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PERMIT APRLICATION <br />CITY OF EVERETT PERMIT SERVIC.ES <br />?700 CEDAR STRL"ET. EVERETI' WA 98201 <br />42Ci-2Ci7-8810 - Fl�X 42G-2Ci7-F3857 -�vww everetivra org <br />APPLICATIONS ARE ACCEPTED PROM 0 AM TO M1 9M <br />SITE ADDRESS PARC[L T! X I.D. il � I PER[r41T f!�/ ��_ <br />_�j� 3v _��T.� f'� S � �vr.�(U lG.����IQzr} y�' i�-, - <br />I EGA� LOT NO. OLOCK 7ftACT OR SUD�IVISIqN Y <br />���s�-� � c�� D_��I �.oscno� 4�, �ieu.; r:�-s o�v Z --- <br />�------ — ------- — --__ - <br />pyyq[R ADORE55 � CIIY/ZIP PHONE <br />>rAf�11�A 1=rJoi.JL�s �1-.:30 �=i�T—" P� s� ��(r�ET� �25-�`!G= /c-!� <br />— — -- — ----- - -- --- _ _ - -- - _ <br />TENNJTIlAIdE I CONTACTFORPBRMIT PIIONE <br />I E MAIL <br />—_ _ _ __ . <br />ctiNrunci�az iULH1Y�Pl�- fl'�}zG16}�JII�{C nobF-����,1�153 (a�'�.._ ._--citV�tir--------�77bN <br />�i''� . AV � W . `l ytti- �u�"11 �-t16� '�ZS ?7�`f -�%u`(I <br />LONIR LICLI�SEd � CL��KC ' <br />UL`(MFM.I_��7�1 ------ --- -- � <br />USE OF BUILDiNG I HEAT SOURCE ' CONTRAC�PRICE OF WORIC i <br />I � f_ler.inc .__.. Ga5 __ OVici � 1 <br />--- -- . �' r�d`� — <br />WORK D[SCRIP110N �"N ��� Cl ,!� /V��� SC(f5'/Sl�/ DItCjI.� S,s I-tr^�iT IiULt(� S�%5f �'�M . <br />NO. � TVPE OP FlRTURE OR I7EM <br />Touel <br />�ilhtub <br />Lavalury pvash basin) <br />Sh;:ver <br />I:�Ir.hen sink A. dispos.l <br />--- r�shv:ashAr <br />- — C'Jlhas W.She� <br />VJaler heatei <br />Sink (scrvicelbarhnop�elc l <br />�ackpnw pmventer <br />Urinal <br />Drinkiny Fnunt�in <br />�� Ploor drain <br />G�ease Irap <br />Rool dralns <br />—I Olher <br />NO. <br />MECHANICAL <br />i YPE OF FIX7URE OR 1T[fd <br />NC - nh h�ndl�ny units-- <br />Forced art systems <br />Gas pipinc� <br />Watcr heatei <br />Gas lireplace <br />Gasranpe <br />Clothes dryer <br />Range huotl <br />[xhausl fan <br />Flcal pump <br />Unit heater <br />B7�iCr <br />RelrigeraUon <br />Woodslove <br />CITY OF EVERETT LOCAL SALES TAX CODG IS 3105 <br />I hcicby certi(y Ihal I have read and examined this appbcation and know the same lo be true antl mrrcU NI piovisions ol laws 2nd <br />���idinances goveming Ihis type ol wuik will he comUlied wNi whelher s, ecdied herein or noi The granling of a pennit does nol piesumc <br />tn give authoriry to viotafe or ca cel the piovision ul any other state or iccal law ieguiaung conslmcUon or ihr. pc�fonnance ot <br />construct n That t an aulho .ed by Ihr. o�vner el this proFe�ty lo Perloim lhe v:oik lor �vhich apphcation is made anA I comply vnth Ihe <br />Sla�e C I)iractor La� 16 2 CW and 296200 VJP.0 <br />� ��- � � �Q� �`� <br />:�:qn� ire ol O�vner/C itractoriAuthorized Apeni � � 0 te <br />� <br />