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PtRMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810-FAX 425-257-8857-www•evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT 8 CREDIT CAROS ARE NOT ACCEPTED <br /> PARCEL TAX LD.M P��T� <br /> s�nu��ss MO'1 l I-dG� <br /> a y� �� T <br /> LEG LOT NO. BLOCK TMCT <br /> DESC. CIT�,/Lp pNq1E <br /> �R ADDRE86 <br /> F�.-4/Y ��c��72 P B. ,t�o,� ��60� �-v. �d?od ��-.2J4�i <br /> TENANT NAME <br /> I CONTACT FOR PERMIT ��E <br /> ADDRE93 CmIZIP ��E <br /> CONTRACTOR �'Xj/ OZ�i2 ��II� <br /> EYr'YL6/lcz-',✓ 5T• /�e'J0•— i4/G �/�O f�i0�/t'/G A� bY� <br /> CqITR.LICENSE t � <br /> G D �OT �pNTp/►CT PRICE OF WORK <br /> USE OF BU1LD�1Ki HEAT SOURCE <br /> A�y/`�✓�/9,Z— _Electric �is_Olher ��00 � <br /> /[{�i7 <br /> WORK DESCRIPTION � G'�� �Q��OE <br /> =w�cc. 6.4-s ��� ` <br /> PLUMBINC, MECHANICAL <br /> NO. <br /> TYPE OF FIXTURE OR fTEM NO. TYPE OF FIXTURE OR ITEM <br /> FUC—air hendliny unNa <br /> _ Toilet � Fwced rir syqems <br /> Balhtub Gas pipfnp <br /> Levalory(wesh besin) — Water Maler <br /> _ Shower Gas firoplau <br /> Kilchen sink 3 disposal — Gas ronpe <br /> Diahwesher Clothes drysr <br /> Cblhes wesher — Ranpe hood <br /> _ Leundry trey Exheusl(an <br /> Sink(servicelbar/mopletc.) — Heat pump <br /> — gacMlow prevanter — Unit heater <br /> Urinal �oibr <br /> Drinkinp Fountein — Relriqeretion <br /> Floor drein Woodstove <br /> Grease trap — p��r <br /> Roof dreins — <br /> Olher�� — <br /> CITY OF EVERETT IOCAI gALE3 7A7f CODE IS�106 <br /> I hereby ceritify thal I have rea�d e���Im���iedPwilh�whether spedfiedHere n ornot TM Bren inp o al pertnk does no p a me <br /> ardineus goveming this type <br /> to give authority to violata ar cancal the provision oi any other alat�e o���the woAcUtor'whi�ch epplic'a ion u made e�nd�l comply wilh the <br /> construdi . I am aulhorized by tM owner of thfa property Ps <br /> Stat ontracto Lew 18.27 RCW d 298.200 WAC. <br /> //- Yo <br /> ignatute o wner/ ontrector ul onze gent <br /> ate <br />