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DEC-20-2010 17:00 FROM:C8M HERTING 425-745-1344 <br />T0:1425257685T P:4�8 <br />� <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT S�RVICES <br />3200 CEDAR 3TREET, EVERElT, WA 98201 <br />425-257•9810 — FAX 425-257•8857 — www.everettwa.ory <br />la/'dl//D <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />6fTEADDREB_$ . — • --_ I PARClLTA%I.D.M I ��R� �. <br />LOT <br />O�u� �"��.e.� <br />9Nfi1. IICENBE f n M <br />\../ � 1 <br />OF BUILOINO <br />W011K 0l9CRIPTION <br />�IO�.G£ <br />s�xK I T1IACTOIISIIBOIVISpt7■ <br />�.ol�t PSro�r��qe 6 <br />ICONTACT FOR PiRMIT <br />i�ebb i e <br />I�G 1415 <br />�.er <br />513 9372 <br />259 co��6 <br />! �2.sZg'-t �� <br />MEAI8�UIIC! CONTRACT PRICE OF WORK <br />_Eloolrb ✓Oes_Olhar �132 � <br />aGtS �vrnac� <br />`� <br />N0. � TYPi OF FII(T1RE OR 118M <br />Tollet <br />Bathtub <br />Lavetory (wa�h besln) <br />Shower <br />Kltchen elMc d cFaposal <br />Dlehwesher <br />Clothes weshet <br />Weter heeter <br />Slnk (cerviwroar�mopleto.) <br />Backllow prownUr <br />Udnal <br />DAnkfng Fountaln <br />Floor draln <br />(ireene trep <br />Roof draino <br />Other <br />uC� <br />TYPE Of Fl)ITUR[ OII IiEM <br />A+C - alr handtlnp unNe <br />For�wd alr ayatema <br />Oas Plpirg <br />Weter heatar <br />aaa fireplec� <br />Oes reng� <br />CiMhoc dryer <br />Renpe hood <br />Exheust�an <br />H�et pump <br />Untt Mater <br />Boibr <br />Rolriparetlon <br />Woodnow <br />plher <br />CRY OF EVtll[TT LOCAI BALEB TNf COD! 44 3100 <br />I hCreby CeAlily that I have read end exeminod this appNeetlon pncf know Ihe eem� to bo true and eorrect. All proWelone ol lavn pnd <br />ordinaces pweminp thle type ol work will be aomplled wnh whether epecBt�d harain or not. Th� prantkp of s perm%dooa not proaume <br />to pive nulhorlty to vlolaU or cancel the provitlon ol eny aher slate or local lew ropulatlnp constnrotion or tha {wAortnanee o1 <br />con4ln�cHon. Thel I am authorlxed by tha owner ot lhie p�opvrty to perlortn Mr work for whl�h epplkalbn Is made entl I comply wlth the <br />3tate Conlrn�loro Law t Oz7 RCW and Z9E.200 WAC. <br />