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. <br /> �ERMIT APPLICATIUN <br /> CITY dF EVERE7T PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98209 <br /> 425-257-8810-FAX 425•257-885T-wvvw.everettwa.nrg <br /> APPLICA710N5 ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � SfTE ADDRESS VARCEL TAX I.D.N PERMIT�► <br /> 4�l �GI�K.. celo� t'vw(n.oC-o33 <br /> LEG {,OTNO,� I� BIOCK T1tACT . <br /> DESC. <br /> NiR ADDRlSS . IP P NZS— <br /> F F. ��v►,�- �,� �qyo� 4��`m�w. S�r� aa� �►,,�.4,°�°3� �9a4a. <br /> TFNANTNAME CONTACTFORPERMR PHON� <br /> FF. Orw��c,p�� L P. EyMJ �iRVA�J �+�5 37.s -wa� <br /> CONTitAC70R� �'��NL.`i� ADORESS �j'tZOS CfTY21O PMONE . . <br /> TN 15P.2_ SiY+f'c6a- 217�p•-n5`-u?s�Q� <br /> CONTR.LICiNSEtt ��,�� u' ^�,,1`' �l„��Wp�. <br /> '1�. lMJN14 O�B�,�B�'135�L� <br /> USE OF 6UILDING MEAT SOURCE CQNTRACT PRICE OF WORK <br /> �l.T�i�yN�� v ElEttric _Gas�Otl�er I g� �q , �2 <br /> WORK DESCRIPTION <br /> �I�T�nJ(a I�1��JG�u�-�uuZo�.! IIM.u�Tir�t��y <br /> PLUMBING ME HANICAL <br /> NO. TYPE OF FOCTURE OR ITEM NO. TYPE OF FfXTURE OR ITEM <br /> _ Tollet FVC—elrhandlingun'ds <br /> ,_ Bathtub _ Forcedalrsystems <br /> _ Sa�ry(wash basin) �, Gss pipino <br /> � Waterhaatar <br /> _ Kitehon sink&disposal � Gas flreplace <br /> � Di�hwasher Gas range <br /> Cloth�c washer � Clothes dryer <br /> � Water hoater � Range hood <br /> _ Slnk(eervlcelbadmop/etc.) Ezhaust hn <br /> ,_, Beekfiowprevanter Heatpump <br /> ^ Urinal � Unkhaater <br /> Drinkirg Fountain _ Boller <br /> —� Floordrain <br /> _ Greeee trap l� Refriperatbn <br /> Roofdrains — W�dstove <br /> ' Other _, Other <br /> CITV OF lVERETT LOCA�6ALES TAX CDOE IS 7705 I <br /> 1 horeby ceritlfy that I have road ontl examined this aDplfqNon�nd know the sema b bs true end correct. Au proWntons of lawn and <br /> ortltnaces goveminp thls typo ot work wiil be complleA w}th whelher specllled herein or nat The granNnB a}a POmdt does nOt prYsume <br /> to give autho' to violate or cpncel the provtyion of any othar state or local law repulatlng cpnsWction or the performance of <br /> conshucNon at 1 am a ed by the ownor of lhls property to porfom,the�wAc for which applicaUon is made and I comply with the <br /> Stato Con rs Law 1 CW end 296200 WAC, <br /> e' ` � (0 0 <br /> Slgna o er on ctor/Aumorized qenl at3 <br /> � e 33 <br /> o� <br /> ���� <br />