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DEC-13-20�5 08:09 Fn"OM:BOEItJG <br />�. <br />4252946657 T0:425 257 8857 P.1�1 <br />PERMIT APPLICATION <br />CITY O�F EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425•257•8810 - FAi( 425•257-8857 - www.everetlwa.org <br />APPLICA710N5 ARE ACCEPTED FROM 8 AM TO 4 PM I a�' � 3-0 S <br />91TE ADDRE55 PARCEL TAl( I.D. N PERIAIT � <br />siie so�„d Av� �n ��> -�� <br />LEGA LOTNO. BLOCK T1ACT <br />DESC. <br />ER ADDRESS CIT7ZP ? ��� �}2$ — <br />/`lark Lesy�4 ER�dm 1`ladtcn S�Ig So✓� ��� EVlrc;r, WA qfloj 97f-yy <br />(>wne r <br />corrrnncron �wner <br />corrta. uceNse � <br />U9E OF BUIIDiNG <br />2CSIdNCe <br />WORK OESCRIVTION <br />Press�re tesr Sas p�p� <br />PLUMBING <br />NO. I TVPi OF FI%TURG OR R!M <br />Belhwb <br />Lavatory (was� batln) <br />Shower <br />Kilc�en sinh 6 dis005B1 <br />Dienv,es�er <br />� Clothas wac�ar <br />Launary tray <br />Sink (sen�ceroedmop/eia) <br />BdCk110W O�ovOntot <br />Uhnal <br />Dnnkinp Foumain <br />Floor draln <br />Grease Irap <br />Roo� arainx <br />O�her <br />CONTACT fOR PERMR <br />Ow�c� <br />nooness <br />��rone <br />42s -°13i- 4-4�65 <br />cinmr PXONE <br />MEAT SOURCE CONTRACT PRICE OF WORK <br />_Eledrie ✓Gas_Other ��T ^IIISTQII <br />�0. I TVPiOFFIXNR60RR6M <br />WC — air handling uni;s <br />fjrceC air systems <br />Gas D ping <br />Weter heeter <br />Gas firepleco <br />Gas range <br />Clothee dryer <br />RanOe hood <br />Exhauct lan <br />Hcat pump <br />Unit hee!er <br />Boilor <br />Refnfleral�on <br />WmOstove <br />CITY OF EVEItETT LOCAL SALES TAX GOD! IS ]� PS <br />I hercby antlfy that I ha�e reed antl examineC ihis appiicaLon ana know the aeme to be we enA torrect NI pmvis�ons oi lows end <br />ordinaw6 go��em�ng this typo of work wiu be complied with whe',her sp¢clfiee hurain or not. Thu grantng ol a poimlt does nol prosume <br />b gNe autnonty to vioiete or oancel Ihe provision of eny otner t1aU or local law mgulatin9 cemwction or tne peAormance of <br />tanslruction. Tha� I a�eaW zed hy Ure owncr of Nis propetly lo pcAortn No wotk tor which appfcafion is maOe and I compry w11h the <br />�j, dac aw 18 CW dBOP2Q�C'A ., � <br />��/ � 3�OS <br />Sigremre of OwnenComrnclur! aiceU Nyant ate <br />