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_ _ ___ _ _ _ i <br /> � PERMIT APPLICATION <br /> I <br /> ! CITY OF EVERETT PERMIT SERViCES , <br /> 3200 CEOAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 - www.evereltwa.org <br /> I , . ' - APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ; _�V�/!i.��u-Ic��� � " � — — -- <br /> I SITE ADORESS �"Z � �,i, �'._; j ; r�C !: I) PARCEL TAX I.D.# PERMITN <br /> ' ..�4_:_y�-j_-� � � ���< < .. �L.��' � "_SI.LL��_. I <br /> � LE�;AI LOT NO. BLOCK TRACT OR Sl1BDIVI810N M I <br /> ii)FS(: _'—_.___._ __—_" --- I <br /> OWNER ADDRESS CITY�ZIP PHONE <br /> ITFNANT NAME CONTACT FOR PERMIT PHJNE"'.( ( �.i �. � - '' ��P <br /> ' I � <br /> I _ � � L l ".' �_ E�MAII <br /> ZbFT1iAL`Tb .�.�� � � <br /> ir r <br /> , �y ;�, , ,�,.��t�/<Y��b ���� r.. <br /> f ;,1c_ r --f� <br /> CON1R. IICENSE q (' 1 �'�J ' ._J C.� , ,= <br /> � _--- _____–�'_"�- � �___ ___. 'l�?l,l __ —_–_ <br /> � USE OF BUILDING HEAT SOURCE CON?RACI'PRICE OF WORK � <br /> ; J1 ., . - .. —�--_Eleclnc Gas __OIhAr - - � .�� C.' ��� ,�J '� <br /> � L '"I . lS 1_�1 f �i��._ __ _ ---_ __.—_ _._ —___--7—__._ I <br /> iwoRK DESCRIPTION �7�1t )lr�� 5 L'� -j� C'� 1 1'v }���- c -'it,� t ;��� �t,� � � <br /> � l;.'��� 1 ti:. f, r— <br /> ; ��-� � - --- - ----- � <br /> -- - - -- -- <br /> PLUMBING � MECHANICAL <br /> I NO. -- TVPE OF FlFTURE OR ITEM NO I TVPE OF FIXTURE OR ITEM ' <br /> ____ .. __ --- . _ _ ________.__..__-____.._ . ___ __— —_—_—___. ..._ _ <br /> ioilr.t ___ 4iC -air hanAhng umis <br /> , H:dhtub __ forceA air sysfn,ms <br /> I - , LdvaUiry(wash I�asin) -- Gas �vping . <br /> tihuwer Waler heatei � <br /> -- Kitchr.n smA A dispo,al �_.,_ Gas firepla�n � <br /> 'I _ Uishwasher __ Gasrange �. <br /> Cluthes washor _-- Clolhes dr�or . <br /> ; W:i�nr heale� __ Range hood , <br /> � Sink(SmMr.�/harJntuplelc 1 _ EahauSl��n <br /> , Hav.L.11ow prevnnir.r _ Heal pump ' <br /> Uiinal Unit heater <br /> i . � Drinhiny FnunLiin _ doiler � <br /> � fluordram __ Refrigeralion <br /> � _ (:raaso tr:ip _ 'NooAslove ', <br /> Roul Arains O�her <br /> I Ulher <br /> - _----_... .._.— i <br /> ____ -_____.. ____ <br /> � � __. .__.._____.—._ . ._.. _.. _ _. _.__—_—_ <br /> I ._____—_— —.__ . . .____. —'__--_________ _ I <br /> � CITV OF EVERETT LOCAL SALES TAX COOE IS J105 <br /> � h��reby�r.ritdy U�al I h�ve ra�J anA examine�.t Ihis appli�.;ahon and Mnuw thn sama lo be Uuo and currecl. All provisions of laws and <br /> j �i�linac.r.s yo�orniny Ihis lypo ol w�nk �vill I;e curnpliod wdh whelhi�r spn�;iliPd hnrein or nu� ihr.granhnq ut�pernul dues not p��:.;urtie � <br /> �� �u����.�ulhnnty to viol;rte or cnncol Ihn procis�on ��f any ulher stale or local law r�,gulatmg�onstrur.tion ar Iha perfornwnce ol � <br /> � nstru�.l�nn fhat I am aulhurit�d by Ilie owner ol this pmperty to perform IIiH�iuik �or•.�hich ap��hcauon�s m��de end I comply :nih �ha � <br /> '�!,de idr.�elnrs L.iw IH 21 RCW and 29�i 100���.1C � <br /> . ( ' ' _l� 2 � ,I/Q� � <br /> um� � `--� —J--y— <br /> �.•:�,n�J('tmt��!� In��io.tlhi�ii:��ilAUun1-_'__._—'—_ Da�P � <br /> L% <br /> � <br />