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�un-un-ua wtu iu:55 nn tvtKeii YtK�ll JtKVI�rS rex rau, az5 z5� �e5r N, u� <br /> PEhcMIT APPLICATION <br /> CITY OF EVERETT PERMI7 SERVICES <br /> 3200 CEDAR S7REET, EVERETT,WA 98201 <br /> �125•7.li7-B810—FAX 425•257-8857-•www.everettwa.org // —Ob -�� <br /> APPI.ICATIQNS ARE ACCEPTE�FROM 8 AM TO 4 VM -DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> $IfCAI'iURl:S3^�-•.y-�.—!`• _I PARCELTAXI.O.M I PERMRR r <br /> L �C -'� o -� S <br /> ���� �'n����_.._._`" <br /> Lf.GAt LUTNO, ...._ I �LUCN iRACT <br /> �!rV��_.._.._ v...J.�._� . <br /> �ONfU;ii� � l�$1RE35 CITYIZI PH N <br /> IANANTNAM[ r y^—� CONTAGTFOµPERMIT PHaNE —• <br /> t ,.i�i�,` �I � � � t�% 1"'. \ l llcJl ; <br /> j 1 � � �C _ , } , -G` 1`K' <br /> CUNTitACT01i �:. �i I I..kj��� �7_Y.�i ADDRESS� :�� r, I Zn' �GlttlLIP DMONE� � .,.:��(f� � <br /> ._'--�'`- ' ' _ � C � 't-;7 t.. . <br /> CCN1ti.LICCN5�7V �97-�� .. . .- � ( �-- �...� ._� , <br /> ._...:^...:iGC � '� �iuiJC..- L. ; � .' i r .aGr',�? � — <br /> U±I�OF'[lU1lDING HEAT SOURCE � I CONTRACT PRICE OF WORK <br /> . __. . _r, ' �^."=SC�-c,�l��17�Elucvic _Gns_,Other `ti, 1 . <br /> r�t��'y: :ic.. �- <br /> WORI<RCuCrlf`YIUN �_I'13r0.1,1cLt`1 �! � � d�, c'� �''l.� T vC,� � �' �"t , l -11 <br /> I `�.� - ,���8`'�`:� � C: c�, ��.i,���l t'_.C�-� ` <br /> ��_% <br /> � �� �� � �PI.UMBING ��� MECHANICAL <br /> N0. TYPE nF FIXIURC OR ITEM NO. IYPE OF FIKNRE OR IT[M <br /> ..__. Tnil��i._...�»~.y----._.-...�� _ NC-3lrhandtingun�ls ^ <br /> _... - Itmhlub _ Forc�.J ofrsyslems <br /> .�,_T LnvaUny(u+;��b I.ms�n) -- Gas pt�unp <br /> � Fhowtt Wolnrhealor <br /> �� IG��.hmislnkF�c4npuv,il _ Gasfireplace <br /> � � I)I:,hwaslwr __, Gas r�ngc <br /> '-" (:IGII�)s wA^ahCf Clothes dryer <br /> . �� I,uqrlry U.Iy _ Range hood <br /> ,_._�. cinlc@��r,n•ic;Jbaih�Mplolr,J Ezhaustfan <br /> _—... [1.arhfluvrprevcMet � Heatpump <br /> ~ Urinal � Und heator <br /> ,._. .. Oiintiinp I'nunb�ip _ Boller � <br /> � _ f Awr dra6i _ RetrigeraGon <br /> __ Groar,u traii � Woodstove <br /> RoMdrulns � Othor i ,�, - .� ,� .�.;,, , � „ ; <br /> _„ Ouici_.__...._.. ..... ...___ _ �. �- . <br /> ..,......._.....-----.._.._...._.__...--'--_...._ .._._. _- --- <br /> CIT:OF EVEFE7T I,OCAL 3ALE5 7AX COD�lS NOS <br /> I hef�'6y ceiiLfy thnl I h;n�o toad and er�mincJ th1;applicatioo ond hnow lho snma to 6e Iruo ond wrrcct. All provisfons ol lawa and <br /> oluiu:�ces�V�entlnp lhl�:lypu nl work wiii he complictl with whelher specified hcrein or nol.The pranling of a pertnit doos not presume <br /> ia piw nulhonty ro�1oInW or rancal tha provlslon o(any athor emta or local law rgulobnp constmclbn or the pertormanco of <br /> conzda:ilo�i.1 r�nt I am autlwi'voA by tho ownei uI Ihis pronedy lo pedonn tlio v.vrk for wblch applia�tion is mode and I comply wiih Oie <br /> SWro Cnnti:�dur,:Lnw 1tl27 RCW nnd?�0.20U WAC. <br /> �i�:.l�.�.��_1_ . ; . . ��:; . : ;; ,. �. <br /> CIJqNUIUG((TVh�111GbIdiOf•107Tu`IhmliofiT�O���l ' � Ua1c <br /> ,/� <br />