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r� <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �I�l 3..-(�� <br /> 425-257-881 C-FAX 425-257-8857-www.everettwa.org <br /> APPUCATIONS ARE ACCEPTED fROM!AM TO 1 PM � /O�I�j <br /> SITE ADDRESE PARCEI TAI(I.D.R P • <br /> 4 Pl�IFIC. A�VE DOH'37s7 301800 — <br /> LEG✓+ LOT MO. lLOq( TRACi <br /> oesc. I .Ig'}�O 7a �'O� <br /> OWNER ADDRESS CITYlDP PNONE <br /> puc,�rso��►o ►c►O�►EY �tRS• �ooS PAUF�� �rve L�r�94wi <br /> TENANTNAME I CONTACTFOR►ERM7 PMONE <br /> ��1� Qq�,l. ppr+Ol-�TfON K� �REas arvmr ►� <br /> 331U CY��$TNuTSL� @H�E��?OI H�S'j31'3111 <br /> CONTR.LICEN�EoO�� N U <br /> wR�c.K� <br /> USE OF BUILDIN6 I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Ekctric Gas Olher <br /> WORK DESCRIPTION <br /> pFM(JL►TION OF NOu$p5 <br /> � PLUMBING MECHANICAL <br /> p0. TYPE Of FIXTURE uR ITEM NO. ME OF fl7I7VRE OR ITEM <br /> _ Toilet AIC-air handling units <br /> _ Bathtub Forad eir aystems <br /> Levatory(waah baain) Gaa piping <br /> Shower Water Ix�kr <br /> Kitchen�ink 3 disposal Gaa'irepleoe <br /> Dishwasher Gea tange <br /> Ciothes washer Clothee Oryer <br /> Laundry tray Range hood <br /> Sink(service/barlmop�etc.) Ezhaust fan <br /> Backflow preventer Hea�pump <br /> Unnal Unll heater <br /> Drinking Fountein Boikr <br /> Floor drain Relrigeratbn <br /> Grease trap Woodatove <br /> Rool draL.a Other <br /> Other <br /> qTV OF EVERETT LOCAL 5ALE8 TA%CO(IE IS NOi <br /> I hereby ceritrfy that I have read ond examined this application and know the sartx to be hue end cortect. All provisiona ollawa snd <br /> ordinecea goveming thia type of work will be complied with whether apecified herein or not.The grenting of e permil doee not p�eaume <br /> to give authonty to violate or cancel the pmvisiun of any other stale or local lew reguleting construdion or the performance ol <br /> consWdion.Thal 1 am aulhonzed by ihe owner oilhis property lo perfortn lhe work tor which application is made and I comply wAh the <br /> State Coniradors Law 1827 RCW and 296200 WAC. <br /> ��/%�o '`//��O> <br /> � nature of Owner ontraAorlAuthonzeO gent �� aT te <br />