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. . . �, L . . . � . �r�� .� . _ 1 . . �. �� , ! <br /> �" <br /> � <br /> PERMIT APPLICATION � <br /> CITY OF EVERET7 PERMIT SERVICES <br /> 32D0 CEDAR STRE[T, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.everellwa.org <br /> APPLICATIONS ARE ACCEPTtD FROM e AM TO 4 PM - DEo1T&CREDIT CARDS ARE NOT ACCEPTED <br /> SIT[ADORE3S PARCL•L TAK I.D.M PERMIT p <br /> ^. 02 a�cc RvE oo , r''�'f��G� -�,K;�l <br /> LEGA LO1N0. BLOCK T CT <br /> oesc 3I � Z 9 np� ru� I <br /> OWN[H A�URE68 GITY�ZiP PNONI: <br /> _�l7_ � l3F NDC �:1.1 '13b2 �AICEQ, A�IE tJJGQL•�71 � 9e1o1 41:�,.�59_3159 <br /> 7FNANTNAM[ CONtACTFORPERMIT PHONE <br /> I �SGS� �INfn�_�.T 2.53.b3."s,Sss�--_ <br /> CONTIIACTOR �{RW-Z�i.57�l�non.� �bDRE93 CITY�ZIP PHONE <br /> 1ai5 N�"-T A��E �vca(:rr 9b�� q25� '152,3�52 <br /> coNtR.�ic[Nser ��ALvcG�95'j6:j� <br /> U;;G�O"F DUILDING/1 I — HEAT 90URCE CONTRAC7 PRICE OF WORK <br /> 1.�rA4�Cf� (,rARAG-G EleGnc __Ga�_Olhcr <br /> ^W�O�R�K�OE;SC�R_IPTION ;� <br /> I.�;��D d.�=-7f10iED CI�71�frGC� I.JRMIR�'-� �`I SNow To <br /> E'tiSTIN�- ��D <br /> PLUME3ING MECHANICAL <br /> N0, 7YPFOFFI%TIiREORITEM N0. TYPEUFFl%TUREORREM <br /> Tollel � AIC-elr handllnq ur.ile <br /> ilolhW6 Forq�d ai�cyslems <br /> � L�valory(wach basin) Goe plpinp <br /> Shower Walar healer <br /> � Kitchen cink b dispaeol � Oos Ornplate <br /> Dlshwa,her Gas ionga <br /> _ Glulhes w�shr.r � Clolhes dryer <br /> _ �aundry Imy Range houcl <br /> Siqk(Sl'rviaeR�admop/Clt) �— Gxh0�611Af1 <br /> Uackflnw prr.venler Haol purnp <br /> Unnal Unll healer <br /> bri��king FounlNn E3oner <br /> floor dr,in ^ Refripernlbn <br /> __ Gmase trnp _ WoodsWvo <br /> _,_ Rooldrams Other _ <br /> Olhoi _ <br /> CIN OF EVERETT LOCAL 5AL[S TAIf CObE.IS 7105 <br /> I Lor�Dy wrihly Ihal I have reod onA exnrnined Ihis nppliwlion and know Ihe some lo he true and corrod. All provlslone ol le.n ond <br /> wJina�ra gnvr.�ping Ihls lypo ol woik wili bo cnmplied wilh whelher spaafind herein ur nol.7ho granlinp ol e pomiil doas rwl procume <br /> In qNr.aullionly lo wolale or canm�Ihe provlston ol eny olhor slala or bcal law reguloling connlnicUon or Iha pedamance oi <br /> wnslruclion That I em eulhorized by Iho owner vl lhis properly lo pedomi tho work lur which applMalion b mede and I wmply wilh Ihr. <br /> Slnle Ce iVnelars Law 1U.27 RCW 1 2!16200 WAC. <br /> -�� � _ 06 cb"aL <br /> SlUnaluru ol VwneJ uidraclnr Au dr 1�pent Dale <br />