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I ( <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 9820I <br /> 425-257-8810–FAX 425-257-8857–www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FpOG B AM TO 1 P�N ��"!9`O� <br /> SREA�ORESS • GWINO RQ PAHCELTA%I.D./ p � <br /> � � � �1 � <br /> �E(3N LOTNO. BLOCK TRACTORBUlpVI&ON• <br /> DESC. <br /> R pE E <br /> ��e G�u��+� '�� yJ. ,��o Pa �Erwe�r��b �.1�n.�,�� <br /> ��N�E I CONTACTFORPERWT � q�� �,Q/.NZ;.fj`� <br /> � r���� ^ `7'7IbE11E$9-- Ea1NL � �t1rL_ b12. <br /> �wc �,�,c. �+i6 64'"^ ,�c.4. �w*�wa y�,�1•1oR1 <br /> �.��• �Ibe�l'L <br /> �.ecz,�a aa <br /> USE OF BUILDINO — MEAT SW RCE I CONTAACT PRICE OF WORK <br /> Elalrk Gns_Olher ����q 3 <br /> WORK DESCRIPTION �f <br /> �04 <br /> , � ,��a <br /> ��1 M�R�^"� MECHANICAL <br /> Np, TYPE OF FlIITURE Op fTEM N0. TYiE OF FIIITUHE ON REM <br /> jQ_ Tollal _ A/C–air herdlinp unlls <br /> Balhtub _ Forcod air systoms <br /> � Lavntory(wash Wsin) — ���P�^0 <br /> Showor _ Watcrheater <br /> Kilchen sink 8 disposal __ Oas lireplace ' <br /> Dishwashar • � _ Gas rerpo <br /> Clothas woshor _ Clolhas dryor <br /> Water Mntor _ Rarge hood <br /> Sink(servlcmbadmop/elc.) _ Exhausl ten <br /> Oacklbw prewmcr _ Heat pump <br /> ]� Urinai Unit healor <br /> DAnkirq Fountnin _ Bo�ler <br /> � Floor dmin _ Relriperalbn <br /> Greasa Irop _ Woodstovo <br /> Rool dralns _ aher <br /> Olher - <br /> CrtY OF EVERETT LOCAL BALE9 TAX CODE IS 7105 <br /> I hereby ceritily ihat I have road und eRamlrwd this applkation und know iho semo to ba Wo and carecl. All qovislons ol laws end <br /> ordinacas povornina this typa ol work will bo complbd with whethar specified hereln or not.The prantinp ol a parmil doos not prosumo <br /> lo giw authority t � 'olato or cancel iho piovislon ol eny other sluto or lael Iaw rogulalinp consimctlon or Ihe pedwmar�co ol <br /> cons c n.Tha I a uuthor ed by c�at this property to peAorm Ma work lor whlch applbalion is medo end I compy with tho <br /> SI a Con aclors 1 7 CW .200 WAC. <br /> �r <br /> ' S alu OwnndContraclorlAuthoneed ABant �a� <br />