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S�TE <br />LOT NO. <br />DE3C. <br />CONTR. LICENBB 11 <br />UDE 0� SUILDIN6 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEREIT, WA 98207 <br />425267$810 — FAX 425-267-8857 — www.everetMra.otp <br />APPLICATION6 ARE ACClPTED PROM 8 AM TO 1 PM <br />BLOCK � TRACT <br />WORK DFSCRIPTION 1 ���\\ <br />NO. � TYP! OF Fl%TLRt OR IT&M <br />Toilel <br />Bathtub <br />Levelory (wesh ba+in) <br />Show�r <br />IOtchen alnk 8 dlsposal <br />Dishweehet <br />Ctothen washer <br />Welar he�ter <br />Sink (teMoelbar/mopletc.) <br />Beckflow preventer <br />Udnel <br />DAnklnp Fou�tain <br />Floor drain <br />C+nees trap <br />Roof drelns <br />other <br />PARCEL TAX I.O. � <br />`C_O�NTACT FOR �H(M�II�f <br />.1D� Mi L 117 CY 1�11.hit�I1 <br />HEATSOURCE <br />�Eledric _ Ow _ Other <br />NO. <br />4-7 -iv <br />�� <br />.+4�.C. aCla ci�ti? a� <br />�1a��E <br />CONTRAcr PRICF OF WORK <br />'fYGE OF F11(TURE OR 17iM <br />A1C — alr henelinp unRs <br />Forced alr sya��ms <br />Gas plpng <br />Water hpplcr <br />oea fireplece <br />Ga range <br />Clothes dryer <br />R�np� haad <br />Exheust h�n <br />Heet pump <br />Unit hearer <br />Boller <br />Rahiperetlnn <br />Woodslave <br />ou»r <br />CiTv OF EYERBTT LOCALlAL[8 TAX COOE 19 7106 <br />I hereby ce�ily thal I heve read ond �Kamined Uila epplicetion end know th� um� l0 6a truQ and conect. All provisione of lawo and <br />orclinanr�t po�,eminp Uds type of vrotk wlll be canplied with whelhpr apeGAed herein or not. The prantlnp of a portnit doee not preeum� <br />to qivn aulhorly to NolatO Or cbnp9l the pioNslon o( any other aMb a locel I�w ropuleUny croneWctron or th� D�Ko1M8hte of <br />cons�etlon. Thet I em eulhonxqd by lh� �r ollhie propery fo perform Ihs work fai which epplicedon ie made entl 1 mmpiy with ttw <br />$lab onhycton l.ew 1@.Z7 ftC�N end ?,sQ�00 WAC. _ I j- — <br />