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Jun =23-11 07:43A- � <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET. EVERE77, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEpTEp FROM B AM TO 4 PM <br />SITE ADORESS ` <br />:>C1/ •��?��•y�= <br />LflGA� LOT NO. BL�CK <br />PESC.r .__. _._._ _.. <br />OWkEH <br />PARCEL TAX I.D. if <br />TRACT Oft SUBOIVISION q <br />P.02 <br />6-a�-�I <br />PERMIT ii <br />��� ► � � c��x.� <br />,�.,, .'-� ......;.Lr _...._.. :�; � .'� > > — :�ar � <br />F � /�" .��, /� � ��/7 S"3 : �- _7�' ���-� x1• ,, - <br />L.� -.._ <br />1'Er+nNT NAME I CONTACT FOR PERMIT PHONE <br />E-MAIL <br />� CONTFiAGT R � �� �� D E.5 IP H N�3E —�� <br />,Cy o:�A"✓ .)::�) '-/ 1�ivz� �6G( �ov�K��'� ,�Gvi.•� ,� >-Z7 J—L/6�� <br />coNrr£ LIGENSE A <br />--. _...�`�G.'9ti�7_> �'�Z <br />USE OF ,6q�LDING <br />�f �' S <br />HEl1T SOURCE <br />X Electric _ Gas _ Olher <br />WORK pESCRIPTION �,! � /� / F� f��v •��C <br />�l/</ �f��f /'u ., 5 <br />PLUMBING <br />NO. I TYPE OF FIXTURE Oft ITF.M <br />I odi�t <br />HelhtUb <br />l.avatury (waah tr.isin) <br />`.;huwer <br />Kilchen sinY. Y. rli;yUsal <br />Dishwasnn� <br />Clo(nr.s w2sher <br />W �ilr.r hrialBr <br />:;ink (servica/Dar/mopintcJ <br />tlar.k�low pfeveuter <br />Uru,al <br />Drinkiny Fuuntain <br />Floor �train <br />CifCASO If��) <br />{�UO� dfJIfIS <br />Othar --- <br />y�Z�G'' ( <br />GONTRACT PRICE OF WORK <br />l `�C�G' �� <br />�O �//!%r`a�C /' °i�f�i� .. L <br />N0. � iYPE OF FIXTURE OR ITEM <br />AIC - air hantllin� unils <br />� Forced air systems <br />Gas piping <br />Water hoater <br />^ Gas tiieplace <br />� Gas range <br />_ Clothes dryer <br />, Ra�ge hood <br />Exhaus�fan <br />Heat pump <br />�, Unit healer <br />Boilor <br />` Re(rigeration <br />WOOCJSlUVO <br />Olher <br />CITy OF EVERETT LpGAL SALES TAX CODE IS 3105 <br />I lier�by cr.ritiq� th2t I havr. road and examined this applicalion and 4row ihe same to bo irue and corrocl. All provisinns ot luws anQ <br />urdmucus g�rvoininq lhis typo ot wurk wi�l b�� cumplied with whelher spocifiad herein or not, T�e gran�ing ot:i permit tloes nol presumo <br />w yiva authnrity N vi�lu�e or r,ancel lhe prmisiun of any other state ur local law regulating constructlon or the pertormance ol <br />r,nnstruciibn. Thol I,�m au(honmd by thc ownar of Ihis propeRy lo p�dorm Uie work for which application is made and I comVly wnh the <br />SIA(r i.Qi�Ilil;IUf:i �aw 1H`yZ.RC4N:intl 796.200 W�C. <br />~/ / % > / <br />G=�"! � ���`� �-. _ � � —r / <br />S�pn:�turu ol U�vnci! unlractovAutli�xizeu Agont �� �� Dato " <br />'--' —' -- ------ �---- - � �--� - _ ..--' �--- .._J <br />