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PERMIT APPLICATION <br />CITY OF EVERI=TT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 982n1 <br />425-257-8810 - FAX � 25-257-8657 - www,evere;twa.org <br />A?PLICATIONS ARE ACCE?7ED FROM 8 AM TO d PM � Z�/S (��i <br />SIT ADDR 93 PARCEL TAX I.D. M PERMIT # <br />���'� �"�:v�i���i �L�� OcS3�iyco�oc�o�� ��4,` ,-, <br />Lf_GAL LOTNO. BLOCK TRpg• <br />DESC. <br />��;R ODRIi9 CITYlIIP PM f.: <br />�,.,��;c��t�°���,n� Z��ir, '��;`fi=.��c-w�Z r�T���c�i�RRA�E <br />TENAHT NAME CONTl�CT FOR PERMIi PHONE <br />G�����.,�C lr1R�'tnt;��: IL-�,2ti'�� �'R�f�r,(�'T�(�. �11,�-��-��IS <br />CONTRACTOR AUDRE39 CINlZJp PHONE <br />'�C�r�� ��. �21LS 4.(; L�-Sv � r�;� t-n; C,)<.1 S�f;�'/�l�f"� t� e r.�; ��L� L`'Lti -'L� 0-'�� �,1 <br />CONTR.LICENBE�I C�.1P7G LG11��1�1(���I�1 <br />L <br />USE OF BUILUING <br />1'�'t:�.' � I L �71���G`7 <br />HEATSOURCE <br />_ Eladnc _ Gas _ Olher <br />WORK DESCRIPTION I�`�/�I,L l� F��, O(,'-}{�� _ T ��� (v <br />��"� �-`�, � %��� ;;VrtL 5iC-IJ <br />NO. I TVpE OF FIXTURE OR ITEM <br />' TOile� <br />_ Bnlhtub <br />_ Lavatory (wesh bnsin) <br />Shower <br />__ Kitchen sink R disposnl <br />Dishwssher <br />Clothes washer <br />Laundry irey <br />Sink (errvicel6ertmop/elc.) <br />__ BeckAaw preventer <br />Urinal <br />_ Drinking Fmintain <br />Floor drain <br />Gresse Irep <br />_ Roof drains <br />O�hP.f <br />CqNTRAC7 PRICE OF WORK <br />`��- �` ���a <br />FL�L ��1LUNi �1L-N CCSI <br />MECHANICAL <br />NO. I TYPE OF FIXTURE OR ITEM <br />_ n�c - au nanGiing units <br />Forced air systems <br />Gas piping <br />_ Weler heater <br />Gas fireplece <br />Ges range <br />_ Ciolhes dryar <br />. Range hood <br />Exheust fan <br />Heel pump <br />Unit heater <br />Boiler <br />Refrigerefion <br />�Woodstov� <br />Other l71 �r� _ _ <br />CITY OF EVERETT L�)CAL 9ALE8 TAX COOE IS 7706 <br />I herehy cerilify thal I heve resA end examined this app6cnhon and know the sema to be true and cortect. All provisions of laws antl <br />ordinaces goveming Ihis lype ol work will be complied with whuther specified herein or not The granting of a perrttit does not presume <br />to give authon�y lo vinlnte or r.ancel Ihe provision of ary olher ��tate cr local law regulating tonstrudion or Ihe pertormance of <br />conslruclion. Thel I em aulhnri:. by Ihe owner ol thlr, properfv to perform Ihe work lor which application is made and I comply with Ihe <br />Slnle CoMrectors Lnw 1�i 27 RC� enA 296. 00 WAC <br />�.-� �� «i�-' � �, �u;(.- . l .� �I���(� <br />%z <br />