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Jan 12 10 1256p Washington Water Healers 42557267&1 p4 <br /> �_.—___ --- -- — •----- <br /> ' PERMIT APPLICATION � <br /> � C1TY OF EVERETT PERMIT SERVICES I <br /> 3200 CFDAR STREET, EVEREI?. WA 98201 <br /> • 425-25%-�3810-- F{VC 425-257-8Ei57-K�.eveiettwa.org <br /> _ APPLICA710NS ARE ACCEPTED FROM 8 AM TO 4 AM <br /> SI7E ApDRESS � PARCEL TAX I.D.M <br /> _ � N"1 c` _ C �— PERMIT k <br /> Z_"l2-G IUU - .� �E i�f,45ZrX�G � oZ�i;C� <br /> ; i._r,a� �ori�o.- ra�ocK - - L_ � i <br /> ��� TRA:i OR SLi9UIVI510N A r"—��^— <br /> OWNEH ADDRESS �- -- CI 21p — PNONE <br /> (--IIyIC� l•ti� E.v� �- u /� <br /> y _ �zu �uu t- sc J���rr�{_y;�o:� y�.%��s2���� <br /> T[NAMNAqE � `-- _ <br /> � � ONfACTF(JppCR�(ff� A ` p�� ' <br /> � ry e I 1'110NE�UQ'/ �0�.�✓DY�_ <br /> �(tiCC.I ��.��(�C.��� / <br /> �C�i1tA�C fi—.—_ – E-M/U��l�(lQ;�(�f'��1yuu ��nh <br /> W F,51�11�'�:1i pA1 6Uh i E✓1-Y/�lr�=��'°���f�,u� S -' -raa��€ �7,� �. d'cn'1 <br /> ICONTA.UCCNSE /� ' �� ��W' ��– �� <br /> �G�f+Sh��_y�P /'�el/r vc�e ��Ja 9Fvo� �S�S <br /> IUSE OF BUILDING /� MEAT SOURCE CONTjiACT PqICE OF WORK <br /> __� �/7� i ) �� (J' � �/' � 1DCj'�I��('IC <br /> _l_'�n l.�l. C !=Elt:ctnc �Gds_Oihor ,� <br /> SYORK�ESCRI��TION -� —��— �� �" <br /> �L�1�1�, <br /> .E <br /> ��' d l c�� c� �';�t� ( l_�.'C�.y-e.t� ��C r_.;��� <br /> - _ - PLUMBING MECHANICAL I <br /> No• Trre or-nxrune oA irsM <br /> �� Trre or Fixrune na ireM <br /> _ Todcl — -- � AK; - air hnndii --- <br /> 1 _� D�Ihtub � ng unilx -- � <br /> Lavatory(wosh basin) ���'��`d����syctcm> <br /> --_ Shower Gas piNing I <br /> Kitclie��sirdc 8 d�spos�l Watm hoater <br /> DisMi;�,li�r ___ Gas lirepince <br /> I �i- Clulhes N�asher Gas range <br /> �I_ lYater Iwaler _, Clothes dryer I <br /> Sink(scrnceR�ar,'mop;ctc.) Range haatl <br /> I .. _ Axtillowpreventer � ExhauStfan <br /> Uiinal Hept pump <br /> b�in5ing fbunlaln _ Unil henlo� <br /> � _ Flom dinin -- �'� <br /> __ Grcasu tmp __ He6i0ere�ion <br /> � _ ftool drains —_ WM�dcleve <br /> — (hher __._._ . --._ ._ -- Olhcr --------- <br /> I — — '--_. _----- -- — -- ------ <br /> I __ __ CITY OF EVERfTf LOCAL SALES TA%CODE IS 3105 <br /> � I hc�roby ceulity Ihat I h,rvo rcad and oMaminetl Uiis appl�catian and Iviow the same lo bc Irue un0 co�ecL All provisions ol laws and I <br /> ordinaces�t�vemirg this lypo ol work will be cempfr.d v,pb wlioiher specilied horein or not.Tho pranlinp ol a permit does not p�esumu <br /> 10 QIVC JpiI1J��(Y�O y1D�i IC Of CpOCEI�I1G FfONS{Ofl OI tlpy OII1Cf S�d�C Of IOC�I IBVI fOalllq110(��p511UCLpp O/Ih@�phD'Ip3fICl]UI <br /> cun:lruction.TI�,�1 I:uu authpritr.tl Iry tJic ownur ol Riis property 10 pn�lonn the work for which apFl;cntion ie madc und 1 com��ly wilb ihc <br /> 511ir Contrnr.t�xx L�w 1 B S' ,(iCIY nnA �f:nO IVnC <br /> � `i�`� l�tiL � � � � <br /> r / i <br /> S� iaWre- ol�wncr/C�iniraCtor/ �tli1�ri.•u�cn�-�da�� � <br /> _ __. - _ _. . __-_ <br /> _.___ .._ -. <br /> _—. __ <br />