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Oct 27 2010 11s28RM West Seattle Furnaoe 206 935-0735 p. 2 <br /> � � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT 8ERVICE3 <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> �26•257-8810-FAX 425-257•8857-www.�verottwa.orp <br /> APPLICATION�ARE�CC�EO FROM �AMI t0 4 rM <br /> PARCEL TAX I�D.� ���T� <br /> srre�ooRu. O 00 �C� 1 U—C1� <br /> LECiA l0T NO. SLOCIf T11AOT OR W�DMSION� <br /> DEBC. <br /> �, � ��-. � a5 � a� � �� <br /> I CONTACTFOR►lRMrt N10M� aO�o a nn <br /> 1lNAMt MAM! �YY�.� E- E�IL���a � <br /> -� Q�rr�cn��r.�a s � Sh �Q L �o.�a�� �o� a y 6 <br /> c ucrwei � ., Q '� 1 � (� Q8tb8 _ <br /> �C�c�c�� �r sau�ece cor+nacT�ca a woNc <br /> use oF su��oxa oO <br /> _Etectrlc �s_Other <br /> �°��°�. �e�c� �ti`� q a � � Y �� �� ��� � �r <br /> , <br /> L.•� � �. <br /> P�UMSIN MEC A <br /> NO. M�OR Fll(7VRt OR IIEM MC� Mt�FCIMI!011 ITEM <br /> ,_ Toilel NC-�IrhandNnpuNb <br /> Bdhub = Forqd�ir sy�um� <br /> lav�tory(wuh bafin) _ Cin plpinp <br /> _ Show�r _ W���h��ter <br /> Kitdwn Nnk 6 a�powl ,.._ Ou flroplea <br /> Db�wa�her _ O�sr�npe <br /> CblM�worher _ Clolhesdrysr <br /> WeEer M�tei _ R�np�hood <br /> Sink fwrvloelberhnopl�tc.) _ E�w�t hn <br /> B�ckEow Prvv�nUr _ M��t pump <br /> — Urinal _, Unll hs�ter <br /> _ Drinkinp Fountaln ,_. 8oiler <br /> Fbadnin _.__ Rehip�ntlon <br /> Ona�elnp _ Wood�taw <br /> — Raof dnins _ Othsr <br /> oMer <br /> crn of ev�ncrr�oc�►sKee T�x cooE is»o� <br /> 1 AereDy CerUfy thd t haw road and�x�mined thb applicaUon�rW know ths wma to D�true ond cornct• Mi D�����oos of In��nd <br /> a Inanas poveminp thb typs of work w�ll bs complMd wilh whether spaM�d h�rsin a not.Th�pra�tlnp of�peimltCos�not praurtr <br /> o y e authaiy to vldel�or canal the provl�lon of any other�t�te or loul I�w repuladng con�truetlrn or Ihs p�rlomuno�of <br /> com .That I am authoriaed by e ownar of lhls property b De�am the work far.Mlch applleaYon u mad�ud I compy with tlr <br /> Slot ConVedon Law 18.27 q� 208.200 WAC. � �� O <br /> , <br /> e ro o s�Con k or o ent o� <br />