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Dec-30-09 11 : 26A P . O1 <br /> __ . ._. .. __1 - -- -'-------. .. ._t, - '- "--- --'–' - — <br /> l <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERM17 SERVICES <br /> 3200 CEDAR STREET, EVERE7T, WA 98201 <br /> 425-257-8810 — FAX 425-257-6857— www.everettwa.ory <br /> APPLICATIONS ARE ACCEF'TED FROM 8 AM TO 4 PM _ !Z �3p -� / �i <br /> --- --....--- --- -- ---- _.. _ ...___ <br /> SITE ADDRESS PAF�.CEL TAX I.D.A PERMIT t1 . <br /> i � /' <br /> I .�� � ' [_.//' /9_�f/Y�7 ��� - . . �-'��3 i <br /> I . _. _. <br /> I.�i:AI LOT NO. ttLUCK TRACT OR SL'BUIVISION N <br /> Uhtif:.j I <br /> OWNER � � AbDHESS CITY2IP PHONE � <br /> I, G� � / �.�r� %D� 7 �`��«, .O_,= �✓��- - �' zn �� �z �-z��-� ��U' <br /> I 11NANf NAME � CONTAC7 fOh PERId1T PHONE q �+ <br /> C�� l Z�'�/ r!� C/ E MAIL �v �I7 Z P <br /> CONI'HACIUH APURE55 � CITY/YIP� PHONE <br /> ��.�/lrRl.�rr ,jH�t} `� ,SCr✓it� �,FfZL� </15" ) l '1���� <br /> CON R LICENS�h I <br /> �,C N9 J o y ��� j 60 /�'�r% ' /�- ���F� I <br /> IUSE OF C�UILDINC HEAT SOURCE CONTRAC7 PRiCE Of 6VORK <br /> n c.!� <br /> ; � �Eleclric _Ga;_Other S5 ,� � <br /> - ---.. r.5 ...-------- -- <br /> � WORK DESCRIPTION <br /> /,/"c��r'S'J �e��.���„J� Cv/r ��u�r-- ���,�s <br /> � -- _ _. _ <br /> PLUMBING � NIECHANICAL <br /> N0, IYPE OF FIxTURE OR ITC-M N0. TYPE OF FIXTURE OH I IEh1 <br /> --.. .. -'-"—'-. .__. . _. - -'. .... _ _. ..__ I <br /> T�iil-1 Z A/C-�ir hantllin� �qtil6 <br /> DaUdub Furcetl air Systenls <br /> L:9�•alury p+�:c;h b�sin) _ Gus piping <br /> � Shu�ser bValnr h�2tEt <br /> tGlchen sinh S tlispic;Fl _ , Gas firOplaCB <br /> Di3hwaslmr � Gas rangn <br /> C;Ir.IhCS washer Ciothas Jryer <br /> LY�Inr h�iatyr F2ni�e huod <br /> Sink (sr.iWc�_rb:+dmuµretc.l Cr.h.iu5l fan <br /> � F.:�ck0u�v prcvr.mcr � H�at pum» <br /> I _ Uiinal __ Uni� healer <br /> _ Diiukiny Founmin I30iler i <br /> ,_ Floor dr:tin Refriycration , <br /> ciroasL•V:a�� N'oonstove � <br /> _ I:oof drains _� Othor_ <br /> Othcr � <br /> — — _.-----... . _ ...—__. i <br /> i <br /> . _ ..- .-"'---- ... .._. _.. _. . .. .. ... . .. -._ -_ . <br /> _ _ _ CITY OP C•VERETT LOCAI. SALES TAX CODE IS 11U5 � <br /> I hrtrr.fry r,r�iliiy lh.d I h�vc rc�ad un.! eauminod Ihis apylic�tion ann �ni�w Uie same lo b0 kue and corrnr.t. All pro�-isianz nt ia�cs anU I <br /> ordin;i,-.r.:;pnvainnii� lhis ly�;n r.t v.i�rk �vill bu compiind wilh whelhr.r spnr.ilied hercin er not.The�r�nliny ol a Nenuit dues nnc pirsunie <br /> Io givc autliorrty lu viulatr.rr cantel lhr,provision ot any uther st:iN ot lu�al 13�t�reyulatin� tunsliuction or Ihc�periunnanr.r.ot , <br /> COOstructiun. I Mt I al�l Cwlhuri�ud by thp���vilzr uf thi5 propnhy lu F�erfofm tho WOfk fUt�vhiCh;1p�fIC0GOf1 i5 m�ldc:flpd I CGniply v;ilh ihp <br /> Sl�lr. C:unlr»i: �; L.aw IU.27 ki:W tincl 2Ju2UU b1'F:C. <br /> �/ i .- .. ) I <br /> �- ,L/� �---- �: ��o� <br /> 9�qn�;i UI i_Cri IIf:f7Q�'dr:�c:Urb'1uUiuf¢C�7 Aqi±nt..... � �U3ln <br />