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j ., <br /> 09/Ba/2007 13:24 a253392a32 PqGE 01/¢1 <br /> PERMIT APPLICATION <br /> CITY (;r EVERETT PERMIT SERVICES <br /> ;200 CEDAR STREET, tVERETT,WA 9B201 <br /> 425:?57-8810-FAX 425-257-8857-www.everetlwa.org � <br /> APPUCATIONS At2E ACCEPTED FROM 8 AM TO 4 PM �OC�f -�/ <br /> t <br /> SITE ADDRESS CARCEI TAX I.D./ PERMIT 1t <br /> a�33 celb A�c (3070� - 0`1 <br /> LEGn LOTt10. BLOClt 7RACT011iVBDIVIS�ON/ <br /> DESC. <br /> oWNER t ' CfTY7LIV ►MONE Sg -733{{ � <br /> A�len I-Ie�+M.d G83 So„f� LebM.� D., [e,..�.. Z�„) 425-� <br /> v$Zs1 <br /> TENANTNA/ME pCONT11CTtORPERMfi PMON! yZS• 3/V-Zov9 I <br /> n/A I Ut�.,n NCMAw� E.MNL 6�P/'�i'Iw'I�tJ1Ms���C� <br /> �� C3't P w.61�J �5528 d0!$ �{K 41 r�� 36 0-(,91•SI S9 <br /> �oNTR.��«,SE p c 3 S PL P� 9 73�11� a.,;+� r,t�s <br /> USE OF 6UILDINO I HEAT SOURCE CONTRACT PRICE OF WORK , <br /> CoMnrl���� vnofc���� �EI@Ctnc _Gas_Otner 35$D <br /> wor�c oEscwrnoN / (� ^ <br /> I�Iw�� �w0 6w�Wty.�,� pi1 Mq�.� T tpnr af �75'3 co�67. Ra � <br /> p+p•S +'hrd� 6.�(EnPn'�, -�e.}^in� ;�+n ��aS7;n u„C��� <br /> � ll <br /> RLUM8ING ME HANICAL I <br /> N0, TYPb OF FI%NRE OR ttEM N0. TYI+E OF FIXTURE OR RGMI I <br /> � Toi�e1 A/C-aithOndL�pi,nilf <br /> Ba1hWb _ FOfCCtl91f6y5lPtI�O <br /> � Lava�ory(wazh 6aein) _ Ga�piD��A <br /> _ Showcr Waler healer ; <br /> KI(c��en sinM 6 dspoeal Ga511r¢p18Cp <br /> � O�sAwas�cr Ga�ronge <br /> —� �blhes wacF�o� J— Cbthp tlryer <br /> �i tYaleihoater Ran�jehoo0 <br /> � Sink�serviCe.badmode�J 6A+aus1(7n <br /> � �ackliowprvvenfor Neatpurtp <br /> � Udnal UnN hemN <br /> prinking Fountain � Boller <br /> Flxrdrain � RefApereUon <br /> G�ease tr�p w000stove <br /> Root draina Other <br /> OlhDr <br /> � CITYOFEVERE7TLOCAL54LESTA?(CODG15�705 i <br /> II�ereby centlty tnat I haw rcatl end cYamined Mls appi�eation arM Mnow Ne samc m De fn�nnC rnrten. NI,xoWebne ot laws a❑d � <br /> ordlnaces qoveming tnis type ol work will b¢compika wltl�whelner spedfrtd herein or not.The aranting o1 a permit tloes not Drrsume <br /> to givo eutl�onty fo violale or cancel the ptorispn el any olher state oi bcal iaw requlalmp wnstruN�on oi It+e peAomarnz ol� <br /> conshuc'ion.That 1 am aWhor' ed 6y tM ovmFr ol this prvpe y!o periortn Ne woAe ior which apptkalion h made and I comply n;th the <br /> Slale Contractors����7 CW and 2� 90 WA �� <br /> {//G � �, <br /> SIgnMUre W Ow r! Ontt7daUAut�on2 d Apent ale <br /> l — <br /> t •d SSSS-SSS-SSS lewwaH uatlli e�t �OT LO 40 daS <br />