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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> .ILUUCEDARb E.Li-.c1T WA +; . <br /> 425-257-8b10 - FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I D.t PWERKOT e <br /> _ 1 'Sb C.#r �• I .W� -�Q-- gO 3o4-00, <br /> LEGAy LOT NO I SLOCK TRACT�L der <br /> DE RC T I Se4 /Ti r4C#450 <br /> OWNER <br /> - • ADDRESS TM PRONE <br /> eNERMaile f/a:oir4k of eioterf /0/Cxez4E weme'r7 IL4 Ill (OW LSf-71-5Z <br /> TENANT NAY! <br /> --- CONTACT FOP PEFIIT MtON! <br /> CIN6 i 4' wOK' 7 o MALM✓ [0l) 753.6for. — <br /> CONTRACTOR ADDRESS DP CONTR LICENSEF <br /> PHONE To ,BE S6{K r` <br /> -IN 'fir&gyp _. hIS W Cy FEAT SOUNCE <br /> rROPoseD USE of RUIIOwc { - Ei.c„ <br /> PERMIT ) (.MIOfWa00n � PMxnWq WORK Owm/wl,OI' S'qn TY►[ Gas <br /> N�A tf's Y' LJ Raper/Wm. U OhhM <br /> CONTRACT PRICE Of WORK ' y, -Cm DE OF EVERETT LOCAL SALES TAX CO It 71N <br /> WORK Ot SCRWTION 7� <br /> 72•26‘ (V) S64''I wi3OE‘4 u ceovn“..vic.47arie fi ceur/ GIN Otpempf <br /> O A- .(aSp/744 ao/77y /NP R OR EG v40#AbrT 4Q <br /> PLUMBING MECHANICAL <br /> NO TYPE OF FUTURE OR ITEM y WATER c:L(-)E" NO TY►E OF FROWN( II OR RM <br /> A AMANOLING UNITS <br /> BATH' lP I `R Er)AIR SYSTEMS <br /> LA';A'' It. AAsH E A PUMP BA' A ..EATERS <br /> SMI)AFN „ES :RrER -)J ' <br /> RAhvE H()OC <br /> - WATER NEATER <br /> MEAL FIREPLACE.STOVE <br /> -- - FIREPLACE INSERT <br /> GAS FIREPLACE <br /> _ GAS RANGE <br /> -_IGAS PIPING <br /> EXHAUST FAN <br /> —' r•HER <br /> �EREtl. ER'TIC N •HAI HAVE READ ANC)EXAMIPEU I RIS APPL ICA T pN ANC KNOW THE SAME 10 SE TRUE AND CORRECT ALL <br /> ✓R,n:i'.i ,y', '' LAWc ANOOHI()NACE'•C.0VE WOW THIS TYPE OH WORK WILL fE COMPLIED WITH WHETHER SPECKED HEREIN OR <br /> y, r.* .I.AN IING, A I•EHW T DOE:NOT IR+ESIAIE 10••IVE AUTHORITY TO'r'ICILATE OR CANCEL THE PROVISION Of ANY OTHER <br /> :.c •.'ND ' - S'H"-•,ON OR THE PER I.IR I&NCE O° C•LNTONSTRUC TN THAT I AM AUTHORIZED SY THE <br /> ', . . ..1 . • . .... ,. . -a we. ..-,u .\-rp; -. AVPL - c W.A•ION' IDE ANC T.-HAPLY WTTH H TE STATE <br /> 6 <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />