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_ _ _ ------- - -- ___ _ . <br /> -- __- - —_ _-------------- <br /> �RMIT APPLICATIuN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 � www.everellwa org <br /> APPLICATIONS ARE ACCEPTEU FROM 8 AM TO 4 PM � � D 3—{� <br /> — - -- -- <br /> - -- ---�---- __ <br /> SITE ADDRESS �'� —��— ���I PARCEL TAX I.D.# PERMIT# <br /> �°�_-w- ��s,,�o _2�c-z� ___- - —___ � _f.�i o_033 _ <br /> LE(;Al LOT NO. BLOCK TRACT OR SUBDIVISIUN k <br /> UC:SC. 1 <br /> _'_____-.—_L—__—_—. - __ ___—__'____._ <br /> IO'NNER ADDRESS �--- � ---- ._.-...CITV/ZIP-'---� PHONE <br /> � �nE ��6 <br /> -- -- - --- - — ------ - - <br /> TENANT NAME CONTACT FOR VERMIT/� PVIONE �f r� ���t�',/ <br /> g�L i/`�6 L--1�S�/✓/�/L� ( /�T C� "'��n E-MAIL l L.� P/6�"- �7 <br /> - _ - _._ _ _ _ . . _ __.. _. <br /> C��R7�Z`Tb�1 - �—� - AODRESS �TY/ZIP �-- - P�AE-�-� <br /> ����/ 6Erc2Y <br /> CONTR. LIC[N5E M <br /> USE OF BUILDING HFAT SOURCE CONTRACT PRICE OF WORK i <br /> ��L�� 1-Icrli��: G,�s Olhm �pQ(� �O� i <br /> � ----� - - �— -- <br /> WORK DESCRIPTION <br /> GO�ISTl�-UGT EQv/PM6r�T� .1�ELk <br /> I <br /> PLUMBING MECHANICAL I <br /> NO. TVPE OF Fl%TURE OR ITEId NO TYPE OF FIXIURE OR ITEM I <br /> . — ___. __. . . ... _-__ __ � <br /> lud�l NC rur h;m�lhnq und:. � <br /> Halhtub Fnu.ed:ur s�;��,b.ms <br /> __ L:rv;�triry hvash basin) f;:iti pqnnq ��. <br /> ___ ,;hnw��r VJ.dnr hr;�l��•r <br /> I� Hit�,hun ti�nY 8 dc;Po•,:il Ga; hrup6n.c � <br /> Ui>��hw:c.hoi C�as r:inil�' i <br /> C:iolhns w;v;hcr Clnlhr:s dryoi <br /> � . W;dur hnulUr R:mi�u hood <br /> Sud (survi��.uib,idmnplcli. ) Frh�w•.1 I;in <br /> B:u.V�.11uw picvenlcr __ Ilcal pum�r <br /> Unn:J UnA hn;�ter <br /> Dnnkm�� FuunCm� UuJur <br /> I Lmr drnm Rulrnp,r:ihnn <br /> � (Bu,�sn,tu�p Wuodsluvv <br /> Rnuf drans Olher . — - ' - <br /> Clthrtr — -- � -- ---'— <br /> CITV O( EVERETT LOCAL SALCS TN(COD[IS 7105 <br /> �� i h�.u.lry�:rrildy Ih.d I havc r��nA ;ind r.x�+tnmud Ihis npph�.:�bun �nd 4nuw thi- . .unr tn b��Irue.ind coner.l NI prnwsinns nt laws and <br /> ' urdm u.us quvr.rning Ihis lypc ul wurk wdl be ronqdird wAh whclher•,pn�:ih�.d hurnin ur nol 1 he qranlutq ql a prtrmit Aoes not presurne <br /> In qrvu ;�uthunly tu violatn�v�.ani i�l Ihc pruwslon nl nny nlhcr til.de or loaal Inw rni�ulnhnq �.unslru��.h�in or Ihu pudormnnt:r�ol <br /> i�i�nr,l�ur.lwn 1ha1 I am authorced 6y�1)c uwnrr ul Ihis prupurty lo pcilunn Ihc work lor wluch apVhcdbnn r, nu�d��and I rnmply wiR�Ihu <br /> �,�;�f:nnit.��.Iarti L�nv�1R y"i71ii.W :�ny(I!ffi 200 WNC <br /> j �.�Y-a�-l� !✓viP�� � �b Z lG9 7 <br /> �iqnoluiu ul l)wnrd(;indr.n�.lndl�ulhoriJed�qnid U,�h� �G <br /> i _ <br />