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� <br /> �cRMIT APPLICATidnl <br /> CITY OF EVEREIT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.everettwa.org <br /> APPUCATIONS ARE ACCEPTED FROM 8 AM TO A PM <br /> SITE ADDRE39 PARCEL TAX�.D.R PERMIT it <br /> I�l�l OOOOI]colUO ►"`'� ��13��G37 <br /> LEGA � LOTNO.�� 9LOCK TR/1C7 � <br /> DESC. <br /> NE A��RESS IP B- ���.. N2S� <br /> rr.F. (.����r 4.,�P 194n1 �Il�'� w. $� � ��,°� .�t co-a 9�Md. <br /> TENANT NABIE CONTAC7 ROR PERMR PNONE <br /> FF. O�oPn�i�r L, P. I P�r►J Co��vA� '-tZ�= 32fd -a-to� <br /> GONTRACTOR. �'�N GCi� ADDRE55 3'� p �'j CITVlZtP PHONfl <br /> TN14i� S'S"P�G.'t' ZG�•�7Z���3l0$ <br /> CONTR.LICENSEM ��,��y� n�y1,1�1 ��Z.�u�!} <br /> A� IJ��NIV q8��g�'13� <br /> USE OF BUILDING I HEAT 30URCE ( CONTRACT PRICE OF WORK <br /> �l..Tl'��yy�(� v Electric �Gas Other � ''Z <br /> WORK DE9CRIPTION • <br /> �I�TIh)C� N�1r.1 Ga�srV.ur.�-taJ `IM.u�'ri�,Mv►,�u-1 <br /> � PLUMBIN ECHANICAL <br /> NO. TYPE OF FlXTUR!OR ITEM NO. 7YP[OF FI%1'URB OR ITEM <br /> Toilet A!C–eir handlinp wit� <br /> _ 6atNtub "— F�rcednirsystems <br /> Lawtory(weeh basin) + Ges piping <br /> Shower Water hoatet <br /> � Kitchen sink&disposal Oas fireplace <br /> Dishwashar ` Gas renpe <br /> _ ClOthes washer � Clothos dryer <br /> Weter heater Range Iwod <br /> � Slnkf�eM�eber/mop/ctc.) � Exhausttan <br /> _ B�ck}low prevonter Heat pump <br /> Urinal � Unil heater <br /> _ Ddnkhiy Fountain , Bolier <br /> _ Floordrain � Refrige2tion <br /> _ Grcaaetrap Woodstovo <br /> Roofd�alns � Olher <br /> -- Other <br /> CITV OF EVERETT LOCqL 6N.E$TA7C CODE IS]105 <br /> I heroby ceritify that I have reod and exemined this applicatlon antl know the same fe be tn,o�ntl comet. All provisions oi ua�ana <br /> ordinacm goveming this type of work wlll be complistl wlth whetho�epeGNed txroin or not.The granthg of a pertnit does not presumo <br /> to give authort ro vblato or caneW tM prov(sian of arry oMer state or local Isw regulatlng construcHon or the performance of <br /> consir�ctio at I om a ed by the awnor o1 this proporly h>per{ortn fhe work for whleh apD�ication Is m2de antl I comply with the <br /> State Co ors I.ew 1 CW and 296.200 WAC. <br /> ..�-=--.-� I �, 0 (� <br /> pn e er on ctor! u o zed gent ate <br /> b�'� <br /> v�°e° <br /> 1 � <br />