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P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE�T, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADpR�i � �a�,� �G� pARCEL TAX I.D.M PERMIT A / <br /> lI% � - - � M 1 �I ti 0210_ <br /> LE6A l0T N0. BLOCK TRACT OR BUBDM810N Nti . <br /> dEC(:. <br /> O NCR ADDRE99 CITY2IP PM E �� "�1" <br /> ��YC�M�� Z cn vv� l�.v� C�q��1 �A�.�.l (zc1 �}t- �1 g 2c�3 ���t <br /> TCNAN7nAME I CONTACTfORPERMIT PMONE <br /> E�h1AIl <br /> t�U 0 vl �eu1�� �t.� (0�'�l eM�'t�� V�Jc�- �i 1 i+-�� `f2 S= ZS`i - . <br /> CONTR,LIC 3ER ���Z�� IC�I <br /> �ra �1 A�lu �( Q <br /> USE OF B�.DINO HEAT SOURCE CONTRACT PRICE OF WORK <br /> I ,�C�ecme �Gae T Other I �O��• /�'1 <br /> v� <br /> WORK DESCRIPTION <br /> Iv�stz�ll � v�� Ncw �IKN�� � ���r- Hra+ �►►� ps��sr� <br /> PI.UMBINC3 '�' A ICAL <br /> NO. TYi'F.OF FIXTUH6 OR I1EM N0. TYPE OF FIXTURE OR ITEM <br /> Toitr.t A1C—nir hendling unila <br /> -- ABilttilh FalCBd 8119y7t0111� <br /> `- Lavalory (waah bdaln) Oes pipl�g <br /> Shuwer Wgterhsater <br /> � Kllchon ulnk&dlopoeal Oaa ilreplece <br /> �- �113hWA9hOf �_ �AB t8000 , <br /> ClMhns washAr Clolho�Aryer <br /> _ Walnrheater � RanpehooA <br /> � Sink(sorvicolbarfmoplotc.) � Eaheucl fan , ^ . � <br /> _ Backilow prevenler ,� Hoat pump �\/I�N 1 ��1."� <br /> Urinal _ Unli heolor <br /> � Drinking Fountaln Doller � L 6� <br /> Floor dnin � Rottiporatlon �J <br /> � Grease tr�p Woodetove <br /> Ruof dralne _� O�har <br /> Othm <br /> r . � — <br /> CITY 6F GVfiRhtt LOCAL SAlfi9 TAX CODE 19 7f0! <br /> I hnrohy cr.rltl(y that I havo �ad�nd axamined thlc epplicollon end know tho somo W bo Iruo eltd congCt. All provlelOne of Illwa end <br /> ordinecey yuv�rnOW Ihls 1 pc�nl w rk wll�Un r.nrtiplled wllh whether spocllleJ hgrein or nol.The pranling of e pertnil doee not pre9ume <br /> lo plvn oWhori o vblata cenc I Iha piovi�bn vf eny olher etate or bcal law reyulatlnp ton6tNqion ur 1he pnRo�menCe of <br /> connln�ctlo h I om oullx� by lho ownor o hic proporty lu portorm Iho rk fOr which applicellon In mede and I wmply wllh the <br /> Stnto Co adors Uw 18.2 �R d 2 0.200 C. ^ � <br /> �„/ r �./ � <br /> 1—_._ <br /> Si�n��lu e ol r/ o clor �r d Apent a <br /> �_.�?'�j LSNHL525�b1 �C11 �WOad 2b�00 Zi0?-£-�Jf1N <br />