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` PERMIT APPLICATION �a -iD`=�-= <br />'.r ��� CITY OF EVERET7 PERMIT SERVICE � <br />Jx11v 3200 CEDAR STREET, EVERETT, WA 98201 � D,:��� D j� <br />'1' 425-267-8810 - FAX 425-257-8857 -www.everetnva.o � : / � <br />APPLICA710NS ARE ACCEPTED FROM 8 AM TO � PM - DEBIT 8 CR�DIT CARDS <br />SIT! ADDRE�'J <br />LOT N0. � ELOCK <br />NAME <br />OONTMCTOR <br />Coa.sroN� <br />CONTR. LICEN6t t <br />U9E OF BUILDINO <br />P1IRCEL T/J( I•o. N <br />n <br />ICONT�Ct �OR �ERMIT <br />N014Fi Wi4e <br />ADOIIEbS pTMR�P <br />eonrnzac.ro+2s l 9,a '8 t c K rca� �lE <br />SNo µo�u rs �F N/A 9Y2ao <br />HEATSOURCE <br />X Eleclrit __._ Gas � Other <br />yypRl( pF.SCRIPTON <br />�i2E _R65THl2R-Trohl <br />N0. I TY�60FF1I(TUREORITEM1i <br />BathNb <br />Levatory (wesh O�sin) <br />Showef <br />IGld�rn eink 8 dltpoc�l <br />Dishwaaher <br />Clothes washer <br />LaUMry �Y <br />Sink (serv�celbar/mop/etc.) <br />Beckllow praventer <br />Urinal <br />Onnhing Founw:n <br />Floa: dmin <br />� Greas� trnp <br />Rootdnins <br />I O��e� <br />NO. <br />PHON! <br />3eo-8(oz-83rc <br />CONTRACT PRICE 0� <br />TYPE OF FI%TUI1C OR ITLM <br />A/C - air hendlin9 uniLa <br />Forced air aystems <br />Gu piping <br />Weter heeter <br />Gaa fireplace <br />Gas nnge <br />Ciothes dryer <br />Ronye hood <br />Exheuetl�n <br />HealDump <br />Uni� heater <br />Boibr <br />Retrigemlion <br />Woodctove <br />Other <br />CITY OF �VERETT LOC�L SALiS TAX CODE iS ]10! <br />i hereby ����Y ��� I have med and examined this application end know the samo to b� hve end corrcd All proNsions ot lawe and <br />tgl veauMorrty to � late a�canml he Ipro 1e � ol� ny o� st�a opl�ocal awBR�u at nqimnstructi�on o�Ih� peAortnenca o Presume <br />cAnstrudion. That t am authonxed by Ihe owner ol thlc pmperty lo peAarm the woAe fo� whkh epplfation is m�de and I canplY wllh the <br />Stale Contradors L 1827 RGW end i?6.200 WAC. � 2� Or <br />.�--� '�ii` .�. <br />`iz <br />