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Mar- 18- 10 07 : 43A P.O1 <br /> _. .— ..— —. .__ " - _. _— ' <br /> I � .—_ '— _ _-. — _..... _._ _—' ._. I <br /> PERMIT AI�PLICAT�ION ' <br /> � CITY OF EVERETI' PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERET7, WA 98201 � <br /> <t25-257-8810- FAX 425-�57-t3857 -www.everettwa.org <br /> I <br /> � APPLICA710NS ARE ACC EPTED FROM 8 AM TO 4 PM <br /> i — — — ..—. .— .—.. ._. —..—.__.. .._— — <br /> ' SITE ADDRESS / 5 � Pt,RCEL TA%I.D.B I PERMIT A <br /> i — 7 � 7 �(l��lr _._ — —J.�YI�OC�3 -OZ-� I <br /> � �Cf-.�LUT r+0. BLOCK � TRnCT OR 5.Ue01VISION Y <br /> i Uctic � I <br /> , OVYN[k � � � ADDRF,SS � �� CITY(ZIP � PHpNE � � <br /> j CJdCJ �� h S%+�7 `�/7 ;'7�!/fr� l / .c-(/ris� Jd'2� `/�S-Z`i`�- 3J <br /> �i TLNANT NAME �� CONTAC7 F��R PERMIT pHONC- � ' <br /> I CON7RACTOR "— -- —� E MAIL _ _ , <br /> ADDRF.SS �� -'— � CITYIZIP PHONE <br /> ����i�c%�. f�+/r5-I Srr✓.�. 3tO% .E'vt�.1�/Ar-K, ��L �- 7 � 7' "L /�� � <br /> �� CpNTR.LICENSE p I <br /> ' — �f�G i�/v55 oq 2 K Z- ._ _-- Ev� 1�v/ <br /> _ -- -- -- — ' <br /> �� USC OG BUILUING MElAT SOURCE � GONTRACT PRICE OF WORK � <br /> t' s . ..— /�Ele�lrir. _.. Gas_. Olhc:r Z, / 7(,7 <br /> i <br /> � WORKDESCRIPTION.. . .— .—.. .._—'... ._ . ..—. ..—'�---- '— I <br /> �� �y���[-C_ �G/rvJ6/C �.. ,�, <br /> � <br /> - — _--- <br /> -PLUM8ING — -- --- <br /> MECHANICAL <br /> �, NU. I TYPL OF FIXIURE OR I7EM NO. TYPE OF FIXTURE OR il'EM i <br /> ..._ .—... ....—.. _.— _— '__ _. .._—.'___—. .—. _. .._.. . <br /> �, 1 ui�el A/(;-iir hanUl�ny units � <br /> i _ Fi:ethtub =I... Forced uir syslems i <br /> I.avawry (wash ba:;in) Gas piping <br /> I ,__ Shuwer _ Waturheater ��, <br /> _ Kdchr.n �ink.�di:pus��l G�s fir0Ul3ce � <br /> , ,_--- Dishw�,sher _ G5s r�nCJb <br /> , _ Clulh<:s waahr.r _ ClothCS Jryr.r ( <br /> � Wmr.n c�aler Rsngn liuod � <br /> I Snik(si:rvicelbar/muUietr..) [xhausl 12n I <br /> I . . _ NEn:kfluw prp.ven;<:r _ H821 punlp <br /> _ lhinal � Unit heater ' <br /> _ Giinhin9 fpunlain BOiler <br /> i _ Fluordrain _ Refriyo�aliun <br /> _ Greusc tr<�p WooOStuve <br /> _ Ruof Arains Oihor � <br /> Other -'— — — "— . <br /> '— — <br /> _— _. . ... .. <br /> � - � --�.— — ..—' .__ —. _.— _—_. _ '�.'— — ._ '— - I <br /> � � GITY OF EVERE7T LOCAL SALES TAX CODE IS�tUS � <br /> —" _ ._—. .--" '_ —"_. ...__ _—. ___"_. — —'._ i <br /> I hFieby r,r.ntily Ih;it I h:,ve rcar� and exemined this ,+pVlir.ation and�<riuw tho samn to Ue truc a�lU wrrof:L NI nrovisiune of laws an0 I <br /> IorAmaCes govnri�iny lhis Iyye ut wp�k will hrt Curnpli�3cl wilh whr�lher e.pecifietl herein or noL?hc c�ranlinN ol a W:rmit doe.s noi presume i <br /> lo t)ivC;iulhunty tV viUl.ltO UI CJnC.r?I Ihe�rpvi5iun Ot ai7y ulhnr Gt:i1e Of IOC31 IOw fQpulJti�l(J CunStrtlCtiOf Or the pnrt0l'114:fnf.(1 p� <br /> � conshuctiun. That I :im aull�oriTeil by Ihr,ownor nf this prnp��rly w�erform the wurk for which 2pplication ie macle anci I r,omWly with tliu i <br /> � `i;ale Contr�p� n t-i �1Et '��/ I W unp ZJG.'111U WAG. <br /> ���['/� `��--_-- — % -�� -,o <br /> II S�yn,ilura u Ownrn/Cun[r»i:lud/wtPiuricetl Arlerl �--�n2le� i <br /> _. ___. _._ ._._._. ._ — __' .._- I <br />