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PEaI1�IIT APPLICATION <br />CITY OF FVERETT PERMIT SERVICES <br />3200 CEUAR STREET, EVERE:?T, WA 98201 <br />425-257-8810 - FAX 425-257-8857 -- www.everett�a.org <br />� <br />SITE ADDRESS <br />7..� <� `x �' <br />LEGAL LOT NO. <br />DESC <br />OWNER <br />��s Fr� �L G <br />TENANTNAME <br />APPLICATIONS AKE ACCEPTED FROM B AM TO 4 PM <br />> �J <br />BLOCH <br />PARCEI TAl( I.D. It <br />ov y�Oc� oo �� ���oc <br />TRACT <br />FOR PERMIT <br />3L �' <br />PHONE <br />p <br />� - �G, <br />CONTRACTOR /�%Y/5 j�f/rt�j q��E� �`��� �� CITV2IP PHONE � <br />� 3 rrrarysv�/� �9>5 <br />CONTR.LICENSE��f ^�� ��,�LL �Ir — (�����V �%�-� _ <br />/ / � -�c 7�(� <br />USE OF BUILDING I HEAT SOURCE � CONTRACT PRICE OF WORK <br />.��1�L�1:7:i <br />.� <br />��-,5,�� � �>.� <br />PLUMBING <br />_ El�ctric �Gas _ Olhr,r <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhlub <br />Lavalory (wash basin) <br />Slmwor <br />Kilr,hon sink 8 disposal <br />Dishwashei <br />Clolhes washnr <br />Wetor hoater <br />Sink (servicalbarlmop/elc.) <br />Bar.kflow preventor <br />U•in;d <br />Drinkinc� Founlain <br />Flour drain <br />Groaso Ir�p <br />Rool drAins <br />OII1Hf <br />NO. I TYPE OF PI%TURE OR ITEM <br />NC - air handling unils <br />F,�rced uir systoms <br />Gas pipiny <br />Waler healer <br />Gas liieplar.e <br />Cas ran9c <br />Gnlhes dryr.r <br />Ren�u hood <br />Ezhaustlan <br />Hcat pump <br />Unil hoater <br />�oi�ar <br />RelriQeration <br />Woodstove <br />CITY OF EVERER IOCAL SALES TAX CODE IS �105 <br />I heroby corility thal I have reaA and e■amined this applicalwn and know it.e same lo be true and correc�. All provisions ol laws and <br />ordinac�s yuvernin� Ihis type ol work will be compli�d wdh wt�nlher sper.ifie� herein or noL The c�ranting of a permil does not presume <br />to givo authonly lo violate or r.ance� ihr provision ol any olher stalo or Iocai law regulating conslruclion or Iha peAormance of <br />construclion. Thal I am aidhorized by Ihe ownoi of Ihis pn�perty lu perlorm lhe work for which applicalion is made nnd I comply with the <br />Slale Contr��:�or�s Law 1tl27 RCW and 2�6.200 WAC <br />Sign�� �C�-�.►_— J J �� <br />re o� nerlContractorlAuthonzeA Agont a� �I <br />� <br />� <br />