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�RMIT APPLICATIVN <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 />APPLICATIONS ARE ACCEPTED FROM 8 A�A TO 4 PM <br />SITE ADDRE55 <br />9 013 4+`' A v E b✓ <br />LEGAL LOTNO. BLOCK <br />DESC Q 7 <br />OWNER <br />LARR�! kIANL � <br />TENANi NAME <br />CONTR.UCENSEp <br />PARCEL TAX I.D. # <br />TRACT OR SUBDIVISION tt <br />�EVFR�r r�puf <br />�3 9" f�J6 W <br />CONTACTFORPERMIT <br />�9RRY U/ANl <br />S TR A CTS D IV � <br />CITYIZIP PHONE �y�` <br />J <br />�vERETT I�if1.9�2ay�s��� <br />PHOIJE yt� 750-yoGy <br />USE OF BUILCING HEAT SOURCE I CONTRACT PRICE OF WORK I <br />I i <br />PriMc«•y «C'_.iLt�':'.t;_i x Electrir _Gas_Other � — � <br />� <br />WORK DESCRIPTION � pO H��S I S�� j-'T' 0� LI V I Y� � � ! <br />5 p4c�, J...r.r..l,���.1��,,,�� <br />1 <br />Mas�t�ec- 6Ccl , cw�.:. -i-- �R-�-� w H h 2 5� X?. `f A TT Atii Et� Gc.�� ' <br />�T�r+�� (�e�l_ <'-�.�.c.� o+� ►.'�i�;�r '� 6 cxti ia - o� 9_) ; <br />NO. I TYPE OF FIXTURE OR ITEM <br />.Z Toilet <br />���Ihlub <br />Lavatory (wash basin) <br />/ Shov+er <br />_L Kikhen sink 8 disposal <br />/ Dishwasher <br />_( Ctothes r+ashcr <br />6Vater heater <br />Sink (se�vicelbadmoplelc � <br />DacAflow preventer <br />Unnal <br />_ Dnnhiny f-ountam <br />Flooi drain <br />GreasC I�op <br />Rool drains <br />Olher <br />N0. TYPE OF FIXTURE OR ITEM � <br />NC - au handhng unds <br />Forced air syslems <br />Gas pipiny <br />4Vater heater <br />Gas fucplace <br />Gas r;inge <br />Clothes dryer <br />Range hood <br />[■haust lan <br />Heal pump <br />Umt heater <br />�oder <br />Rcingeiation <br />Woodsiove <br />Other <br />CITV OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />I hereby certity Ihat I havc read and examined this application and know Ihe same to be Irue and correct All provlsions of laws and <br />ordinances govemmg Ihis type o� work wdl 6e comphed wilh whether specifed herein or not The granting of � permd does not presume <br />to grve authon�y lo violate or cancel Ihe provison of any other stale or local law regulaling wnsiruc6on or Ihe per(ormar.ce oi <br />construction That I am aiAhonzed by the owner ol lhis propeity lo pertorm the work lor which applicadon is made and 1 comply wdh ihe <br />Slale Contractors Law 18 27 RCW and 296 Zp0 WAC. <br />�i_.c <br />l� <br />