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PL��tMI <br /> T APPLICATIO�i <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM y �a.}._Q`� <br /> SITE AODRESS PARCEL TA7(I.D.N PERM � <br /> o �, ; o�� 3� <br /> LEGA lOT NO. BLOCK TRACT OR SUBDMSION k <br /> DESC. <br /> OW ER ADDRESS CITY2IP �HO E <br /> l)ll t '�}i+.e. �ArG F4nA 87v f�• u� R7. £�kltdi- 9s?n3 <br /> 7ENANT AME CONTACTFORPERMIT PHONE 4lS'S��'�/aL <br /> I K.�I P�(�AC1l E*INL KOr�CSQ�7Y�ID BJ��DI• <br /> CITV2T�— Lp i�JS. <br /> ►.�.�rcs..( t�a.�'ct.�en�s �gOfo w►�wc u�c.�Jpa�o� �E qz,r'- 7Sq- � <br /> CONiR.LICENSE N . <br /> wcsr�fl5o2?c.F l - lU Cy WNn..S�?►1lG 98271 <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> �a-.�jl��./Ti►-C _Electric _Gas _Other �3�j(.� � � <br /> WORK DESCRIPTION , • . <br /> pw� 5►�.nw�.�:� �¢�.p�r;,.�, � 5�p�rt� Rew�o�M-�Rapl�r.EN�r h'TT� `olbr�i.� un�/S <br /> Alo�j Atelj A�) �`^a'/ t.�cwoc �,,.�.i.R FT=.w�.%�� R�sa <br /> PLUMBING MECHANICAL <br /> NO. iYPE OF Fl7CTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Tollet A1C-air handling units <br /> Balhlub Forced air systoms <br /> Levelory(wash basin) Gas pipinp <br /> Shawer Water heater <br /> kHchon sink 8 disposal Gas fireplace � <br /> Dishwasher Gesrange <br /> Clothes washer Cblhes dryer <br /> Water heator Range hood <br /> Slnk(sen�ceNarlmop/etc.) _ Exheust fan <br /> Backflow preventer _ Heal pump <br /> Urinal Unit healer <br /> Drinking Fountain Boiler <br /> Floor draln Refdgeratlon <br /> Grease trap _ Woodstove <br /> Root dralns Olher <br /> Olher <br /> CITY OF EVERETT 40CAL 9ALES TA7(CODE IS 3105 <br /> I hereby cerltify Ihat I have read and oxamined lhis applicatlon and krrow the same to bo true and cortoct. All provisions o(laws and <br /> ordineces goveming this type ol work will bo complied wilh whelher specified herein or nol.The granting o(a permfl does not presume <br /> to givo aulhorily to violato or cancel Iho provision of any othor stalo or local law rogulaling construclion or Ihe peAormance ol <br /> construclion. That I am authorizod by tho ownor oi lhis property to perlorm Ihe work for wliich application Is mada and I comply wilh Ihe <br /> SlateContr ctors 8.21 • id WAC. <br /> � �QD <br /> Si dC c�or u ionzed Ayenl D��e � � <br /> �L <br />