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Ff•:LP9 : bECPtiFTF�I.I.IFIGIIlil f A>: I;O. : 4�53';3iu_9� D,�c. pl 2lltt9 S1 :d4F1t1 Pl <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320U CEDAR STREFT, GVEREIT, WA 98201 <br /> �25-257-8810—FAX A25-267-pU57—www.everetfwa.org <br /> _ APPLICATIONS qRE ACCEPTEO FROM 8 AM TO 4 PM <br /> S�Ii�E�ADDRESS PARCEI,7A%I.U.N PEAMRN L <br /> _S�! ' ' �: .J ,. .. ' :r _ �L'(L "�J_ <br /> � . \ .I1 II {_ <br /> Ltc3Al lOfNO. BLOGC 7A11C�OHSUAMNSION• <br /> ❑F!:C. <br /> UwN[H >uN858 GIY21P�PHONE '— <br /> ��/ �t'i T��: i��i;;ci�: 1r'_. 'J ! �i .�_ i'. /,..i 1_ �S�'r..r:.- .... <br /> `TENANT NAML r I�^CAHfACi fOR PERNR • •pf10NE Q., <br /> ,N:� —r .- . . y'1_5� 3=+5 31 ��. <br /> i� :�e ::r-�� r . „ <br /> CUNIRAC�rO�—� r _Y� —'�15A@-Sa'rT��' s[aIlA1L �_Gr f�� �:i�il�`.. 7;..to <br /> -TG D `n" tr�a'f� :- � , .-�nn --raa�� <br /> COMR.LICEN6E• � � � � � I���� i...,. k-�� C : �. ��,'�Yr.� � ij 7�j� �'L� L; . <br /> .:. �G I�rt i� � J' �`.�- �G1��1'��� '{�="'J V_� '" . ''° '�'` <br /> USE OF AUILpING HEAT SOURCE CONTRACT PRiAE OF\VOqK l <br /> � <br /> ti i P�. �_ :�. ,:;..,�: � .� n i^,::i'1� f ,_Floctric _Gae_Otlmr �` p.i;; <br /> WORK DESCRIPTION � <br /> �1 <br /> �LU%�'. ti � (`/ , . i:/J �t..;,^ . . ,. . . , '�:�.C'-T' . . a.• .: '�� �, <br /> PLUMIBING� � MEC ANICAL <br /> NO. —7VVE Of I I%IUpE OR REN --� — N0. TYPE OF HICTURE OR ITCM <br /> � ro�iri — — ------- <br /> _ dalhtub , ( _ NC-tir hsmllinN uruts <br /> _�_ Lavalury(w:u.h b:t Jn) lJ� — �urced air,ystom� <br /> _L Slviwnr ,y�l� _ (3:�s�ipmy <br /> .___ KilU�un smk R Mr{insnl � ..,�,) ' 1 — Walar hoatm <br /> Uishwashm J( � �� I � _ _ Gac fircrlaee <br /> _ Clv;hos warhor � � I � S ' _ <ias range <br /> Wainr hr.atcr - . _-� ����hes tlrygr <br /> ___ Sink(�:nrw:o/haNmn�ti¢Ic.) —_ Rangu f�nncf <br /> tzhaust fan <br /> ___ Hackllnw prmenir� -- ��_�����p <br /> _.._ Uriru�l _ �ni(hoatnr <br /> UNnklnp�uuntwin <br /> �•�WrArUn __ Hullor <br /> _ _ CilO.ISQ Rfl�t _ RnItlyVf�OM <br /> I�OOf Af7inS ,__ W�%N1S10VB <br /> ._ �IE�f _'__— ��Bf`_'_ <br /> --._�___.� ��OF�VCRE7T LO(;ILL SALES TA]C CODE 19 Ilpy <br /> I huroby cc�iGly that I hnvr,rr.xi1 arq oxaminr.d(hit..y�iiraUat Md.4now!ha svnn lo bo truc ru�d cormct All provisic,nc of Wws and <br /> �ndur+wc��oor.rninq tlur.Iy{M ul�yak wlil t.:wrnptlr.d vnlh Whr.Hiur�.:pnr�finl6yrnin or nM lho pmnGn�ot a�ymut does not presumr. <br /> W grvie authurity W hol�te ur cmtel tlie pruh;inn�I uny nUiyr statn o�luctl law rnjulaUnp afnsWetux�or tho peMvmianee al <br /> rnnspudirn�. Thnt I am aulhnrixud by Ihe owrwr o�this pro{x�rry W�r!r.mi U�o wc>rk tor vAiich a{�licatlai Is mado and I wmply wj�h ihr. <br /> Sla�e CunVaqru�s l.aw 1tl27 HI:W nnJ 288.20U WA(:. <br /> ..�', .�.r:'. , . / � -,. <br /> � ;::1��� , � � �2' �- a �T <br /> 5fgna�un 7ti�;�ri�u'�tFacton uU�n1 pe�lt _.—--,—�ato� —... <br /> I --� <br />