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PERMiT APPLICATION �;
<br /> CITY dF EVERETT PERMIT SERVICES
<br /> 3200 CE:DAR STRF!_T. f_VERETT. WA 98201
<br /> 425 2Ei1-BF310 - FAX 425 257-8857 - www everettwa.org
<br /> APPLICATIONS ARE AC.CEPTED FROM 8 AM TO 4 PM 7 —I S"�
<br /> " PARCEL TAX I.D.# PEHMIT# 2
<br /> DRESS
<br /> !- Gt�SiKp � �2��'��,2—E��>aqJo I M_(.�QS�.�
<br /> lOT NO. BIOCK 1RACT OR SUBDIVISION N
<br /> ----- AODRFSS- ---_--'-� —CITV2IP PHONE
<br /> J '�� I�l�L�71T ���� �- ' / C2d !l-- PHONE,� . �-�v�Y
<br /> T NAME CONTACT FOR PERMIT
<br /> �/� L_,L'./^ —�� \ r!� E-MAIL {.l Cf_�=L� ✓��C,l�.
<br /> �" AdAE �'
<br /> " (-����.��f Sv� .�r, 5 Gc..�,,..(�- 1t ,r�tr-rt� crgl3�( .���-31�-ts �-7
<br /> LICENSE M �� �. 75G���.� -----
<br /> - � HEAT SOURCE I CONTRACT PRICE OF WORK
<br /> F BUILDING
<br /> � ElecVic �(Gas Other
<br /> ,��U_L.l^� _
<br /> DESCRIPTION / / ��'^ �/
<br /> 7���L� �i'l.v- �'J ���C � �j'��( [1t�t ����� ��
<br /> . ��ti ____�_ - '
<br /> --- PLUMBING MECHANICAL - I
<br /> TVPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM
<br /> --- --- -- �--� A�'C -- a�r hanAling unqs
<br /> n,lct �� - ForceA av syslrms '�,
<br /> faU�tuN� Gns P�p�ng .
<br /> av:vnry I��bBSuil /� Wilm hcat0r
<br /> �����`�'+^' � Gas inoplace ��
<br /> i
<br /> �:�tchen s�nk R d�sal Gas range
<br /> . Disl,washer �� :;
<br /> � Ciothes drye�
<br /> ;lolhes washer � i Nange hood ,
<br /> I 'Nater heater � ! E■haust 1an II
<br /> � -;ink Iservice'bar mop�r.tc I ' . Heat pump �
<br /> i �lnckliow prevenip( Urnl hr,nler �
<br /> . �h���ol :' �oder �
<br /> linnwinql-o�IBin �� �� FClnqer;thon �
<br /> 1 Inn• �iryf� � WOOd510Y
<br /> �. ,r�,ist��mp � Othe,r /�(fA ��.li t '
<br /> Npnl �I�ains . �,
<br /> �� �pnr�r ._ �\. _ ,
<br /> i '
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<br /> GTV OF EVENE fT LOCAL SALES TA7(CODE IS 7105 _ .
<br /> � y� .r��iy+ i I I �>,. ,� .i I i� I �m�i . .rl'h s �iPP�� iPr � and know Ihr 5.lrnn to be Irue nnA COneC! All pro��is�ons ol IaWs 0nd �
<br /> . , . , �, .:., I, � ,p,, �� � . ..i"r, ,nrcd�nci�,����n or nul 1 he granhng ol a permd does no�presume �
<br /> ICCS (�OCn. .. 11 ., • �l�. �
<br /> ., ault�nnty i., v�nr,�lr..,� � :r�� ,� p,�� i�,. , .�^,� n! ... .� .�!, .. ,dair or io��.il la�..,epui;tl�nq conslrutUon or Ihc PCrlamOnce o
<br /> . . . . , , � , .,..,r„��. ���prilnrm the work ior wh�ch applicahon is matle and I comply wilh Iho
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