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SITE ADDRESS <br />zs 2 G <br />LOT NO. <br />DESC. / �.2 �' <br />DYYt1ER — <br />�1 �k; (q16 <br />pERMIT APPLICAT�ON <br />CI i! OF EVERETT PERMIT S�RVICES <br />3200 CEDAR STREET� EVERETT. WA 98209 <br />425-257-8810 — FAX 425-257-8857 — vrww.everettwa.ory <br />APPIJCATIONS ARE ACCEPTED FRpM a qp� TO 4 PM <br />�1 IAve � <br />BLOCK 7W►CT <br />\ �1� <br />�� <br />uoW C- <br />c°"'R"cTok O w �, e � <br />CONiR LN:ENSE / <br />use oF ew�Nc <br />raQr-. <br />woaK uescrurnon <br />I �.s�Q�� <br />PARCEL TAX LD. <br />b. dox �SS4 <br />�������R <br />17a nie� �� �r� <br />PERMIT � <br />l�(X� ��%C._%`flD-u1�#- <br />�vk��Tc-o 42S-3S31frzZ <br />�/zs -353 -� �zz� <br />�oo�ss <br />�.0. �,0� �5�4 <br />crrrmr <br />�vk��iCo <br />5g21s <br />HEAT SOt1RCE <br />r/E� _ ca5 ,_ onKK <br />Y11� <br />42S• 353- I S�z2 <br />COHTRACT PRICE OF WqtK <br />O��e� ,��ovl� <br />•• - <br />S2 C rn�� � 4(�• �oo �,. , u 1 <br />NO. I TYPE OF FlXTURE OR (iEM <br />1 Toilel <br />1 Bathtub <br />� Lavatory (wash basin) <br />Slawer <br />IQtchen sink 8 disposal <br />DisMeasher <br />Cbthes washer <br />� Waterheater <br />_ Slnk (servk�olbaAmop/etc.) <br />_ 8adcflow preventar <br />1 Jrinal <br />Drinkinp Fountain <br />Floor dratn <br />Greasetrap <br />Roof dratns <br />Ofher <br />NO. � TYpE OF FOCTIIRE OR REM <br />fV(:—airhatMpng unils <br />Faced air syslems <br />Gas �ipirq <br />Waler healer <br />Gas flreplace <br />Gas range <br />Cbtlees dryer <br />Rarge hood <br />E�Qiaust fan <br />Heat piunp <br />Unri he; :ar <br />Bollar <br />Rehigeration <br />wooasro�re <br />Otlier <br />cirr oF �err �ocw sn�s Tnu cooe �s a�os <br />1 hereby ceritify thal I have rea�; and eaaminea this appAcatlon and know the same W be ►rue ;np �pn,�ct, qp p�p�{�p� �{� � <br />ordlnacos goveming this type of work will be compibd wMh wheLher specifled herein w noL The gr. rNirg of a pemal dws not preaurt�e <br />to give autfariry tn vblate or ca�el Ure proviabn ol arry otlier stale w bcal law repulatlrg oa�atructlon or IAe perbm�anoe of <br />consWctbn. That I am authorized by the owner of tlNs P�P�Y � Per►ortn fhe wwk lor which applicaUon is made aM I camply wNh Uie <br />State Co�tr�ctWs Law 18.2,� CYV 200 WAC. <br />_ _.-' �' � �G 7� � ��%' 2-q- ��t <br />'� Z <br />