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i _� _ _—__..__— ________— <br /> � PERMIT APP'LICATION <br /> � CITY OF EVERETTP�RMIT S.ER1/ICES <br /> i 3200 CEDAR STREET, F:VEREi'f,WA 98201 <br /> � 425-F57-8910-FAX 425r257-8857-wwvl.evarettwa.org � <br /> IAPPLICA710NS ARE ACCEpTED FROM 9 AM TO 4 PM � <br /> � SITE AD�RESS PAR�GEL 7AX I:D.# ( PERM .}F I <br /> � a� t to I'�d�wvt s t�.��, oo s .>mo a�o--fl�3ov ��1 -2; <br /> , IEChL LOT NO. BLOCK TRACT OR SUGDIVISION q <br /> { OESC. <br /> � OWNER qppptg$ .:. (,7ry/�P PHONE �� _ � <br /> �}j a,.v� S+c�S cn �t i to ►4d1� r4•��. �r e�i.t wat t Fraa3 aa,s I <br /> I lENqNT NAMb � CONTACT FOR P�RMIT � PNOµE tLiS-�Iv-dO0� I <br /> �l� � c--,y; v��; n�, ���;����e,�roa�� <br /> 60 0.CT R pREg, � - G � p� <br /> �jal ey i2v-a�; w� �D.o. 1'3ax �'a�3� �.c�n�uk-e 4��-So�.-atoo� <br /> corrrR.uceNSEx <br /> gw�-�.Y►ey q 3a q z ;�/�/.t� 9�0�� <br /> I USE OF BUILOING ' � HEqT SOURCE � CONTRACTDRICEOF WORK <br /> res�c4e.�,�F.I _ei�o _oas i ou�r �� 3 3S.07 <br /> + wORK DESCftIP710N� � � � � �� � ��. <br /> �- rn�� (>5�r-cs, ' <br /> I � <br /> PLlfiIABlNfi � � MECHANICAL � � <br /> + i <br /> N�_ TYPE OF FIXTURE OR REM NO. � TYPE OF FIXlURE OR REN � � <br /> Toilel . �� �NC–giit haM11pW unNs � � <br /> Bathtub � ' -FofCBdYif6ySf8RIS � <br /> ,_ lavatoy(wesn tiasin) . — ��y p�F;�� � , � <br /> _ Showe�� � � "A/a1Ee.heater - �� . <br /> _ Kitctien sink&aispoaai � � Gas�Ariplace � . <br /> _ Di51YwaSher . � � Gas�r0rlgo- � � � �.. <br /> _ Clol�as�washer __ CblheS dryer . . � � � � <br /> _ Water heate� � � Range hoad � - ` <br /> _ Sink{service/bsdmop/Etc.) . _,�E�aust fan- - � � � <br /> �� _ eaakllow prevertter � . �_ �Weal pURtp� �, - . � . <br /> Unnat � _ Unit healef � <br /> I ` OrinlUng Founfain . _ y�� . . � . <br /> .� Floordrain i Retrpentlon- <br /> Gr2dS2�hap WnodfloYe � <br /> Roof drains� . � �j� <br /> � Olfier � <br /> I� Clry OR EYFJiETi LOt11L 3ALES T+UC CODE IQ:�7 W� � � <br /> 1 hereby ceAify thal I have raad and 9xaminetl thi5 a{�pllCallOn end krrow thE s8ms�p pe tNl�.a�d�brted_ All provlc�pnF df i9ws and <br /> ordinances goveming this type of work w�l de complle0 with�whathu spEciReO hereln oe nol.Tha grarrt�np of a pnnrlR d�ies not presurne <br /> to give aNho�ry io valate o�cancel the provision of any�oMer state or 1oc21 iaw regu{ating.CpnyWction pr Ihe peRomience of <br /> � COnstniction.7nat I am authorized by ihe Owner oftfiis propORy to pcAotm ihe wOik.tOf WhiCb.�pp�icetlon iy mnye�illtl 1 GOmpty with Ni¢ <br /> State Co ra�ors Law 18z7 RCW and 2962(to WAC. � � <br /> 1 �-d.(o- I O <br /> ir�naturaoto er � actodAutlto���nt patt <br />