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P�RMIT APPLICA'TIC.�� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 90201 <br />425-257-8810 -- FAX 425-25?-0857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TQ 4 PM - DEbIT d CREDIT CARDS ARE NOT ACCEPTED <br />i --- - <br />iSITE ADDRESS PARCEL TAX i.D. # PERMIT p <br />i� �� �°�� � 5��� ���,s� �Y-��v�,.z�yy- v E cc,.��� -o�c� <br />I ICGAL LOTNO. BLOCK TRAC7 <br />> > <br />i nEsc. ..�_- �'.��, o{ y ---- C , i .. :T. .r ' _. � /� . <br />OWNE"{ ADDRESS CITV/ZIP PMONE <br />' l� vuc� �`�•����s �'-�L �o acx ��c; �c, y�� �1s z-�6�y9 <br />TENAN���— � CONTACT FOR P[RMIT PHONE <br />' CONiRACTOR / <br />i /1V/I�S�J fV��H7✓1 S�IL <br />' CONTR. L�ICENSE N , <br />_��ivJ �r /73 b' �T _ <br />USE OF UILDING <br />� % �L <br />WORK DESCRIPTION <br />ADDRESS <br />J 4 I�-Q <br />HEAT SUURCE <br />__ Clcrlrir, X 3�s _ _ Olhcr <br />, <br />. _ S�% �� ,/� �� S i � <br />j PLUMBING <br />, NO. I TYPE OF FI%TURE OR ITEM <br />Toilul <br />t:'-_ l3athlub <br />� 1 Lavalory (w;ish basin) <br />Shuwer <br />', / Kitchen sinh 8 disposal <br />: - o�si,N,�sn��� <br />-�-- ClUhes washer <br />. L�wndry Iray <br />_ Sinh (servicoibar;mup/elc.� <br />_ Bac611ow pre;venter <br />Urindl <br />_-- Dnnkin�� Founlam <br />Ruor drain <br />_ Gru�ieo Ir:q� <br />F[,ol drains <br />- Olhm <br />f-� �� -1 - <br />NO. <br />CITY/IIP PHONE <br />CON?RACT PRICE OF WORK <br />/ S�C.> C� <br />�- <br />TYPE OF FU(TURE OR ITEM <br />A��.; - air hmtdling unils <br />Forced air systems <br />Gss piping <br />Wnter healar <br />c:,, e«�,i:,�� <br />Gas ranye <br />Clulhes drycr <br />Ranye hood <br />Exhaust I,an <br />Heatpump <br />Unil heater <br />�oiler <br />Relrigeration <br />Woodstovo <br />Olher__ <br />CIN OF EV[RET? LOCAL SALES TA7( CODE IS 7105 <br />� I heieby ceritdy lhal I have ri�ad and exanunr,d Uvs application and I,nuw Ihe same to be Irue and correr.L �II provisions ol laws and <br />�, �rdinacr.s yuvr,rniny Ihis �ype ol wurh will be complieA wilh whulher spocilieJ heroin or noL The granliny of a permit doas nol presume <br />� e� gice authont� w ��olale or cancul Iho provision ol any othor slato or local �aw requlating cunstrucbon or ihe peAormanco ol <br />i .;��nstruction Tl�al I ain �uthorized by lhe owner of ihis proparty to perform �ho work for which application is made and I comply with thA <br />Stalc Contra�lurs Law �f+.27 RCW a 29f.2W VVAC, • <br />'�� ii/..�� ..-. S �>-z /or <br />rL <br />