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SITE ADDRESS{ � <br />CnIS li1 - <br />L[GAl LOTNO. <br />PEi�MIT APPLICQTION <br />CITY OF EVERETT PERMIT SERVICE� <br />3200 CEDAR STREFT. EVERFTT. WA 98201 <br />42Ci 257-8Fi10 FAX 425 257-8857 - www everettwa.org <br />APPLICATIO�7S ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX 1.0. 7t <br />'�, �E i� (�� ?�'}U`_. ��1Q0 �(�1 �{(,U <br />TRACT OR SUBDIVISION N <br />PERMIT N <br />')�, ev.� CI 4- <br />D@SC. I I <br />OWNER AUDRESS CITY2IP PMONE <br /><<'C F-..�. ?{r �'j��'l�� C�c..l� .. I�„� P� �,�+n��P '-�'�1�37 <br />,j <br />TENANT N11ME CONiACT FUR PEHMIT PMONE y Z S-L(o S• I S(n'7 <br />� i��'r��i•c�l 1`��4��.5 ��iGi= �I��oe�nl + Paol Ce <br />E�MAIL �n P�s�qnw <br />-- ; 425-2ter-�Sb"7 <br />cHLc�ti�i�oHel 5�.�,. ('���.pa�_� ��-yi�� Fl�.,y4q11: Evv.di qR2o�a <br />CONTR. LICF.NSE � <br />� ri�� � .° s:c �1��-I��ik <br />USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WOHK <br />�1 �,' <br />('� . ,,,, ,,,. � . ,. � n � _ ElFclnc C;as . . Othr.r i-`i [�'(�' - <br />WORK DESCRIPTION ' � ' <br />.� . •..�� U �.��1�. Hal�..� �� �IUw�ir�ai-FL ('4�..✓�Q� >1J�� � <br />NO. I TYPE OF FI%7UFiF. OR I7EM <br />Todet <br />F3alhlul� <br />Lavaloiy Iwash basuq <br />Shower <br />Kdchen sink 8 dispnsal <br />Dishwaslmr <br />Clolhos washor <br />I Watnr hanler <br />Sink /ServiceR7adrnnp�elc.1 <br />Bar.kllow prevrntm <br />Urinal <br />Dnnku�g Fountam <br />Flooi drain <br />Grcaso tiap <br />Rool drams <br />Othor <br />N0. <br />TYPE Of FIxTURE OP ITEM <br />h'C - au handling unds <br />' ForceA a�r sysloms <br />Gas piping <br />Waler heater <br />G�s I�replace <br />Gas �ange <br />Clothes Aryer <br />Rango hood <br />F�hausl lan <br />Hoal pump <br />Un�t hoater <br />Dailer <br />Rehigr,iation <br />Woodstove <br />Olher <br />CITV OF EVEPETT LOCAL SALES TAX CODE IS ]105 <br />I hereby cenply Ilial I h:fve read and oraminecl Ihis app6calwn and hnow the snme lo be I�ue and correcl. All provisionS of laws and <br />o�Ain�ces povernin� �his type ol worl� will be complir,A wdh whether sF�eciheA heiem or noL Tho granhng ol a permil does nol presume <br />io pive nulhonry lo vidale a cancol Ihe provision ol any olher state oi bcal law regulating conslruclion or ihe perlonnance nf <br />ronslructwn That I am aulhorized by Iho owner ol ihis p�oper�y to perform the work Icr which apphcalion is made and 1 comply with Ihe <br />, Stale Contractnrs Law 1827 RCW anA 295200 WAC � <br />' ' 7- ?-�-ap <br />1, l� � e . < <br />Sipn�lUre o� Owner/ on��actoiiAuthonzed Aganl Da�e �� <br />L <br />