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- --; ; --- <br /> : PERMIT APPLICATIOl� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3pOp C[DAR STRE[T, FVCRFTT. WA 9FJ<"Of <br /> ; 475-7(i7-iiA10— FAX 425-95'I•RRS7—w W W OVBfatlW:i nrQ ', <br /> ; qPPI.ICATIONS AR[ AGCf PTfD fROM 8 AM TO 4 PM ___f� � � 3— O� ' <br /> � PARCEL TA)� I.D.tl PXERMIT It �, <br />. � SITE ADDR[SS I /�d�p I �'�O� ' � <br /> ' 30(73PJCASRI0RDM45 ^03 .^P,OA'.5[Yl'(Y�100 , ' <br /> , �[GnL� LOTNO. 6LOG1( TRAGT , <br /> �iF<i _— I <br />� ' �----�—�— ADDRESS G17Y21P PHONE <br /> , owrieR � <br /> � r�-,nuo rrnnrarrr �o oox s-ac ra� i r a� ��nrri r ea�za I <br /> ' I GONTFCT FOR PENMIi PHJNE � <br /> � TENANi NAME ' <br /> Sif PUV IJ��I I)f NV I li 1 75:i-!i'di144J � <br /> � RUF IW(, ' <br /> � CONTA�rTOR •DOAFSS CITV2IP PHONF � <br /> ' 03S t�UR i 11 CLI�I RAL Y,LN1 BW32 :5��1�4��M1� ' <br /> , AGCG LIJGIIJCERLI] SY�fEMS � <br /> � f.ONIR IIf,FNSFY ' <br /> , USF Of BUILDING I NkAI SOURCE CONTHACT PRIGE Oi WORN � <br /> , � _f-1e�.h�._ __ Gas_Oihc� _ , <br /> �__1._ <br /> , WURK UESCRIP110N � <br /> � 7FrHe��51FnN51 ��t��FPFAAAMhH. 151NKANDFP.11 1cFIPPl1�'FiRFPIAr'e,AFn1� � <br /> PLUMBING MECHANICAL i <br /> �, NO. TVPE OF FlXTURE OR ITEM NO. TYPE OF FI%1URE OR IIEM � <br /> . I rnlwl _ AIC–xn hnnAl�ng wnl� �, � <br /> � H�mCiE _ _ Porced mr systams i <br /> ' i.'evu�wy(wa•t,h.i.inl _ Gas pipinQ <br /> , �— Water heater <br /> , ShGwel — I <br /> . N1�L11P�1 blflk A f1iR�A�WI _ liflfi�IIP.�IINCP <br /> � I1qtiP.'99hP' __ (:9c f211Q� � <br /> ' —� f'I,�ILr,sw.i�hei __ ClotliesJiyei � <br /> I uunAry Iiny _ Itanae hoDd � <br /> 1 SuiF Iserv�ce/badnx�Welc 1 _�_ Exheuet�xn <br /> � HncMinw prevrnter Hvnt�ump <br /> Unit hrater <br /> Unnal I <br /> � Onnknty Fcun��n _ Po,lr.� <br /> � I loui diam . . Rnlupnia�wi <br /> �--- �O(�6�OV0 <br /> � GfB86PhP� — <br /> � �— Roo�drems � �I c�me, . -. . ____. . <br /> — i <br /> . y Other �ai r� t u4��i aracul -- � <br /> I <br /> _— <br /> _ _'"_ "__ I <br /> CITY OF EVF.RETT LOCAL SAlfS TAII CODE IS 7105 � <br /> � <br /> ' i heieby cenldy Ihai I have read anrl e•anvnrd ihis applicaM1on arid knov.� Ihe samu to he liue and cnnecl All prowsion5<�I l;��us ar�d � <br /> ordinaces povermn8 ttus lype ol worA will be comptied wah wheUier syeciLetl hermn or not The OranUnA o1 a permM1 does not presume <br /> tu gwe authun�y�u v�ula�x u�ca�w:el U�e Wuvix�on o�eny uthei stxte o� lur,el lew ieuulaUng cuna�ucUon oi Ihe pa�bm�xnce ol <br /> �v+n�hi��'hon I hqt 1 nm a�rthorvrd by Me ovme�ef M!!pmpertV h`PPH^�m Ma wnrk Mr whrch xpphcwhnn�n mede anA I comn�V with the <br /> � Stator'��ta�h,�< (a�,vtA77RCWand29F20DWAC <br /> �• /J-� <br /> �rt �Hlur i i n / r� . nlAutl�oniad Apent u e <br /> I <br />