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DEC-ul-201� �3=46 P19 <br />P.ui <br />E cRMIT APPLICATIvN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEbAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everottwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />817E ADDREBS �'y s'8a'�3 pARCEI. TAI( I.D. M PERIMIT M <br />.�SOa G� �iq�i/�v-r1 /��' I�5/7/9�0 9�n Im �,-,��-c'x�� <br />.EO/1 LOT N0. <br />)E3C. <br />E <br />C�hu��' �u r � <br />�ENANT NAME <br />:'dAT /;� <br />//l�� fi h'r�d lir� 4 <br />ON a-CICENBE M � <br />" �G� ,G-rN� ala�/8r <br />USE OF BUILDING <br />OR EUBDM810N / <br />rnvn <br />(.,2�-i kJ it/Qift� <br />r ��S �S5 /u $� <br />PHONE .�S,3�C/e,/// � <br />�� �dY)�Pr <br />�� �[ .� 3C� Lc� N� Sr�uY.,.S </�25 33�/ �/i i � <br />�d�s�i <br />FIEAT 90URCr <br />_ Eleclric � Ge9 � Other <br />CONtRACT PRICE OF WORK <br />.� .57 nn'i <br />WORKDE9CRIPTIOH /�S�lG // ��5� �7/�.� � U/7/� IL/Q't r q/j�� <br />NO. I TYPE OF F�XTURE OR ITEM <br />Tollet <br />Bethtub <br />LavatOry (wash baeln) <br />Shower <br />Kitchen slnk 6 diepoeel <br />Diehwasher <br />Ciolhes weehor <br />Water heeter <br />Sink (eervlce/ber/mopletc.) <br />Beckflow preventer <br />Urinal <br />Drinking Fountain <br />Floor ti��aln <br />Greese trap <br />Roof dtalne <br />omer <br />ir��I4C� <br />�as 3:�� y� � <br />NO. I TYPE OP FU(TURE OR REM <br />A/C - 81t hYI1C11Dg UI11h <br />Forced air eystems <br />Ciazpipin8 !/Ni��fF'afi/ <br />Wefer heater <br />Gas fireplace <br />Oasrenge <br />Cbthea dryer <br />Renpe hood <br />Exhauatfen <br />Heat pump <br />Unk healer <br />9aler <br />Refrigeretlon <br />Woodatove <br />CITY OF EVERETT LOCAL 8ALE8 7Alf CODE IB 3106 <br />ro n,�e �,� di yr/ <br />T <br />I heraby certify lhet I heve read end exemined thle appllcaUon end knpw lhe same to be true and eorteCt. All piovisiono oi laws end <br />ordlnencee poveming thls lype of work wlll Se complled wlth whether epedfled heinln or rrot. The grentlng of a petmlt dcee not preeume <br />to glve euthority to violate or cancel the proviaion of eny other stete or bcal law regulaNng conetruction or lhe per(orm�noo oi <br />conatrudion. Thet I em authorized by the owner of thls property to per}omt Ihe work for which appllcetlon la made end I comply wllh the <br />Stete ontraciors Law 1827 RCW and 2B8.2oo WAC. <br />�/ /��/.f�./s-/�J L_'.4�Yt�l� /�.�—��/U <br />