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� <br /> P 'RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVIG�S <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810-FAX 425-257-8857-wuvw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 pM <br /> SIiE ADDREBS PARC�L TAX�,D.# PERMIT li <br /> 1401 � �toloo �' ��o� - a <br /> lEG LO7 NO.� 1� gLOCK TRACT <br /> DESc. <br /> OW DRES CfTYI 1 NE <br /> F F. (.�.U&wWM�ck)�' L�� 19�-101 Wl�fhE W. St�. � la-��r�cvo °I6o3(� Nzs-- <br /> , cd-w-9aaa� <br /> iLNANTNAMfl CONTACTFORPlRMR PMON! <br /> FF. 0�-�.�o�r L P. I P.�,l Co��vA� '-��-5 3Z8 -a-tm <br /> CpNTRACTOR P��_1` '�� ADDRESS CITY2IP CHON! <br /> � � �010� y.bt7p�� �Q./�. <br /> CONTt.UCENSE A IAICbOt/JYKtA. °�BQI'L. �Zj`�g�� ��^� <br /> _ dI�IdW/k�'�' ��ll�p � <br /> USE OF BUILDING NEAT SOURCE CONTRACT PRICE OF WORK <br /> �(�'����� y EIeChIc _Gaa,�Olher <br /> WORK DESCWPTION <br /> 'T W wlnJtlt/Cr ��il.� �,.JdIJSTVtIf.�'10i�1 `I�Y�.IJLTIF�1'V1��w <br /> PLUMBING CHANIC <br /> N�. TYPE OF FlJ(TURE OR IiEM NO. TYPE OF FU(TURE OR ITLM <br /> Toitel A/C—alr handting units <br /> Belhtub Forced air eyslems <br /> ' Lavalory(wash basin) Gas piping <br /> ShoWer Waler h6ater <br /> Kitchen sink 8 dieposal _ Gas fireplace <br /> Dishxrasher _ Ges ran8e <br /> Ctothes washer Clothes dryer <br /> Water hQater Range hootl I <br /> S�nk(aervicelbarlmopletc.) _ Exhaust tan <br /> BacMlow pr¢vanter Heat pump <br /> Urinai Untt heator <br /> Drinking Fountein � Boller <br /> Floor drein Refrigere6on <br /> ^— Grcasetrap Woeds:ove <br /> Roof drai�s � Othor <br /> Other <br /> GITY OF EVERHTT LOCAI,SALl3 TA7(CODE IS 3105 <br /> I hereby cerlHfy that 1 have read and exemined this application and know Ute same to be hue and correa. Ail provisions of laws and <br /> ordinaces govemfng thls type ot work will be comDlied with whether spectfled harein or not.The qranting of a portnit does not presume <br /> to glve autho to Nolate or cancel the provisian of any other stale or local law rogulatlnp constructton or the poAartnenee of <br /> construction et I am au ' ed by the ownor of thls property to periorm tha work h�r which�ppiicOUon Is meds end I tomply with thp <br /> State Con ors Law 1 CW and 288.200 WAC. <br /> .n-=--- 1 !0 0 (o <br /> gna e o er ont doNA onzed gent ate `(� <br /> V <br />