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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROIA 8 ANI TO 4 PM <br />SITE ADDRESS <br />TJ2TNAaq�� RO. dls&F.�sfX�%4' <br />LOTNO. BLOCK <br />rs. ma.�•r,�, u��w � <br />�NNG iN/V G/VE�I.�I�//1�GLli P.O, 6MK <br />TFlIANT N1WE <br />f%1 ✓�f B�1GEL5 L�� <br />Q� BE�-���7 <br />ucFrae s <br />USE OF BUIL DIN(1 <br />Jq�T�}/L � I2E5T�4UR.9A/T <br />PARCEL TAX I.D. ! <br />280y/2oOZC <br />TRACT OR SUBDMSIDN • <br />�,eE v�vsasv. <br />�iJAGM/6�WA 98'06s"' <br />CONTACT FOR PEIOAfi <br />/�'lR7T' BAL�COGK <br />HEATSOURCE <br />Eiectric � Gas _ Other <br />�iv <br />• <br />�+E 206- 363 -Y9S0 <br />CONTRACT PRICE <br />WORKDESCRIPTION r6N�N7' 1MpRov6�'��F ��%rNG, i�� /�P6YiR/'3�i�f�'��?� <br />f,'70S�+P. F7; 77�VA•vrShfczG SPAfg RhC USE Oj� A A/ctv R��'Ti4U,fA.�T. NO 7YfE SGRt�lsE <br />hbdD /S pRDPD�ED• NO �'J�4N6E� TP rldE BvlLpi�YG �U/3�OE DF 7?/E 7��1/A� ��E <br />ND U�MNGb-s TD 77YE EXhSRlD,C DV�' nYE BU�tO�MS �R 77r�S✓T� <br />- PLUMBING qu Pcc�yBi�t'i.� <br />ra. I iYPE OF RJ(TURE ON REM ��/(N` �� <br />TOflet I fX/ST��� � ��+/ <br />Bathlub <br />Lavalory (wash basin) � ENisT•GLG� <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher �oA►^�ReML <br />0 <br />Cblhes washer � <br />Waler heater EX/9n'�?"i � <br />���. <br />Sink (servicelbadmop/elc� � <br />Backtlow preventer . <br />Urinal <br />Drinking F�unlain <br />Floordrain E r��✓G <br />Grease trap <br />l Ny'W <br />�� <br />Roof drai E2Cl51'�''u �'M �'E�4�'� <br />Other <br />TYPE OF FIXTURE OR I7EM <br />A/C — air handM1ng units <br />Forced air syslams EJflSilN6 <br />Gas piping <br />Water healer <br />Gas firepiace <br />Gas raage <br />Cblhes dryor <br />Rangehood T/PBQ <br />Exhaust lan / ExKTi � 1 NFsw �Ar 7D/[ETk <br />Heat pump � <br />Unit heater <br />Boiler '�1� y��4b <br />Refrigeralion � <br />Woodslove � ����� <br />Other <br />CRY OF EVEHETT LOCAL SALES TA% CODE IS 3105 <br />I hereby ceitiFy lhat I have read and examined this applicatian and know the same to be Irue and cortect. All provisians of laws and <br />ardinaces governing this type o( work will be complied wilh whelher specified herein or nol. Thn granting of a permil does not presume <br />to give aulhority to vblale or cancel the provision of any olher state ar bcal law regulating conslruction or the peAormance of <br />conslruction. Thal I am aulhorized by the owner of lhis property to perform Ihe wa�lc for which applicalion is made and I wmply wilh the <br />M4lT ���cOcK <br />��a <br />