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JUL-22-04 THU 09;20 AM Fr'?ETT PERMfT SERVICES FAX N0. 257 8857 P, O1 <br /> PERMIT APPLIGATION <br /> C1TY OF EV�RETT PERMI7 SERVICES <br /> 3200 CEDAR STR�ET, EVERE7T,WA 98201 <br /> 426-257-8810-FAX 425-257-8857-www.everettwo.org <br /> APPI.ICATIbNS ARE ACCEPTED F'ROM B AM TO 4 PM - DEBIT&CREUIT CARD5 ARE NOT ACCEpTED <br /> ! S�TE A[7DRESS ��Q�,��p�-� �2/d- PARCBL TAX I.U.# PERMITiM <br /> � So4o 7-od 1 <br /> LEfiA LOT N0. BLOCN TRACT <br /> OESC. <br /> pViI1JER �'T� 55 CITY/ZI � PHO ��� <br /> � !���n1 d?— �U fLR,.9� 53d 2 ��e2r��,,. �y, �eae-��� w � <br /> i 1'ENANTNMIE + I CONTACTFORPERMIT PN NE <br /> 5+�.� � <br /> CONTRACTOR � AUpRESS CITYRIP P ONE <br /> �Dc,�l �veL� � l�l �'�''� �� S ,��t�, �11�/1'� <br /> CONTR.LICENSE k / .-� <br /> USE OF� BUILDING�l� r �� IiEAT3��E CONTRA�PRICE OF WORK <br /> W�IvC�_ �o�uutil 0 I ��leetric _Gas^Other I b � (0 0 a <br /> WORK UESCRIPTIQN �?� � �iv , � �1 K a� � � 1'dtit�a �; � � d-- <br /> I 'N S`t�. <br /> -�I � ��es ��v� rI IVA1fl�}CJw . -� -�`�ca�,� �-'�� � �lc1c�- <br /> __.. �n-���� �,��n�,-..-� <br /> PLUMBINa MECHANICAL <br /> N6. TYPC OF FIKNRE OR ITEM NO. TYPE OF FIXiURE OR REN <br /> Toilet A/C—air handltng unfls <br /> � Bathlub T Forcedairsysteme <br /> L�vawry(wash 6asin) _ Gas pipfng <br /> � Shower Waterheater <br /> ^ lGwhen sink&dispos�l _ Gas fireplace <br /> ,^ Dishwasher Gas rrnge <br /> Clothes w•rsher � Cbthaa dryer <br /> � Laundry tray _ Range iiood <br /> � Sink(servicolbadmop/etr,.) E�austfan <br /> ^ 6ackiluw preventer Heat pump <br /> Urinal ^ UNtheater � <br /> � Drinking Fauntain � Boller <br /> , �� Floordraln _ RefAgeration <br /> � Gre�s�trap Woodstove <br /> ^ Roof drains ^ O�her <br /> Olher _ <br /> � '^ CITY OF EVERE7T LOCA4 SALE3 7AX CODE IS 7105 <br /> I he�ehy ceritify that I havc rcad and exainined lhfs applicatian and knaw the samo ta be trua and cortoct. All provicions of laws and <br /> ordinaces goveminp lhis typo of work will he wmplied wltli whether spec�ed herein or not.The grantinp of a permR does not prasume <br /> In give autl�ority to vlolato ar c�ncel Ihe pravislon of any other state ar lacal law repulating construction or lhe performanee of <br /> construct;on.Tliat I am autharized by Uio owner of�his properry W perfortn tho work torwhich applica6on is made end I comply with tho <br /> Stata Contractors Levr 1H.27 RCW and 2�Jfi.200 WAC. <br /> � ��� � ��Qu <br /> Siyna�up Uwnedc ntracrorlAuthonzod Agent ate T �Z <br />