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•. � , -i�„ , . '�=; f��. . <br /> ,. . . � . . � . . � <br /> � — _— l <br /> - ! ERMIT APPLICATION I <br /> � CITY�OF EVERETT PERMIT SERVICES I� <br /> I 3200 CEDAR S1RcET, EVER[T7, lNA 90�01 <br /> 425-257-8810– FAX 425�257•9R5/–�ti•��^�.evereihva.or9 i <br /> � APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PtA �' <br /> �I ! � PERt.1;T�r O I � <br /> �� I�.yr g,e1HCE�AX I.D.tJ M I Z � I <br /> I SITC ADDH[5 C.f k ' lh <br /> 1 �" � �� Qa l O •m•'�" - � <br /> �'4�.L! _"�.__'_ � <br /> LEG� LOT t10. BLOCK TRAC1 OR SUBDIVISION p i <br /> � DESC �-�-- <br /> ADDPESS CITYl2IP PMONE <br /> O'�!NEfl <br /> , �1 ► �.o� t , 1 S ��X���� �-�+1��� `�2a ��5�L�{—��2� <br /> �I 7[NFOT tJA�.1f <br /> COHTACT FOR PERf.11T 7HONE��S Z�„J 1 lti4=v�� <br /> , y{r_[`'y'[�,v(�� �.�,,A� �el�l,ic�@C1�1hr�i lfl� �=�'� <br /> G7J l: � �DHLS`s / iQ.�re/1 V'OY..�� � O. . ` ,% <br /> � �-� �2,i75 f��6� <br /> I G�1a1�a r1ql�iL �'��� Br w'a.`, I <br /> I CI:NTHC���I1SE ' • (� 11T <br /> � I CONTR��T PR�C[OF WORK <br /> _ USGO: dWLD11JG I / HEATSOURCE li <br /> ! • Electric ,__Gzs_Ctner � � I <br /> � � <br /> �'JOiiK DESGRIPT'ON ♦ <br /> I � �'1��'� � � �.�� �� �f ��`°�'"P"'�," I <br /> I �— PLUMBING MECNANICA� <br /> , No. TrreoFcixTut�eoA�rera <br /> ��p. TYPE Of FIXTUHL 0(11TEh1 'I <br /> �I — ._ p/C—uirhandllnpunil3 <br /> To�ict Porced a�r�y;;cros <br /> �i _ 6aih;uU � Gas plping I <br /> � Lavatory(v�ash basin! VJatar Leator <br /> I _ Shmver � Gas tlrep�acc <br /> Kac��en smk 8 disposai — Ges rangc <br /> ! Dishwacher Clo�hes��yar I <br /> �� Clotl�es washer '—" q��np hcotl <br /> Water hr.ater -- Exhaust tan <br /> f Smk(sr,rvica/badinop/etc) -- �����p��nn <br /> J f3ackllow provemer � Urut hr.ator <br /> __� Unnal � pollcr <br /> ___ DiinWn{�FouMam � Relrigc�aGoa <br /> � Floordrain —' Wop�istov� <br /> _= c«�,��«a —1— oin�,��QL_��t.)���t�.R <br /> . Root drains <br /> ! Olh¢r __�_�_ <br /> I _J CITY OF GVERETT LOCAL SALES TAX CODE IS 310i <br /> I nereby cedf�ly that I hove road nnd oxaminetl Ih�s apphcabo�antl kno���he same to be truc and ccuccl. All p�ovisions of laws and <br /> ortlinaca,Boveming thls typo ol werk will Ue compllr.dµ�ilh whethor specllle0 herein or noL The qraniing ol a perm�t dces nol prasume <br /> lo qive auehonty lo�iolale or cancei the provision e�dny olhet 6lala or IOcdl law ffQUld6ng tottS�lUciion ot Ihe perlormance of <br /> consuuct�on. 7hat I am aulnorizod by lhe owner ol thls propeily to Fer�orm Iho Work icr which aGP"�ca0on is�nade and I compiy w��h the <br /> Stalc Conlractors Law 1827 RCVJ a��d 29G200 WAC. <br /> �,� ��, u � _ �a�.�.��- � <br /> Sg��atu �ot Owner;(,opitactodhuUi u A6ont Date <br /> l� <br /> i� _ _ — --- — ._.__---_'. _ — <br />