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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />320D CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />�9.�C� _/d� �JJ �• S �` • <br />LEGA lOT N0. BLOCK <br />DESC <br />PARCEL TAX I.D. �I <br />TRACi OR SUBDIVI&ON / <br />�� —����/ �� <br />�TfNANT NAME I CONTACT FOR PERMIT <br />j tic,�v�-r�'J�✓<.�,��i.C�<� /5�%'�.3 :�`I�tz��NE'�i�''7 <br />CONTR. UCENSE � _ , . , _ _, <br />USE OF BUILDING <br />NEATSOURCE <br />_ Electnc � Gas _ Other <br />WORK DESCRIPTION � <br />1 /a �t <br />�/��10-Gt.� '/ <br />I:L�I� i �l� ��73 .3i"i 177:1 �i7;��i�.'.7 <br />Todc� <br />Bafhlub <br />levalory (wash hasin� <br />Shower <br />Kticheu smk A disposal <br />Drshwasher <br />Clolhes washer <br />Watei hea�ei <br />Smk (sernce/badmop/etc 1 <br />Bnckllaw provontm <br />Unnal <br />Onnkmg faunt�ui <br />Floor dram <br />Giaase trap <br />Rool dra�ns <br />Othei __ _ ____ <br />PERMIT M � <br />c <br />� � ��o�'- C�'� 1 <br />yas -- �� 3�ivd� <br />PHONE <br />E#INL <br />�FBA� <br />'S�� 3 •�'rz%. ��°5 � ]35 <br />�iONTRACT PRICE OF WORK <br />����: CL�C% C'.�' <br />NO. I 7YPE OF FIXIURE OR ITEM <br />_L A/C - en hanAling unrts <br />Porced av systems <br />Gas piping <br />WBter heeter <br />Gas fireplace <br />_ Gas range <br />Clothes dryer <br />Range hood <br />E■haust lan <br />lieat pump <br />Umt healer <br />Doder <br />Refnge: ation <br />Woodstove <br />_I Olher_ <br />CITY OF EVERER IOCILL CALEB TAII CODE 18 7106 <br />I hereby ceridy ihal I have read anA etammed ihis apphcaUon nnd Anow the same to be true and correct All Oro�sions of laws and <br />o� tlinances yovemmg Ihre type ol work wdl be comphed wdh whether specdied herem or not The granOng of a pertntl dces no� presume <br />to grve aulhorrty to violate a tancel Ihe pro�ision o12ny other state or local law �egula6ng cons�ructwn or ihe parformance ol <br />cons�nicliort Thal I nm au�honzed by Ih owner ol lhis pioperty to peAorm lhe worh for which apphcahon �s made and I wmply with ihe <br />State Co� edors Law 18 ?7 RCW anq/'�06 200 WAC <br />��/-c�=t 1 � ' ��(/.l'.�i{�LC'7 -j—.� � �C% <br />S�gnwWre ol edControctor/Authonzed Agent � Date <br />