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PERMIT AIPPL.qC/�►TION <br />CITY OF EVEI�ETT PERMI'f SERVICES <br />3200 CEDAR '�TREET, EVEHET�, WA 98201 <br />425-25?-8810 - FA:< 425-257-885? - www.everetiwa.org <br />- _-- APFLICATIPNS ANE ACCF.PTED FROM 8 AM TO 4 PM _ — <br />I SITE ADDRESS PARCEL TAX I.G. rt, ERMR X.��� `,, <br />' '' (�f, ')�.I��r_�.�' J � <br />, IfGi\I LOiNO. OLOCN TAACTORSUODIASIONi� � <br />I UI�S�;. � t1 .','i.�. . � r'i,. � ( ...,�i•/�. ��il�� ��(rail' � <br />OWNER � A[�DRESS CfTY21P PHONE <br />� <br />",l�.rv� ' ��l'�,/f �_l�_ _ �. "I'ai�.l�..6..� �_k �a� Cu�',:11��it�y l�l�.�f�i?l�� I <br />.. �, ,'� .• ',�,i . E�F7AIL ; �'., ���ii;�r =i': <br />�TCNANTNAME I CONTACTFORPERMR PHONE 1 <br />i1': i . ��-1 ,;<(�,�tY,,no�'+� <br />� , . , P--PRCAE—J— <br />_ �' � , <br />�F , .�� r, , � ,�,, � . � <br />r . ,. <br />CONTF. LICENSE /' �� <br />)k•, '.. ;i '._��.. [ i-';..•i•�t -� _ �,>,' , ' _ I <br />USE OF BUILOINO <br />,,� �, � ,i� i� ���i.,�la'.fr'... , <br />� !. <br />WORK DESCRIPTION <br />� <br />� .. ( � � .. "t � �, l ' 1 i ; . <br />PLUMBING <br />NO. I TYPE OF FIXTURE OFl ITFIA <br />Toilet <br />delhlub <br />�, Lavatory (wash basin) <br />�! Sliower <br />Wtchen sink 8 dispo:;al <br />' Dishwasher <br />� � Clolhes wesher <br />� Wator healer <br />Sink (service/barlmop/oi� .1 <br />' Backflow preventer <br />Urinal <br />�rinking Fountairi <br />Floor drein <br />_ Grease trep <br />Rool dralns <br />._. . Olher.-_ . . . <br />HEAT SOUHCE <br />Eleclric __ 3as __ Olhoi <br />i i i , <br />CONTRACT PHICE OF'WORK <br />MECHANICAL <br />NO I TVPE OF FlXTURE OH ITEM <br />A/C � eir handling units <br />� Forced uir systems <br />Gas piping <br />f . Water healer <br />Gos lirepinr.e <br />Gas range <br />1 � Clolhes dryni <br />� Rengr hood <br />�� Exlinust lan <br />Heat pump <br />!Jnii hea�er <br />�oiler <br />_ _ _ fiufdgeration <br />WooCsrove <br />- --� anq�_ ___� <br />CffY OF EVERETT LOC/LL SALES TAX CO�E 13 3105 <br />I hereby csritiFy that I have read and e�carnmad this npplicalior arrcl know the same to be true end correcl. All provisions ol laws and <br />urdinaces poverning lhis ty�e of work will be comptied with whe'her speciliod herein or nol The grenting of e permlt does nol presumo <br />lu giva euthority to vlolals or cancel the provisicv� oi any olher 6iele ur locel Ica regu�atinq wnSWction or lhe performence ol <br />conslruction. That I am euthorizod by Ihe owrrer cl this propArt�/ to peAorm if��n v:orli for whirh applicalinn is made and I comply wilh the <br />Slate Contraclors Law 18.27 RCW end 296.200 WAC <br />'�� � 1 ,1 1 I � � <br />