion.l j t I the owner ot lhis propeAY to perfomi the vwA�fo�w�'id�ePP��°^�m�and I comply wilh Me <br /> State Cont a .CW and 296200 WAC. <br /> // Z d <br /> Sign�tu o � o � A�^� � <br />