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SITE ADDRE38 <br />� �� <br />LEGAL LOTNO. <br />DESC <br />nii i>, •�i�� nun <br />; ��:� 11 rv I�l,:,r�. <br />iENANTNAME <br />� J <br />� __ <br />CONTRACTOR <br />CONTR. LICENSE M <br />� <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARfj ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />� PARCEL TAX I.D. � <br />iRACT <br />c.-��.�;,. .,...,..,�_�i�� r�,� n'�- <br />I CONTACT FOR PERMIT <br />,I�t \1,�,j 11 i��c � <br />�DDRESS <br />IPERMR � j <br />�� � l - <br />CT'IZIP PIIONE �1���;l��� <br />(� - <br />�'��•i�t: �����1. <br />PHONE <br />(-� �),g <�-� i . l.'L ) 3 <br />cmmv n�+o� <br />USE OF BUILD�N6 I — HEAT 80URCE I CONTRACT PRICE OF WORK <br />�� ,�_� . . . � �1.,. �<��,�„_� n; .,�� <br />Eloctrie Gas�Otlwr <br />WORK DESCRIPTION <br />L� t�u.t,ti �ilJ.v�A-i..�i� <br />��i.. 11 .,�...��� r <br />NO. � TYPE Of �I%TURE OR ITEM <br />✓ 1 roJct <br />L,� Bathtub <br />=��71 Lavxlay (wxsh I�c�vn) <br />�t Shower <br />� Krtchem m�k 6 dtsposal <br />�� Oishwasher <br />�L Clotl�xu wae�het <br />Laundry tr:y <br />/ _� Smk (sarv�ce�barhnopletc ) <br />Backflow proventer <br />Unnal <br />Dnnkup Founhin <br />Floor drain <br />Greaee tnp <br />Roof dre�ns <br />Wwr <br />�(,l„ -✓� n,.�t_ �_ �2..�.� � h:^; ,� '� r� t�<-J:,� <br />rro. � nre oF cixrur�e ort ireM <br />NC - air hanAlirp unl� <br />f� Forced air systema <br />Oad {»{�rg <br />(�_ Wabrhealer <br />ws fireqace <br />6es renpe <br />�� CIoO�eu d�yer <br />��r Rengehood <br />,��[_ Eiheusthn <br />H�atpump <br />Unit heerer <br />Baler <br />Relriperodon <br />Woodslove <br />OIMr <br />CITY OF EVE1tETT 1OC/1L 511LE3 �AX COOE IS J107 <br />I l�eraby canhly ihat 1 havc read end esamirxid M�s eppXcaEan end krww the sama to be trtie and mrtod AM provrsrom of lawa ond <br />nrdinacas poremmp th�s rypn of work vnA be compMed wtth wfiett�er e�nafied herein or nol The prarrong of a permit doas not prawme <br />D� piva �utlwnry to vNIaM a wrxel tlx p,ovlsbn ol ony otl»r emBe or bcal law iepuwtirp corntructlon o� Ihe pnfomwnos ol <br />consVuclion. Thet I am authorized by the owner ol ihis pmperty to perform the work for which apd��ehon is mode and I oomply with Ihe <br />State Contractors Law 1B 2/ RCW and't9ti 200 WAC <br />f � <br />. ,.��_��� 7� c_��_J� <br />Srpn9 �re o Ow/ror oMrsciorl u nzed perrt ete <br />r? <br />