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SITE ADORES3 <br />� <br />LEGAL LOTNO. <br />OESC <br />` ' / // � <br />TENANT NAME <br />J �-5 <br />PL�ZMIT APPLICATIG,� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 ;�., g_, a <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />b��r <br />APPLICATIONS AR[ ACCEPTED FROM 8 AAA TO 4 PM <br />BLOCK <br />CONTR. LICEIib'�N `TT � j 1, �r�C�� <br />.) J f 1.v17R <br />PARCEL TAX I.D. p <br />TRACT OR SUBDIVI910N M <br />CONTACT FOR PERMIT <br />� (Jh r � � ���'� �= � � � <br />USE OF BUILDING <br />�IiVV� � � ��i 1.�-li <br />r'�' �� +! _ �` `''' _- --- — <br />WORK DESCRIPTION <br />NO. <br />� <br />PLUMBING <br />T1'PE OF FIXTURE OR 17EM <br />1 otlel <br />Ballilub <br />Levntory (wash basin) <br />Shower <br />Ktichen sink 8 disposal <br />Dishwesh�r <br />Clolhes washe• <br />Water healer <br />Sink �se�vice/bailmoplelc ) <br />Ba�kOow prevenler <br />Unnnl <br />Dnnk�ng founlam <br />Flooi diem <br />Grease Irxp <br />Rool diains <br />Othei <br />��s�J <br />a \, <br />Q <br />PHONE �/L� j �D <br />um <br />AOURE55 GI7IKIP 1'nVnt (�'y7-rnA� / !�',�� <br />`10 3�' ik�yC�✓`„� '� C,r� i-I�� i� � <br />� <br />.% � �I <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />_ Flednc _ Ges _ Olher--- � � �� � . � <br />I <br />MECHANICAL I <br />� NO. I TYPE OF fl%TURE OR ITEM li <br />�/C ur handling unds <br />Forceu au syslems <br />Gas piping <br />Water healer <br />Gasfrteplace <br />Gas;ange <br />Clothes diyei <br />Renge hood <br />Ezhausl lan <br />Hea� pump <br />uivl nealer <br />�oiler <br />Refngeralion <br />Woodslove <br />Olher <br />CIiV OF EVERET� LOCAL SALES TAx CODE IS �706 <br />� i hereby ceridy Ihal I heve read and exami�ied thls appllca6on end know Ihe same to be true and correct All provieiona of lews end <br />o�d�nances governing this lype ol work will be compheA with whother spe�:fied heiein o• nol The grenhng ol a permit does not presume <br />P�, y�ve aulhorlty to violate or cnncel ihe prov�siai ol nny olher slale oi locel law reanleting corcUucUon oi the peAormence oi <br />�. -,nstryclion That I em eulhonzed 44y Ihe owner ol lhls property lo perform �he v�ork fo� which epplicalron is made and I comply with Ihe <br />`�:dt� C�n�ra�tors la� 1� 27 R�'W/and 296 200 WAC. <br />1 I I7B/1 ,� 5� i�._�i� <br />Y <br />