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SITE AODRESS <br />'�i ` 9 <br />I.EGA LOTNO <br />UF.SG. <br />. �-- <br />� <br />r���l�:l��� <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257�d810 - FAX 425-257-8857 - www everetlwa org <br />APPLICATIONS AiiE ACCEPTED FROM 8 AM TO 4 PM <br />/ PARCEL TA7f I.D. M <br />�'� !� )(. Ci.S���� %cC�i-�,7��' <br />, BLOCK TRACT OR SUBDIVISION N <br />�i � �. ��.� I �j�� f�� <br />'�ONTACT FOR PERMIT <br />li'O1.7<< I�X <br />- -TiS617E5� <br />����� �' �-��r{lt\r.l �yl� �`ii ..,r;��,�'���-�� <br />COIlTA. LIC�EN E N <br />_�„� rn.��r����Ry <br />USE OF BUILDING � HEAT SOURCE <br />PERMIT N <br />� <br />�� �� � �c i—( �I Y.'c � 4 <br />PHONE J <br />li L�_) E•MAILI) 1�) c I %.l�c•%. �.. <br />�--- <br />�l,'�1'l�tt �'%S��S���['i!% <br />9XZ�� <br />Electnc ✓Gas Olhur <br />WORK DESCRIP710N <br />� I ) _ � �i ( � � � ( i b k �.� ) ) <br />I� <br />PLUMBING <br />TYPE OF FIIfTURE OH REM <br />Tuilcl <br />Ba�hlub <br />Lnv[Ilory �w;�sh basin� <br />Shuwcr <br />Hllchen sink 8 dis�unl <br />Dishwashur <br />Cla�hes wnshcr <br />W�Icr heelCr <br />Sink (scrvicc�baUmup'cta� <br />8ackllow preventcr <br />Urintll <br />prinking FOWit7in <br />Fluur drpin <br />Gre[fsc irap <br />fiool d�alns <br />plher <br />1�1v <br />� <br />CONTRACT PRICE OF WORK <br />� <br />�/ .'7/� <br />TYPE OF FIIRURE Oq REM <br />A�C - au h;�ndhng i�nils <br />Foicetl air sys�arns <br />G�is pipinq <br />Watcn c�.rta <br />Gas hreplacu <br />Gas range <br />Clathes dryer <br />Range Iwod <br />E.haustlan <br />Heet pump <br />Unit hcate� <br />BUtlCr <br />Rcingeral�m� <br />Woodstovc <br />O�hcr <br />CITV OF EVEREIT IOCN. SALES TAX CODE IS 7105 <br />I hmeby cerqily Ihat I have rcad and e�amined tlns apF�hcatwn and know Ihe same to be Ir�e v�d Conect. All provisions of lews and <br />ord�neces puvennnp Ihis ry{x ol work will be cumVhed wAh whelher s{mcihed hereui or nut. The granling ol a permit does not prosume <br />to givc aiAhoriy lo viu4tle or cancel Ow pruvision ol any uther state o� bcal Ie�w mgW��linp conslruction or the perlarmance o1 <br />consVucliun That I nm uuthonred by ihe ownor ul this pruperty �o purlom� iho wvrk br which applicution is mede end I comply wilh Ihe <br />Sln�c CUiNr is Luw IB.27 (iCW and 296QOQ1aAC <br />� �� l`1 <br />��' _ �cl�) c� t�1��c,� IC' <br />SignaNm ner Coniractui AiAhori�ed pen tV� c <br />� <br />7� <br />