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irur uu w Iatiy <br />PERMIT APRLI�ATION <br />ClTY QF EVEPIE'1T PEkM17 SER1/10ES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — wuvw.everettwaorg <br />APAL.ICATIONS ARE ACCEpTEp FqpFl B/W T04 PM <br />slTE ADPRE59 74F30 Evergrec� fAk1 <br />�v¢re�f, wq. 5520 <br />LE laTNO, BLpdC <br />Sefry %0o�)mal✓1 <br />TEMAHT NIVME <br />wi��; ��AP �r�+du <br />PARCEL TAI( ID. i <br />�..�n iaj i �,�'�t� <br />az���—;y � <br />�;Mk � I fPll; G. A r°! <br />_ 5h3/o8 <br />HEATSOURCE <br />,.,.���.�.��,.� � N;� Par�s� <br />CONT""�` Dy►—�rNCAaIM H , <br />USEl�8ULL0111� '!D SCI <br />{�ijulAYl(p 1 {�nnnci� SC�V�CeS <br />p.'t <br />i <br />-o� c <br />Ln Q.�Mm. cA (tizc''7y4' 2700 <br />_ e�eco-,c _.. �as _ oe�a� <br />WORKDESCRlPT10f! (3UIIII 3 WA�It �lf <br />e1[�ilec� drur�phim� <br />Ho- I �vrE oF Fonurr� oe rreM <br />` Bethlub <br />_ Lavatory (wash yaainj <br />_ Showor <br />_ Kitchen �ink d dsposal <br />, DisM�asner <br />____ CbtF�es waaher <br />_ Warer hoater <br />_ Sink (service+badmop/etc.) <br />____ &ttk9owprawnter <br />, Wlnal <br />_ CrinNing FWMSin <br />_ Hoordrain <br />_ Groasn trap <br />_ Roo}drains <br />_ Olher-- <br />(4zs) 8�4� <br />lui't�i . �o�., <br />�SwkL - _ <br />c4as) asa - sssc� <br />CONTRACT pHICE OF WOflK <br />.� '� � SOCi <br />encfos-t -�h of-(��e C srr ucpt uf' <br />MO. I TYPE OF iUITUqE OR fTEY <br />{ <br />A/C — aIr ha�dlir�q unils <br />Forced air 5'/Ycros <br />Gas P�{W�9 <br />Wakrheak• <br />Ga5 nrepac�� <br />Gasrange <br />GotbeS dryer <br />Range hooG <br />F�neu�t �an <br />Heatpump <br />Unil haatpr <br />Boi�er <br />Refripera6or <br />Woodetova <br />Other <br />CT' O�° EVEIiETT LOCALSALES TAX COOElS J705 <br />i heseby cer0ly lhal I have read and a�minotl this apptication and know lhe same lo be vue enf cortect. AU prpyisions oi laws aM <br />ardinaces p�veming thic typ� al wak wIN ba canplitd nith wheNor specifiad h�Bin or not Tha granGng ot a permit does not prewme <br />ro give aWhority to vidate or cancel lhe provision oi any qher st�e or ioeal Faw reyJaling aonsiru:%on or the peAprmana ot <br />wnstrudbn. Tha� I am n,.;prizetl by Iho ownar ol th�s propony m pgrlpin tlie urork lor which applimonn in ma6e aW I wmply rriln Ine <br />SLlle Can�ra w]8.27 fl �0nd 2��2W WAC. <br />� �s�-� r��-6�- t 1-- �„ -a �- <br />T8/l0 39tYd <br />1�3 SWCII'lIM ?J3ll3N <br />`/Z <br />Z6BZZILSZD 80�ET L001/96/Zi <br />r <br />� <br />