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Sli_-18-200r :3:40 FRQh: T0:14252578857 <br />t <br />.. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org -� `� y� 5 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT d CREDIT CARDS ARE NOT ACCEPTED <br />SITEADDRESS ��7i� /�Llln(��/ prc-I �y3��333d'/�� I �6'I ��� _`�J <br />LEG LOTNO. BLOCN TRACT <br />P.1 <br />YNER waunc <br />R�char�� ��Illawtl' /�czs' arni. <br />� <br />I CONTACTFOR PEI <br />(--1 i'Y�4` <br />WN��R�'.�'r1`I ��✓ 2�tb <br />CONTR. LICENSFAM,.,, , , ,_ „ n„� � �n <br />USE OF BUILDING <br />st=e . <br />��ff 9P2� i zr9- 2v y8 <br />HEAT SOURCE <br />_ Electric � Gas _ Other <br />�,�r� �'77032��' <br />CITY2IP PHONE <br />�� �ls�4o "7-�d �?ct� <br />WORK DESCRIPTION � � � � � �� <br />C��t J' �D � 1 Gt�� <br />NO. I TYPE OF FIXTURE OR REM <br />Toilel <br />Bathlub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />LaunAry trey <br />Sink (servicelbarlmoplelc.) <br />Backflow preventer <br />Urinal <br />Drinkinp Founlaln <br />Floor drain <br />Grease irap <br />Roof drefns <br />Other <br />_I <br />CONTRACT PRICE OF WORK <br />� �t f <br />NO. I TVPE OF FIXTURE OR ITEM <br />AIC — air h2�dling unils <br />Forced air systems <br />Gas piping <br />Water heater <br />Ges fireplace <br />Gasrange <br />Clolhes dryer <br />Range hood <br />Exhaustfan <br />Heatpump <br />Unit heater <br />Boller <br />Rafrigerarion <br />Woodstave <br />Olher <br />CITY OF EVERETT LOGAL SALES TAX GODE IS 7109 <br />t hereby ceritify Ihat I have read and examined this appllcation and know the same lo be lrue and cortect. All provisions ot laws and <br />ordi�ecos governing lhis type of work will be complied willi whelher specifiad herein or nol. The granUng of a permH does nol presume <br />to glve aulhorily lo violale or cancel the provisfon ol any other state or local law regulating construcdon or lha peAormar,ce of <br />wnslruction. That I am authorized by the owner of Ihis property to periorm tlia work for whlch appiicatlon is made and I camply wilh the <br />State nlreclo ew 18.27 RCW and 296200 WAC. ��, 8/ � <br />J%1 c �i�/ti �/ � <br />