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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEUAR STREET, FVERETT, VJA 98201 <br />q�.5-7.57-8fl10 - FAX 425-257-II85% - v✓w�^+ evereltvra org <br />APPLICATIONS ARE ACCEPTED FROM 0 �M TO 4 PM 2���� � <br />SITE AODRE55 PARCEL TAX I.D. H NERMIT tt <br />�� ZCkJ� �,�Ncc� � � Z'(p5��5aOz000Uc� � U( �� <br />— - -- –. _ .-- — – – – _ _ __%�_ /�Da - <br />I LGAI� � LOT NO. OLOCK � TRACT OR SUDDIVISIOI� a I <br />��� �� � -----1-- - -l- -- <br />OWIJER ADORFSS ---n-'- CITYITIP---PHOt1E <br />�C«,e�s � G�e�.,Na r.�---- Za�a UN�c:uv � r la;�:rT,91�� liN�w�i_— . <br />, TENAIJTNAME CONTAC7FORPERMIT aHONey53 b33 JSS �- <br />__.__—� -�{\��� ���/���5/^. r <br />i CU��7NAC7 --� �---� ---- -- ADUftES3 N"��- �-� CITV21pE�MNL���NF__(JK�_Wl�t 1 <br />' NAw �NSrx�x.�nuN 2�is ►-lewn-r AvE �,tcErr 4ts.zsz.,sisz <br />j CONTR. LICENSE n �i F%ZDI . <br />N Al.ouC.�tiSs��.� <br />- ---- ----- - --- -- - � ------ .. _ _- <br />USE OF BUILOING I IIHAT SOURCC- <br />/, / <br />S� t��s nN �- I L f:lcr,!nc __ Gas __ Olhci <br />.____-_______. _-_-- . __. ._ _ .—_ - _- __-_—___ <br />WORK DESCRIPTION <br />- �,� �� �, <br />�,� i�/-'l �� -� � �,�G ( /�t tt�!' - �.�' i � <br />/ <br />F'LUMCINIi N/� <br />I NO. I TYPE OF FI%7URE OR ITEM <br />i — <br />Taiet <br />6alhlub <br />Lavalory (riash uasinl <br />Shower <br />Kilchen smk & Aisposai <br />nfsnv,asner <br />CloUics wn,her <br />NJater hentei <br />Smk (servicelbarlmop/etc � <br />Dachllow prevenler <br />Uunal <br />Dunkmy Founlam <br />Floor Arain <br />Grease lrap <br />Ruol drains <br />Ulher <br />NO. <br />CONTRACT PRICE OF WORK i <br />�' �, ooJ <br />_,�'.GS -t_ J <br />MECNANICAL , L1 <br />7YPE OF FIXTl1RE OR ITEM N� ^`� <br />NC - illf IIJII�IIII(� unils <br />Forced air systems <br />Gas p�ping <br />Waler heater <br />Gas furplace <br />Gas�an9e <br />Guihes dry•:i <br />Range hood <br />Eahausf fan <br />Haalpump <br />Unit healer <br />�oiler <br />-- Refiigeration <br />Woodstove <br />Olher <br />...___—_.___.._ .. . .._ .. . __ ..__—_-- <br />CITY OF [VEHET( �OG�L SALES TAX CODE t51105 <br />I heieby ceridy that I have read .md exanuned Ihis appi;cal�on and know Ihe same lo be irue and correcl All provis�ons oi laws and <br />oidinances yaveming Ihls lypc ol vrork will be comFd�ed �vdh erhether speafied herr.in or noI The gra�tuiq of a permd docs nol piesume <br />lo �ive aulhonty �o violate or cancel Ihe provrsion ol any other stale or loa'+I law reyulatmy construction o� Ine pericrmance o( <br />cons�rur.tinn I hat I am auihouzed hy Ihe owner ot this pwpeily lo perfomi Ihe v�ork lor wh�di applicaLon is made and I comply vmh ihe <br />State CP^Vactors ¢aw 18 27 RC�tl':fiiA 296 200 WAC <br />_ � . / .'i�:.thc.ti_� ��-� "� -C O <br />