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.a <br /> PERMIT APPLICATIOI� <br /> CITY OF EVERETT PERMIT SERVIC�S <br /> 3200 CEUAR STREET, EVERE'i i,Wr:98201 <br /> 425-257-8810-FAX 425-257-8857-www.everei:��a.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 7 •- 3� -O� <br /> SfTE ADDRESS �u PARCEL�T�AqX I.D.� PERMR� <br /> ��..C:� �� �"� �/'•f� � 2��;L 1f.C7�.dZ�_ � rJC �l �l -[-�I � _ <br /> LE lATNO BLOCK TRACT � I�, <br /> DESC. � WQnS C�'j�I�X `^'� ��� <br /> �V <br /> pyyN� ADDRESS CfTI'ZN PHONE <br /> �i t Ivt✓ l,�tl� f�elyf�.�,� U.l. (��f' �acu� p� ��Sa� �,� <br /> a��""���rt��, (�A�� R�; a,��►G � . P������-- <br /> C�Nn� VLW�(JY� 23�� I�f(.� �„r •fG CRYlLP PHONE <br /> � �v� I� ��p.(AqJ(,.� �7i'.�' Cr/l ��{,� <br /> CO E�.HBE�*��y'J,� .�/K�' Z�f7 W� tr""� <br /> ���J �+r{ <br /> USE OF BUILDIN(9 HEAT SOURCE ONTRHCT PRICE OF WORK <br /> �(��IIM�Zr I L'�e c _G^s_Other � �/� �N �� <br /> WORK DESCRIPTION <br /> ��I�W1W f'�'Stdc�t� t j�IvS � �7�(,c�1y� <br /> PLUM�IN�G �,/ P, MECHANICAL /J �. <br /> NO. TYPE OF FlXTURE OR fTEM NO. 7YF'E OF FIXTURE OR ffEM <br /> Toilel A/C–alr handling units <br /> Balhtub Forced air systems <br /> Levetory(wash basin) ,_ Gas piping <br /> Shower Waler healer <br /> Kilchen sink 8 disposal _ Gas firepla�a <br /> Dishwasher Gas range <br /> Clothes washor Clothes dryer <br /> Luundry tray Range hood <br /> Sink(servicelbar/mopletc.) . Eshaust fan <br /> Backflow preventer Heal pump <br /> — ���� Unit heater <br /> Drinking Fountain _ Boiler <br /> Floor drain RefrigoraUon <br /> Greasa trap Woodslwe <br /> Roof drains Other <br /> Other <br /> Cf1Y OF EVERETT LOCAL SALES TAX COOE IS 3105 <br /> I fiereby ceritify that I have read and examined this app�i�afion and know the same to be We and cortect. All provisions oF laws and <br /> Iordin�s grneminy this type of wwk will Ge complied with whether spedfied herein or not.Tne granting ot a pertnit does not{xesume <br /> to give autM+�ity to violate or cancel the provision ot any other state or local law reguiating cor:�Wction or the paAormance of <br /> cnr�sWctlon. at m authorizr3d by the owner of�his property to perfortn ttie work for which appliption is mado and I compy with ttie <br /> Stale Contrnd . CW and 296.200 WAC. <br /> Signatwe o onUactodA ihonzed Apent � �� �� <br /> � <br /> � <br />