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P�r�MIT APPLICATIG�� ,�; ; � o -� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 96201 <br /> 425-257-8810—FAX 425-257-8857—vwvw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO,PM <br /> SITE ADDRESB PARCEL TAX I.D.N RMIT N <br /> �� � C�/rt U � ��/0� � �� <br /> LEGA LOT N0. BLOCK TRACT OR SUBDIVISION N <br /> DESC. <br /> ONMER ADDRE99 CITYIZIP PMONE <br /> �K /� / �+ <br /> !]C'� c O�' lS-i�'!S li L�j <br /> TENANT NAME I CONTACT FOR PERMIT PHONE <br /> E�NIAIL <br /> CONTR.UCENSE N O W N�/ <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> a,$,5�.Nn 6 I y _Eleclric _Gas_Other <br /> / <br /> WORK DESCRIPTION U <br /> C o � a i�eY GN�� � �e�.� e �a <br /> PLUMBING MECHANICAL <br /> NO. TYPE OP FI%TURE OR ITEM N0. TVPE OF FIXTURE OR ITEM <br /> Toilel AIC—air handling unils <br /> Balhlub Forced air syslems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Waler heater <br /> Kitchen smk d dlsposal Gas fireplece <br /> Dishwasher Gasrange <br /> Uothes washer Clothes dryer <br /> Water heater Range hood <br /> Sink(service/badmop/elcJ __ Ezhaus�lan <br /> Backllow prevenler _ Heal pump <br /> Urinal Unit healer <br /> Drinking Founlain Boiler <br /> Floor drain Reingeralion <br /> Grease Irap Woodstove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL BALES TA%CODE 19�106 <br /> I hereby certily that I have read and examined this appticaUon nnd know the same to be true end wrrect. All provisiona oi lawa end <br /> ordmances governing Ihis tvpe ol work will be comp6ed wilh whether speci5ed herein or not. Tha granting ol e permit doea not presume <br /> to g've aulhority lo violale or cancel Ihe provision ol any olher slete or locel law regulating construction or Ihe perfomiance o1 <br /> constructioa That I am authorized by the owner of this property to padorm Ihe work tor which application ia made and I comply wilh the <br /> State Contractors Law 18.27 RCW and 29(i.200 WAC. <br /> s�//��1I1/� <br /> Signature ol OwnedCon�ractorlAuthonzed Agenl Dat� e // <br /> ` Z <br /> �-----_. ._ - ------ ---- ---------- --.. <br />