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L� <br />SITE ADDRESS � <br />� <br />LEGAL LOT NO. <br />DESC. <br />OWNER <br />i � <br />,.�fri' �"l L <br />TENANTNAME <br />PERMIT APPLICATION <br />CITY OF EVERETT �'ERMIT SER\/lCES <br />320U CEDAFt STREET, EVERETT, WA 982(�1 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />G <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />PARCEL TAX I.D. p <br />ov y�U� oo ��.��ac <br />TRACT <br />fOR PERMIT <br />3G �� <br />PHONE <br />fp � <br />; 'J "� � �� <br />CONTRACTOR /%f'!S ����n� A�Qji�� ��,Q�� �� CITY2IP PHONE <br />/�i �rw ysv�'� yX <br />CONTR. LICENSE���� ���� L '7�'Ij -- GS,�s���7 �`� C, —y�,7 — <br />�If �� f0 (/ <br />USE OF BUILDING f HEAT SOURCE � CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />,.�� 3 � <br />y�>>- � <br />PLUM8ING <br />NO. I TVPE OF FIXTURE OR ITEM <br />� TOilel <br />� Balhlub <br />�_ 1_avatory (wash basm) <br />Shnwer <br />� Kilchen snk 8 dis{x��sal <br />_�__ Dishwaslixr <br />_� CloUins washnr <br />_1_ Wal�r healer <br />Sink (sorvico/barlmop/etr. J <br />Datkfluw preven�er <br />Urinal <br />_ Drinkinc� Founlain <br />Floor draln <br />_ Grr,asc tr�p <br />Rool drains <br />Olhei <br />_ Eleclrir. �Gas __ ORicr <br />f:G71 <br />MECHANICAL <br />TY�E Of FIXTUFE OR ITEM <br />A/C ��� air handling units <br />Force�d air sysloms <br />f:as pipin� <br />Waler I�e�ler <br />Gas firuplace <br />Gas ranpc <br />Clolhos dryor <br />Rany� hood <br />Exhaustlan <br />Heat purnp <br />IJnit hcater <br />Fioller <br />Refnge ation <br />Woodstovo <br />CITY OF EVERETT LOCAI SAlES TN( CODE IS �105 <br />I herol�y cerility thal I have read and ezamined thls applicalion and know the samo to be Irue and correcL All provisfons oi laws and <br />ordinacus goverNng lhis type o� work will be compheA wilh whelher specibed herein or not. The granling ol a permil does not presume <br />to give aulhorily in vioiatr. or canr.el ihe provlsion ol any olher s�ale or local law regulaling construclion or iha peAormance of <br />conslruction. Thal I am aulhorizeJ by lho uwner ol this property to periorm lhe work for which applica�ion is made and I comply wilh �he <br />Sl�te ConUackxslaw 18.27 RCW and 296.200 WAC. <br />