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DEC-15-04 WfD 10;03 At1 @VERETT PERMIT SERVICES FAX N0. 425 257 8857 P. U1 <br /> --..... ._._^�- �..�- ..._ <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 C6DAR STREET, EVERETT,WA 98201 <br /> 425-257-8810—FAX 426-257-8857—www.everettwa.org <br /> APPLICATIONS AqC ACCENTED FROM B AM 70 4 PM -DEBIT 3 CREDIT CAROS ARH NOT ACCEPTED <br /> SITF.AOORES9 PARCEL 7AX I.D.k PERMR/ <br /> 66is� C�.l (Ir�, 95'Z°3 ony nvn no0 oLb av ��1 �('�) <br /> LEC LOTNO. BIOCK TRACT <br /> DES�—_ + <br /> UVIINER 1� 9 P P N <br /> Sc1e. C�oSSv IOZ E•d<�«� St, C��.��, 9820� yZS-355 ZV3v <br /> 7ENpNTNM1E � � I CONTACTiORPERMl7 �MONE <br /> CONTRACTOR , � / /1_ ADOpESS CRYRM' PNONE <br /> f <br /> CONiA.1.ICENSEN <br /> US[OF BUILpIN� I — HEAT 90URCE I CONTRACT PRICE OF WORK <br /> C"�" ��'�� � EIMrk _Gae Olher <br /> WORK DEBCRIP?ION <br /> D,eri o <br /> -- ---�--'•'PLUMt31t�f3 E A C L <br /> NO. TYPE OF FI%NRE OR ffEM N0. iWE OF FIMURE OR REM <br /> __ TaU � _ AIC—elrhnndllrqunlla <br /> _ pathtuh _ Forcetl alr eyaWma <br /> __ lavalory(wa�h hatln) Oee plpinp <br /> __ Bhower � WelerAeater <br /> ___� IGtchen aink d dls�»��I � Gee flreplece <br /> , �� Diehwaahor � Ga�range <br /> _ Cloihr.sw�xher _ Clatheadryer <br /> _ Ln�ndry VaY � RBnpe�ooG <br /> ,_ b�nk(sr.MeerondmaNcte.) _ Exh�uet fen <br /> _ Bnc6fluw prevnntar Heet pump <br /> _ Uriwl T Unft heater <br /> pdnking FounNln � Boiter <br /> _ Fluordrain r Retriqer�tlon <br /> ,_ OresaafmP Woodalove <br /> _ ' Footurain� _ Otl�cr <br /> _' omar_—�-- — <br /> � - — <br /> ( -- —�._�..__�..� <br /> � T M^� CITY OF EVERETT LOCAL SALl3 7A7(CODE IS�705 <br /> II hr.r,xey te�iCrfy ihnl i havn read and ernmin�A this epptication end know the same to be iruo and cortoel All providont of Iowt end <br /> ordinn:cs Oovornln0 tl0a Iypa of waAc wlll he wmp�ed wilh whelhrr epacifled hereln or not.Tho B�ndnB vf a pormll doo�nol praumo <br /> i lo qivo uuthm4y�o vblate or uancd the provislon af any other state a lacal IAw regulxdrg con�Wctloa ar the perfarmmrq of <br /> ' ronsLudfon.Thot I am ou0adzed by the ovnter ol lhu propeiry ta pe�Nrm ihe wo�fc forwhlch appllatlan I�made and I comply wfd�Ihe <br /> Slala,�`'Unclorc Law 18..7 RCtN ond 288.200 WAC. <br /> �;L�-�-�- ����-�-- !Z +1`�J �� <br /> 35qnaw�S�irer/ ntrnctau�orize gen e <br /> i <br /> �_..�.___ r_..__.___...__�_ <br />