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x,icti .��- i vj...7� <br /> � <br /> pERIIAIT APPLICATI�ON <br /> GlTY AF EVERETT PERMIT SERVlCES <br /> :200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.org n <br /> APPUCAl1C�NS ARE ACCEF�TED FFiO(A 8,AM TO 4 PAA � (;�J j�i/(S� � t�, <br /> SITE ADpR � PARCEL TAX I.D.i R!�y�N ' <br /> LEGA�O�10 .� �R' � �c-�5a3on� i �:>J �O�oln - �l� <br /> Nb. B40C7C TFi�4CiOflSUbDM810N• 1 �, . _ . .I � <br /> �DESC. �_�UJ 7 .j7._��C, ��Nl�'�'(lO I1"'�'�C.V GI�T'L/� <br /> mMN�+ �U �3jc l 3c�� 0.Yi(j / �-! � ?i`j C� fJP E <br /> 1 n„ovc�-h��,�n�si-m�ni-5 , 1�-�� 3F:��-�15�-5►3� <br /> TENAN7 NAIAE I CONTA(:T FOA HMR PHONC3(cL 4� !�'�— <br /> -�— — <br /> � nG�.�esenc_�� E�Nn�� r, .HzU�srn <br /> ��1C La�,�n•�r J C'�ns-tr-��, c�r�.Znc� • . <br /> coHrR. censE. <br /> F,a�.�e�c�cu��.,v�� �'G� �o�c �3c�- ►'YY�rU5;1,L - �n)1�- �'1 �a--�(� <br /> USE UILDIHG HEAT SOURCE � COPlTRACT PRICE OF WORK <br /> s � � I _Electric �Gas_Other I <br /> WORK D�,4CRIPTION <br /> S�'�h 7JP�,� Cv---YI�J'�►"��-��`-T ��1 I`��I� IC, >l �! <br /> ���� �- � o C r -C�3 �O� � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF Fll(TURE OR REM NO. TYPE OF FlX7URE OR ITEY <br /> � Toilet A/C-air handiing units <br /> Bathtub i Forced air systems <br /> � Lavatory (wash basin) � Gas piping <br /> Shower � Water heater <br /> � Kitchen sink&disposal y Gas fireplace <br /> � Dishwasher Gas range <br /> ( Clothes washer � Clothes dryer <br /> � Water heater I Range hood <br /> Sink(service/ba�/mopletc.) � Exhaust fan <br /> BackPow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Rehperation <br /> Grease trap Woodstove <br /> Rooi drains Other <br /> Other <br />� <br /> CITY OF EVERE7T LOCAL SALES TA7C CODE IS 7105 <br /> I hereby ceritify that 1 have read and examined this application and know the same to be true 2nd crorrect. All provisions of laws and <br /> ordinaces goveming this type of work will be complied with whethar specfied he�ein or not.The granling of a permit does not presume <br /> to give authority to violate or cancel ihe provision of any olher state or local law repulating construction cr the peAormance of <br /> construction. Thal I am authorized by the owner ot this property to perform the work for which application is made and.I comply with the <br /> State Coniraciors Law 7827 RCW and 296200 W�+C. <br /> Signature of Owner/ContractodAuthorized Agent Date <br /> IlZ <br />