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.. .. 1 . . . ._. _ ._ . . _._____ ....__ _ _.. . _ . . � <br /> ' PERMIT APPLICATION <br /> I <br /> ; CITY OF EVERETT PERMIT SERVICES <br /> j 3200 CEDAR STREET, EVERETT, WA 98201 <br /> i 425-257-8810 - FAX 425-257-8857 - www.evereUwa org <br /> i <br /> I � APPLICA710NS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> -i_�l_/� �Scilc:�-�--� "�- - -- -- ----- --- -- <br /> I517E ADDRESS �'Z �; L�, i'�� j i ri C 1: �) PARCEL TAX I.O.# PERMIT# <br /> � "4 ;�_y - � ' ?.2 � — I (��y�-4Sc. 3_ I <br /> '�. l EG/dj � LOT NO. BLOCK TRACT OR SUBDIVISION N <br /> fif5c ' <br /> � _ __.____-_ __._-_._� --_— -- <br /> OWNER ADDRE35 CITY/ZIP PMOHE <br /> I _ _- __-__ - _ __ __ <br /> ITENANT NAME CONTACT FOR PERMIT PHONE�!�/, .. ��. � " �'��7 <br /> ' � (��_ ��. __ �__ E�MAIL <br /> �bF1T�A�TS�T' . Y - C. �_ A �Ib�AESS �'----- <br /> � c ir s � ,�y jt .•v.:�ir�( �i��� /�J � <br /> i -1 ; J� 1 --f� <br /> coNire i.iceNsr:a • � � <br /> � --------�,�� � rT �--� C. J ------ `7:;l.� = -- <br /> j USC OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK � <br /> — I -_Elechic Gas Olher :� i� ( �� ,i� � <br /> , _ ' �// ��_�._�i L E �L �' > .. -- —�- — — -- --------- � -- I <br /> I WORK UESCRIPTION � � .� 1 }�j �i� �-'�r �� �..��� t ,• <br /> � � 11t ���'� sC�' � C �' � 1" .� } . � <br /> —� , , � <br /> �� �� I�1���� ��-�� PLUMBING --- - ----- -,— � -- MECHANICAL � <br /> i <br /> � NO. I LVPE OF fIXT11RE OR ITEM � NO. I TVPE OF FIXTURE OR IiEM ' <br /> ' _. _._ ._.___- . . _-.____-__. . _.__._ . �_._. __ _-._.____-_—._— - , <br /> IriL,l 4�C - air hanr�hny undt <br /> �q��������� � . _ f urr,ed art sysfem5 <br /> I L,r�afory(�eash basin) ---- �3as piping � <br /> � � tihuv�er _.._ 'Naterhea!er <br /> '� Kit�,hr,n sinF R JisUusal __. ras itreplacr. <br /> j �- l�ishwashor Gasranc�n .. <br /> - -- Clnlhes washr.r _- Clolhos Aryer � <br /> Wnlen c�ater __ Range hood <br /> I :3ink �s�3rvlcalbarhnopietc ) _ Exhaual lan <br /> H;�� F.flow prevenler __ Hea�Vwnp <br /> �i�,i��;�l __ Unithealer <br /> i Drinkiny Pounlaui _._ [ioder <br /> � F loor d�ain � _ 4e(riyeraGon <br /> (;�nasn tmp WOoAS�ovn i <br /> I Rnuf drains Olhor_-_-__ __ ___— 'i <br /> � Vlher --- �--- -� ----------- <br /> � <br /> I . . .__ . ---_.__— <br /> I . . . . _______ _ ___. .. -__._-___.___._— _—___—___ __. " I <br /> � CITV OF EVERETT LOCAL SALES TAX COOE IS J10S <br /> .___— "'___..— ___ _-- " i <br /> hnreby�enlily Ihal I I,�ve ie�J and ezammed Ihis applir,:dron anJ Fnow the same to be truo and r,orrect. All prrnisions ul laws and <br /> jmlinac�:s gow�ining this�ypu uf work wdl I�e cumphr.d wih �vhEther spe�:ilied heiein �r�wL The yranling ol a pernn� does not pinsume i <br /> , �u yroe ,wlhnrdy to oiolate��r canccl Ihe prorwion�d any other s�ate or loral law i�ty�tlal�ny ronstrvrhen or Oie performante of <br /> ' �,nslrn�.hnn �hat I am:�ulhon[ed by Ihe ownwr nl this pruperty tu pe�torm Ihe :�oi� ',rt r.lu� h .ipphcation�s mado and I cornply .vtlh thr <br /> �.t iL•�'., nh��duiti I dw It3 77 RCW and 191i Z00 b�'AC I <br /> -�---��� <br /> �--�—_ 7/Lj�/C9' <br /> ' 'f'Tl�i� l.:r,.� i'�,-ih?� L i�,�i Ih�,�.i.'..�� O,�cnl _ —__ _—_. [1��P, � <br /> I <br />