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D-�: . iii12 3: ',�4�'1S No. 6iiE F' 4 <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 C[DAR STR[ET, EVERETT, WA 9tl201 <br /> a25�257-E3f310 - FAX 425-257•8857 -www.everollwa.org <br /> APPLICATIONS ARE ACCEP7ED FHO�d 8 APd TO 4 PM � z ._.(�-/z <br /> SITE A�RF,�S � � O' PARCEI.TAX I.D.N ,P��'�IIT�t � � /�y-� <br /> U V \ � \ «� <br /> t. K <br /> LECAL LOT N0. OLOCK TRACT Ofl SUUDIVISION p <br /> DESC. <br /> OWNER n AODHL S CITY2IP PfiO F. <br /> SI1��1, nG� KO1,0 e. �G YYUL 4F2 �ZZ �o J. <br /> TENANT NAh7E I CONTACY FOR PERMIT PHONE 4Z� 2 (p? <br /> �G E•MAII ��� Cm��C'�`� . Qn� <br /> cmH�a �tGlnc- �►�i58r v.x�.� E.ve,r'eti q8 � 4Z5�5q��6b <br /> CONTR�L�CENS�� Oq5R�. _ <br /> l. <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> _ElecUic �Gas�,Other - -°- ���D� I <br /> WORK DESCRIPTION <br /> � nS�U �Za,+�- f�ss �2-� <br /> PLUMBING MECHANICAL <br /> NO. IVPE OF FlX7UAE• OR IT[hl N0. TYPE OF FI7(TURE Op ITEM <br /> To�ict NC—a�r hnndiing units <br /> Bathtub T PorcM alr systems <br /> Laealary(wash basm) � Gas pipinp <br /> � Shower ,� Walot hr.a�er <br /> Kitchon sink 8 Qisposal _ Gos Ilreplacu <br /> Dlshwashcr Gas ranfle <br /> Clolhes washer ^ Clothes dryur <br /> Wnter hoaler RangC hood <br /> � Slnk(sorvicelbarlmop/ett.) _ ExhauSt lan <br /> J Ffar,kllow preveNer __ Heat pump <br /> � Urinal Unil henler <br /> � Orinking FOUtt�ain _ BoilBr <br /> � Floortlrain W Relriperalion <br /> u Grcaso Irap __ Woodslove <br /> � Rool drains Olhu� <br /> Olher <br /> CITY OF EVERETT LOCAL SALE9 TAX CODE�3105 <br /> I horeby ceiitily Ihal I hnve road 0nd eaaminod Ihls applicalion dnd know Ihe srme to be Irue and correcL All p�ovisions of laws and <br /> ordinaces Uoveminp thls rype ot work vnll ba wmplled wiRi whelher specilied herein or nol The pranling ol a permit doC9 nol pwsume <br /> to grvn aulhodry lo v�olale or tancE,l the provlslan ot any olhcr sWln or locnl law rppulaWp con^,1rucGon or Iho purturm2nte ot <br /> conalruclion.7hat I em authorized by Iho ownyr ol thie proporty to pednrm Ihe work lor w�hiCh apphcation is made and I tomply�v�lh the <br /> Sale ConVnctors Law 1827 RCN and 296.?.00 WAC. <br /> _��. �— t2 �3�, <br /> Sipnalu olOwnoN o acrodAulh Apent Datc <br />