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�,� . �:��� ��:. � l�: <br /> ,�' Y. [ ��v � . :o^ , . <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> I A25•257•8810— FAX 425•257-8857—www•everetiwa.o�A <br /> � APPLICA710NS ARE ACCEPTED FROM 8 AM 70 4 pM <br /> 1 SIIEADOFiEBS �ARCEL?A%I.D.N P[RMITN <br /> `7105 � � � � � - u <br /> lGG4L LOT N0. DLOCK TRACT OA SUBDIVISION N <br /> UESG <br /> OWNEH A DRE68 � �� � <br /> S�Ivio,weaver 1�05 C C1a�1no�Rd �VU�9dZo3 �IZS 34� �3�+ � <br /> TE ANTNAME CONTACTFORPERMIT P����+E �2525qb�ob(�, <br /> ���C.� F•MAIL <br /> � <br /> Crn N.e�.�i v�c� 1 n� I u�5 �►z�� 01e.rc.�{ q 2a �zs z.5����� <br /> CON�R.�ICE.MBEM T��,^�1� <br /> �:�� � H'FJ� lJ-1 K <br /> USE OF 9UILDINC li&AT SOURCE I CONTRACT PRICE OF WORK <br /> ✓.�„�� _�a=_o�he� 5�1q I . �'S <br /> WORK DESCRIPTION <br /> � <br /> 1n���C+11 c��� less I'�2-}orl 1-lea-E- �u�t � <br /> � PLUMB 0 MECHANICAL <br /> I NO. TYCE OF FI%TUAE OR ITEM NO. 7YVE OF FIXTURE OR ITEM <br /> i �-^ <br /> �� Tuilet A/C–au handhng units <br /> �a1h1u6 Forced air aystems <br /> J Levemry(wash hesin) J Qee piping <br /> Shower T Wa�er heater <br /> Kitehen slnk 6 dlsposal Das tireplace <br /> � Dishwasher Qao ranpe <br /> Clothes washer _ Clothos tlryer <br /> Water I�ealer Ranee hood <br /> Sink�seryiceibor/mop�ett 1 Eshouet fan <br /> Oaekllow prgvenier � Heat pump <br /> � Urin21 Uni�healei <br /> _ Diinkinp Fountaln Bo�ler <br /> Floor dtain ROfrigeraGon <br /> Cireese vap _ Woodsiove <br /> ! Roof dralns Olher <br /> Olher � — � <br /> �- — i <br /> CITV OF EVERETT LOCAL SALES TA%COOE IS�105 <br /> I hereby ceritily Ihal I have mad and e�am�netl Ihiq appllcatlon end know the same lo be tiue and caiaCt. All provislons ol laws and <br /> orAmnces go�-o�ninp Ihis type o�Work will be eomplletl wilh whether soecihad hewln or nol.The gienting ol e pemiit does nol presume <br /> lo givo 6u�honty lo violme or ceneel ibe provision of any olher slat�o��ocal law iepulatinp aonslmction or Ihe peAermance ol <br /> construdlon. Thai I am euthonzed Uy Ihe uwner ot�h�s p�opehy 10 pedorm Ihe work lor which applicaGon is made end I comply v,ith the <br /> I Slale C niraGl0r6 Law 1g+�27 FiCW E�d 296 200 WAC. <br /> S�gnatm oI wneiti'nn(fbclor/�uiion AOem �) �tD e <br /> � <br />