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r.= <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET. F_VERE1 T WA 98201 <br />425.257-5810 — FAX 425-257.3867 -. www overeltwn.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BRE ADDRESS— PARCEL TAX I.D. N <br />�3cz) �1Ca`na �•t ;'{Ir )6'{I �VJ'J- �.x'>-CVO I i�G7(i 0 -Cif/ <br />LEGLOT110, BLOCK ' TRACT <br />oESC . _ _ _----- <br />••O,&P ADPRaas <br />TENANt NAMB CONTACT POR PERMIT -- __-----• \) - ('�, <br />CONTRACTOR •j• ittP M vtr.'1t1Ic!'.a <br />CONTR. UCBNSII 0 <br />UBE OF BUILMNO <br />CC,vy%VV'Y'r ( t 0-1 <br />WORK OfSCRIFTION <br />I,.,( Ii-An%V ,) Ctl 1 ` -" ; r" <br />Il:lXl <br />NEATBOURCE <br />Electric — Gas,— ()that <br />NO. I _ TYPE OF FIXTURE OR ITU#A ._._-.—.._ <br />_ Bathtub <br />lavatory (wash Manl <br />Shower <br />�— Klkdten stink d dt%Pasal <br />— ashwosher <br />Clothes washer <br />Laundry tray <br />Sink (MvimnmtrinoPletc ) <br />Sacid1love pravemal <br />Udrnl <br />Ddnknq Fountain <br />FWr drain <br />Oresse cap <br />1 Roof drhrrn ,:Ike <br />yl mar_ho <br />Ya(X <br />ITvrtm PNcna I <br />y,IcWIWX t I <br />CONTRACT PRICE OP vvORK <br />NO. TYPE OF rmuRE OR ITEM <br />AIC — aft handling ttndtr <br />Forced sit eysrortts <br />Got piping <br />VVstar header <br />Oas hroplocw <br />Gas range <br />Clothes dryer <br />Range hood <br />�.. Exhaust fan <br />M� Hastpump <br />Unit haste, <br />Boller <br />ReMoarshun <br />WoOdstove <br />Olhsr---- <br />CITY orgw"ETTLOCAL SALErtTAX 0 01111 %Ia- ....,._ <br />I hemby C ntRv *Of I hevs road and examined tin RPPltnton end know fha line to be true and cornett NI proviworn or laws and <br />herein or not the <br />to gibe as 0010"I b vbbt t Of wok VAO be Movis�on oorriof n olharwd with �wt�i o�ixa� w reguietrp cenetnwian or Ito nertarmenco of Of a Permit dos$ no' �a�s <br />conasucoon. lhat I sin authorized by 01e owner 010118 PreParty, to perform the work for which application in mods and I eomPty wnh the <br />state Contactors Low 16.27 RCWand 2DO 200 WAC <br />liot <br />eturo o wrnr o�otor�dnelCpnni -- �" .. <br />Zn •.d 00'1I$3INVH33W'31V1S Wd 60:ze looz-T0-One <br />