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( t <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8310-FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �(f�-bG"IO <br /> ADDRE33 PARCEI.TAl(I.D.N RMIT* <br /> 30� (Yl� (Zl L C. K t,� n Na Z.4030 S � O O ' ��� <br /> LE LOTNO. BLOCK 'fRACTORBUBDMSiONt <br /> DESG. <br /> �R ADUREBg GTYlDP P E <br /> (h C�, E�E C.000 ��;vbc..s�rt'i �'r s7� 2.�szo ,�rr� �,�JA 9gio <br /> 7ENANTNAME CONTACTFORPERMfi PHONE20Co-.5�5 � �Jr2� <br /> ��T�- TF.�r�N (GS I�D ��t�.1sTE�J'� e�a�b-�Q��Yn2tlo`Y1A� <br /> �. RS"�fj`C� (Y1�GN9J��CFk- $`TO�S �ZryO 10EaSru1H 9&�0:3( <br /> Co►mt-uCENse i s�T�m e�y� c� � ��� �1 2o(O- 5'75"782'7 <br /> HEAT SOURCE CONTRACT PRICE OF WORK <br /> USE OF BUILAING �z; QOO • Da <br /> _EieNic _Gas�Other <br /> WORK DESCRIPTION \1J�CH�11�G� N G� w�ItSG� F 1 XTV�S <br /> PLUMBING MECH C <br /> NO. 7YPE OF Fll(7URE OR ITEM <br /> N0. 'M'E OF FIXTURE OR ITENI <br /> AIC–air handling units <br /> � Talet — Farcedafraystems <br /> gathW6 ' Ges pipi� <br /> � Levatory(wash bssln) — y�aper healer <br /> �,_ Shawer = fias fireplace <br /> ptchen sirdc 8 disposal �s range <br /> = DisM�ashet —' Clothesdryer <br /> CloUtesweshef ' Rengehood <br /> Water heater �aust lan <br /> Sink(servic�JbarfmOp/etc.) � Heat pump <br /> gycicAow prevanter — Untt heater <br /> � Urinal -- Boile� <br /> Drinking Fountaln � RgfrigaraGon <br /> � Floa'drain � yv�dstove <br /> Grease trap — p���_� <br /> � Raof dreins — <br /> � ou+��.ii� <br /> � �vr- ur�ii <ra�a� <br /> q7y pp EVERETT LOClU.SALES TAX�E IS 7105 <br /> I hereby ceAih'tha�l hm s�of�wo�rmAl�ln�wmpll�edl�wh�khe�s�ed herein or rwt The 9�^9 of a P��oea Dresume <br /> ordinences govem 9 bPe <br /> to 9�authority to viotate or cence�the provision of any oNier state a bcal lew regulaHng constructi���Is m�e a dal cemply with the <br /> oonstnxtion.That I am auttwr¢ed by the me+�er of this propo�ty to perform ihe work 1or which app� <br /> Stete Gontradors Law 18.27 RCW�d 296.200 WAC. 'O �/t O <br /> nsture OwnerlContradndAuthoriz <br /> eni Da e <br />