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P�r�MIT APPLICATIG�d <br />EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — fAX 425-257-8857 — www.everettwa.org <br />SITE ADD�R+ESS <br />�.��� �\��r1�Lf� <br />TENANT NAME CONTACT FOR PERMIT � PHONE <br />�.,c��� I ��►e�, Ne.E>,��u�� �4as-3`��-`�33�5 _ <br />CONTRACTOR ADDRESS CITY2IP PHONE <br />"ei �'T l'c�r— <br />WORK DESCRIPTION <br />h�E�rn'�no� oP�r4�k.�li� <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Cbthes washer <br />Laundry tray <br />Sink (service/bar/m�p/elc.) <br />Backflo�.v preven(er <br />Urinal <br />Drinking Fountain <br />Fioor drain <br />Grease lrap <br />Roof drains <br />Olher _ <br />1�.7'i�Ov��lo�ca�� G%}�eil 't,JbU��'��lU'li'. <br />wc — air nanaung unrts <br />Forced air syslems <br />Gas piping <br />Waler heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Rangchood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />I hereby cerilify lhat I have read and examined this application and know lhe same to be true a^d correct. All provislons of laws and <br />ordinaces governing this type of woik will be complied with whether specified herein or nol. Thn granling of a permit does not presume <br />to give aulhority to violale or cancel the provision of any other state or local law regulating constructlon or the perfortnance of <br />construction. That I am authorized by lhe owner of this property to perfortn the work for which application fs made and I comply with the <br />State Contraqtors Law 18.27, RCyV and 296.200 WAC. , , � <br />