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RMIT APPLICATI(yN <br />EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />F�ARsetiView VK. <br />7RACT OR SUBDIVISION M <br />Tae�cr r3 Ra�,sM <br />CAI... Fer2C,�5oN (00( yatseZY�ew l.r�e ��u�Rat? 98Z� '`_�'" <br />TENANT NAME CONTACT FOR PERMIT PHONE rJ2S� ��V-.2 %y� <br />N//T� � • � . � � L�.�i-L � FiP b.i � n... • E-M/UL • . • _ � . . <br />G�ARqGsE <br />WORK DESCRIPTION <br />GeK577t4c� <br />RES t D�NG�., <br />PLUM8ING N/A <br />TYPE OF FIXTURE OR ITEM <br />Toilet <br />BaQdub <br />Lavalory (wash basin) <br />Shower <br />Kilclien sink 8 disposal <br />Dishwasher <br />Clothes washcr <br />Waler healer <br />Sink (service/badmop/etc.) <br />Backflow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Root drains <br />Other <br />KNA'iiA,cliElJ <br />GONTRACT PRICE OF WORK <br />� 3d. �dt'� �= <br />GA�.�c <br />mc�.nHrnn.r�� N/A <br />.� <br />TYPE OF FIXTURE OR ITE67 <br />A/C - air hantlling units <br />Forced air systems <br />Gas piping <br />Waler healer <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust (an <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Olher <br />I hereby ceritify that I have read and examined Ihis application and know lhe same to be true and correct. All provisions of laws and <br />ordinac�s governing lhis type of work will be complied wilh whelher specified herein or noL The granting o( a permit does nol presume <br />to yive aulhority tu violate or cancel the provision of any olher stale or local law regulaling conshuc'ion or the periormance of <br />conslruclion. Thal I am aulhg�+� d by the owner ol Ihis property to periorm lhe work (or which application is made and I comply with the <br />Statel'icnlraclors Law 182 �NLand 296.200 WAC. _. <br />