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�� .•F L-.�� ..��J�1Y <br />SITE ADDR[SS <br />L[GAL LOT No. <br />DESC. <br />owNen <br />�� m Ra�4-I�� <br />TCt�ANi NAMC <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 C[DAR STREE7, EVERETT, WA 98201 <br />425•257•881 U— FAX 425-257-6857 — www.everetRva.org <br />APPLICATIONS AqE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.�. li <br />TRACT OH 9UODIVI910N p <br />�NTACT FOR PERMIT <br />l��b.w <br />,1.. J�JV � L <br />PERMIT p <br />f1'1 I? G : O �'_ � <br />�125903 y515 <br />2.59 6�� � <br />-Z:ONT1ihCTOR ���,� I({�� aDof�tSS �i i r�ur rnvn� <br />�v� iNr-� &� E�r qaw� �4z5zsq 6�� � <br />CONTH. LICENSE p�����On��� <br />,� <br />USE OF BUILDING I HEAT SOURCE I CONTRACT PRICE OF 1YORK <br />✓ElecUic ✓Gas_Other �Q� �T� / <br />WOHK DESCRIPTION �Vn QS ��1,Q, � <br />1ro'1�,�"� �`1P �' r�0.C�t.� �uS <br />N0. I NP[ OF FlXTURG OR ITE7d <br />Toilel <br />Bathtub <br />Lavatory pvash basin) <br />Shower <br />Kitchen slnk & disposal <br />plshwasher <br />Clothes washer <br />W ater heater <br />Sink �serviceroar/mop/etc.) <br />8ackllow preventer <br />Urinal <br />Drinkinp Founldin <br />Floor drain <br />Greasa trap <br />Rool dralns <br />�iher <br />ivv�uc.� �t- -(v1v�e. <br />r v�a cSL <br />NO. I TYPE OF FIXTUHE OR ITEM <br />A/C — alr handling unl�s <br />Forcetl nir systems <br />Gas piping <br />W ater heator <br />Gos Ilreplocc <br />Gas rango <br />Glothes dryei <br />Range hood <br />Exhaustlan <br />Heat pump <br />Unit healer <br />BOilBr <br />Rofrigerallcn <br />Woodslove r <br />Other C�AS �7f�1G(,Q,r <br />CITY OF [VERGtt LOCAL SALCS 7N( CO�E 19 9t05 <br />I horeby cnritify that I have read and oxamined this applicalion and know the same lo be tru� and correct. All provisions ol IaH�s and <br />ordinaCes goveming this typa ol we�k �vill ba complied wilh wheUier speci(ied herain or not. The Branlinp of a permit dons not presume <br />10 giv0 authonty ro v�0late Or Cancol Iha provi5i0n ol any Olhar stata or local law regulating consWction or Ihe podormanco ol <br />construction. That I am authotlzed by lhe owner of lhis preperty lo pertorm iho work for whtch applicatlon Is matle and I comply wiih the <br />Staie!C-�ontrac�ors Low 1D 27 RC\V and 296.200 WAC. ��,J <br />I/P.%� ��0 ,�QAA.fh� c �� � in •� Z- �� c=' " <br />