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�9R`f-18-201� f_��:41 FROM: <br />T0:14252578857 P.i�l <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIi SERVIC�S <br />3200 CEDAR STREET, EVERE7T, WA 98201 <br />425-257-8810 — FAX 425457-6857 — www.everettwa,org <br />9�'E ADDRt9S <br />r <br />�Vc� i rr <br />i.EGAL LOT NO, <br />DESC. <br />OWNER <br />� dc�.�rr�, 1.rv�� _ <br />TENANT IJ�E <br />A (� <br />7�ti�Ci� �i rI` <br />CONTR.UC�NSEf! A -��J1 `� <br />��/iC � � l'li t <br />US[ OFBUILDING <br />WORK DESCRIPTION <br />APPLICATIONS Ai2E ACCEPTED FROM 8 AM TO 4 PM �,. �.�7—�n <br />I PARCELTAXI.D.# I PERMI7# <br />BGOCK I TRACT OR SUBDIVISION # <br />` v� <br />• .� <br />NO. I TYPE OF 61%7URE OH ITC-M <br />Toilet <br />Bathtub <br />Lavatory (wash bnsin) <br />Sl:owor <br />Kitchon sink 8 di,posai <br />bi9hWeShO� <br />Glotha wnshur <br />Walor hoatar <br />Sink (5prvicoNarlmopletc.) <br />BacMlow pravantar <br />Urinol <br />Orinking Fountnln <br />Floer dmin <br />Groeso trop <br />Roaf drains <br />Othor <br />PERMII' <br />HC-AT SOURCE <br />� Elocldc � Go� _ Olhor <br />I \ � I I (.�l��y' - ; <br />CITY2IP P{{ON� ' <br />�[Z <br />; � 35�,,SSIk_ <br />PNONE <br />E•MAIL <br />�GZi. 2SZ. l Q{0?- <br />{%7 ��¢/L!d- �'1 Slob3 <br />CONTRACT PRICE OF WORK <br />'�,04� _ - <br />� <br />• I � % •' r �� i <br />N0. I TYPE OF FP(TURE OR ITEM <br />A/C — alr handling unitL <br />Forcod air systeme <br />G0s pipin� <br />W�l�3r h03�Or <br />Gas fireplaco <br />(�iu5 �8fIp0 <br />Cblhec dryer <br />Rango hood <br />Er.haustfan <br />Haat pump <br />Unit huulCr <br />poilor <br />Ra(rigaratlon <br />Woodclovo <br />Olhnr <br />C17Y OF HVHRETT LOCAI 9AI.E5 TAX COOE IS J105 <br />I heroby corilify thst I have read and examinod thic applicallon nnd know tho snmo lo bc lruo and conocl. All provisions of laws and <br />ordlnacos poverninp thls typo of work wlll bo cornplied wilh whothar spocified harein or not. Tho prantinp of a �armii does not preaumo <br />to glvo aulhority �o vlolato or cancel the provislon of any othor stalo or IocPl law rapuletinp construction or tho pnrfortnance of <br />conslrucqon. Thal � am authvriz y iha o nor ot this p�,poAy to perform tha work Ior whlch opplicetlon Is modo and I compy� wllh the <br />5 Cont2ctopyL,�C,�QE:27 ^W 2B .2� ^�� r�o <br />y�r r�L� ��� <br />