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�- - <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 <br /> APPIICATIONS ARE ACCEPTED FRQM 8 AM TO 4 PM <br /> SITE ADDRES9 PARCEL TAX I.D.N PERMIT N <br /> 40l t+�El� O��t �10o Mocnot- 03� <br /> LEGA LOTN�.� '� BLOGK TRACT <br /> DESC. <br /> �Ss PXONE uzs— <br /> �F (��vnffwr �.� 19401 Nl�Aue i►�. S�,E, a.� ��,°�o3Vi ce�o-9aya.. <br /> TENANTNAME i CONTACTFORPERMR PMONE <br /> �F'. p�ur�a �,r L� P. i ('�.1 ���vA� �+'t� 3Z6 -a-tn� <br /> CONTRACTOR� �RON L.C��. AUnnEss 3'j 2p S CRYRIP PMON! <br /> Tidl$T1.@ Si7�E.2' �le'�2r^u31og <br /> CONTRUCENSEMV��,I.��� Ny1,1.1 �f,h1M1-fL�WA� <br /> IMJIVN t����$t�'3� <br /> USE OF BUILDINO HEA7 SOURCE CONTRACT PRICE OF WORK <br /> �,]L'}7�{+��' M I V Electric �Gas_Other � O� '2 <br /> — � � . <br /> WORK DESCRIPTION <br /> VEh�TI►�Cv I��W C��ltutxtorJ IYYI,�x-'ri�A-n�tiW <br /> UMBING HANICAL <br /> NO, TYPE OF FIXTURE OR REM NO. TYPE OF FUCTURE OR ffEM <br /> Tollet A/G—plr Ilandlinp units <br /> Bathtub Foreed air system� <br /> Lavetory{wash basln) � pas piping <br /> ^ Shower Water hoaler <br /> � Kftchen sink 6 diaposni � Ges fireplece <br /> _ Dlahwe�her _ Oea rang�; <br /> Clothes washer ,j oy Clothes dryer <br /> � Watsr twater _J,y� Range hood � <br /> _ Slnk(servirqlbar/moplatc.) yx, Exheust fan <br /> _ BeckflawD��enter � Heetpump <br /> _ Urinel � lJnkheater <br /> Drinkinp Fountatn Boller <br /> ' Floordraln ,f,y� Rehigeralion <br /> Greasa Vap Woodstove <br /> Roof drofns Other <br /> 1 Othor — <br /> CITY OF EVERETT LOCAL SAL[E TAX CO�E IS 3705 <br /> I hareby ceritlify thet I have rcad and examinad this applicaBon and know the same to be Irva and eorred. Alt p�o�sione of iawe and <br /> oMinoces gov�ming fhle type o(work will bo COmplled with WhetMr�pscMied heroln or not,7he grAnCnp of a pertllit doEs rp(pre9umY <br /> M giw autho to vlolMe ot taned the yfovisl0n o}any other aMk or bcal law regNadng eonehucGon or the perKNmance pf <br /> concMuetlon et I em eu o ad by th�owner of this pmperty to perForm the work for�+Mlch appilcatbn is moda and 1 compty wlth the <br /> State Con rs Law 1 CW antl 206.200 WAC. <br /> w:---- l 4, 0 <br /> Sgna e er on coor u onzadAgent p�e <br /> ,r��`°o <br /> �.P3�D <br />