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� . <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT oERVICES . <br /> 3200 CEDAR STREET, EVEREIT,WA 98201 <br /> 42rr257-8810—FAX 42�r257�857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROAA 8 AM TO 4 PM <br /> SITEADDR ��� � �,� oo��E��a q o�-�o �i"o - o <br /> IEGA LOT NO. BIOCK TRACT OR SUBDM910N 0 <br /> DESC. <br /> p�fle nooaEss cmmv anor� <br /> 4pb �oc gs.r��.c� �¢- ���•�1's9 • 3�/2 3 <br /> TENANTNYIE � CONTACTFORPERMIT PMONE �`p �a8 �OO <br /> I�'(�/c�. � U��10.A'1 E�d/41�U.1�1.1 tc��1.N�A'V� <br /> CON7RACTOR ���{\ ' � ADDRESS �C1 J 1��Lctn�R�I� PXONE • <br /> �o�,�.��. ��..,...n1�.q�a-� <br /> �e��6 a� aaa a�Q r.�m <br /> U8E OF BUILDINO HEAT SOURCE `CONTRACT PRICE oF WORK <br /> � �ElecMc _Gas_OC�er `7; �O d� <br /> WORK qESCRIPTION � <br /> ! ns1c��� p�e,.��� � �ca.� '�" <br /> PLUMBIN(i MECHANICAL <br /> NO. TYPE OF FlXTURE OR ITEM MD. 7YPE OF fDITURE OR ITEM <br /> _ Taiat „ A/C—airAand�ingw..6 <br /> SaMituC Forc:ed alr syslems <br /> Lavatory(wash besin) _ Gas piping <br /> _ Shower Water�eater <br /> IGtchen cink&disposal _ Gas fireplape <br /> Dishwasher _ Gaa range <br /> Clothe�waeher __ Clothes dryer <br /> � Waror heater _ Renge hood <br /> ____ Sink(aervioelbedmop/eta) E#�aust fan <br /> _ 9adclbW preventer Heat pump <br /> Urinsl Unit heafer <br /> Drinking FouMain _ Boilcr <br /> Floordreln ReNlgeration � <br /> Grease trap Woodstove <br /> � Roof drai� ,- Olher . <br /> Other <br /> CI1T OF EYERETT LOCAL 3ALE3 SAX CODE IS 7705 <br /> t he�e6y certi(y H�at I hGve remd end ezemined Utis application and know the same to be true and correct Ail provisions af laws and <br /> OMinanoee govEtning tlti9lype otworlc will be camp6ed wilh whelher specified heroin or npt The granEng af a pertnit doas not presume <br /> to glve authairy to violete or anoel the provision of arry other sEata or local�aw iepuladng coiuhudlon or the periortnance of <br /> con. on,TTat I am a d by Me ownar otthis propeAy W perfo�m}he wprk ferwhich aoP��eetio�is made and I oomoN With lhe <br /> �ts onEracrors Law t@.Z7 and .200 WAC. <br /> � Saa �-I <br /> asurea NContra ri • a,�em oeee <br />