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425-252-1666 CMHEATING <br />12 a.m. OS-29-2014 2 /3 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />320D CEDAR STREET, EYERETT, WA 98201 <br />425-257-8810 — F�X 425-257•8857 — www,everettwa.org <br />APALICATIONS ARE ACCEPTED FflOM 8 AM TO 4 PM <br />SITE ADDRESS <br />g21 C�� Aye, <br />LEGAL LOT NO. 6� <br />S <br />In� <br />USE OF BUILOING <br />PARCEL 7AX I.D, p <br />OFl SUBDIVISION p <br />FOR PEHMIT <br />J ���--I�( <br />iMl N <br />� i �7 c_fY�(J <br />�or� ,�',22Io3'7 <br />� E.��A��ciclabir'@c�nhc�rhir .c r_�r+� <br />���e� qg,��iZ� NHONE �-. <br />�Izaz���1��6� <br />HEATSOURCE <br />_ EIac1Ac �Gas _ Other <br />CONTflACT PRICE OF WORK <br />WORK OESCqIPTION <br />I�e.�IGt.C2 C�QS '�U rK.aGG+.� �" %t0'I- V�.Y,�.-i�'' �C <br />NO. I TYPE OF FlXTURE Oq ITEM <br />_ Bathtu6 <br />_ Lavatory (wasli 6asin) <br />_ Showar <br />_ I<lichon stnk 8 tlloposal <br />Dishwa,hor <br />_ Glalhas washer <br />_ W�Icf hB3�Cf <br />_ Sink (scrvlcoPoarAriop/etc.) <br />' Backllow provenlcr <br />_ Udnal <br />•Orinklnp Founlain <br />� Floordraln <br />_ Groasa�rap <br />_ Rool dralns <br />__ Olher__ __ <br />N0. <br />39q5 ^ <br />ICAL <br />TYPE OF FIXTURE OP ITEfi1 <br />�vc — av nananng unils <br />Farcedalrsysloms yQ5 �f�Q�o <br />Gas plpinp <br />Water heater <br />Gas Ilreplace <br />Gas mnr�o <br />Clolhos dry�r <br />Ranpo �iood <br />E�hausllan <br />Hoat purnp � <br />Unll heatar <br />Boller <br />Rclrigerallon <br />Wood,lovo <br />Othcr <br />CITY OF EYER[77 LOCAL SALES TAIC COdE IS 9105 <br />I hereby cerllify Ihal I havo reed and oxamined Ihis appllcallon and know tho samo lo ha Irua and wnect. All rovLions uf laws and <br />ordinaws povarnlrig Ih!s lypa of wo�k will be compllod wllh whathar speclllod heroin or nol. Tho �ranling ot a permil doos qot presumo <br />la O�vo autho�ity to vlolalo or cancel tho provlslon ol any olhor slala ar local law rogulalinp r.anslmclion ar Ihe padormance ol <br />conslructlon. Th�t I am auUiodzed by Ihe owner ol Ihis properly to pedorm Ihn work lar whlch application Is mada and I comply wilh Ihe <br />Slate Contractors Law 10.27 RCW and 296200 WAC. <br />�e � n c 5�29�1� <br />