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PERMIT APPLICATf�f�l <br />C:ITY OF EVERETT PI=.RMIT SERVI(:ES <br />3200 CEJAR STREET, EVERETT, bVA 98201 <br />425-257-E4810 - FAX 425-257-F3857 - www.everethv�.org _ p <br />:i —� �l�O <br />APPLICATIONS ARE ACCEPTED FROM 8 AM 1'O 4 PM - CEBIT 8 CREDIT CP RDS ARE N07 ACCEPTED <br />SIT[ PDDRE55 � <br />.+. � <br />� t <br />LGGAL LOTNO. BIOCK � TRACT <br />DFSC. <br />PARCEL TAX I.D. # <br />P�RM,�I �# �-- �-- <br />�., ,fC'3 �— <br />,•,'��a�vi�l� V.W��Ck�.,�Tw� r�r'� ..���,._.� rn�neCi�� <br />7"'�T`�� __ /5%`7 /��:"�SiSE E:�t-:-v7`! t-vp9 77'' �r/�'1 <br />� TF:NANT NAME CONTACT FOR PERMR <br />���r �- � N Nc- �--- S �ti1 /'l1 i Ka �. <br />CON CTpR ADDRE^u$ <br />T �' S�t�1 f-"���'o�`y, y �-�_ <br />GONTR. LICENSE p " v,/ s � �� <br />USE OFBUILDING <br />12��I L <br />WORK DESCRIPTION <br />�N��7T . c_ <br />PLUMBING <br />Nn� I TVPE OF FI%TURE OR REM <br />_--1__ <br />TUIIC( <br />----- � �athWb <br />____ Lavatory(washbasin) <br />Shower <br />___ _ Kilchen sink 8 di,posal <br />Dishwasher <br />Clathes washer <br />La.indry try <br />.__ Sink (serv�cePoar,'mn��Nc.) <br />_ Back!low preventer <br />Urinal <br />_ Drinking Fauntain <br />.. Floordrain <br />_ Gre�se trap <br />Roof drai� s <br />Othr.r <br />HEATSOURCE <br />PMONE [�2 f`- _--- <br />c�'1:7 /��� r7 <br />CfTY21P PHONE y�s <br />��✓��4r�� �-�,'� CS.e�2 �� il CI <br />�c�c,�3 <br />_Elednc _Gas_Other <br />CONiRACT PRICE OF WORK <br />2 •3c,c , `�u <br />�� ...ZL Li4 ..� F�-Fy (ci; • Lsi. — <br />t C L '�i ,•7�� . <br />NO. I TYPE OF FIXTURE OR ITEM <br />�vc –oir nantlling unils <br />_ =orced air systems <br />Gas piping <br />Walor heatar <br />Gas fireplace <br />Gas range <br />Clothe, dryer <br />_ Rangehoad <br />_ Exhaustfan <br />_ Heat pump <br />Unit heater <br />� Boiler <br />Refrigeration <br />_ Woodslove <br />_ Other <br />_ CITV OF [VERETT LOCAL SALES TA7( GO�E IS 3705 <br />I hrreby ceritity thal I have read and examined this epp:�.cation and know lto same lo be irue anA cortecL All provisions of laws and <br />ordmaces goveming this type of work N�II bo compliod with whether specified herein or not. Tho grenting o( a pertnit does not presume <br />to give aulhority lo violalo or cancal the provision of any other stale or local law regulating rnnstruction or the performance of <br />conslruction. Thal I am aulhodzed hy Ihe owner o( lhis proporty to perfortn the vrork for which application Is made and I comply with th.:: <br />SI�Ig� ontractors Law 18.27 RCW and 296.200 WAC. <br />�/.���/11�i�.r��, � /i/ /.. . -, <br />