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Fe6 15. 2013 8: 2�Ah1 10. 7,?9 f'. 3 <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810— FAX 425-257-8857—vr�vw.everetlwa.orfl <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM a _�� _ , 3 <br /> SITE ADORESS PARCEL TAX I,�.A PERMIT q <br /> r $ 03 v( r 3oa -o�a <br /> LEGAL Loi No. BLOCK TRAC7 OH 3UBDIVISION p <br /> DESC. <br /> OWNE(1 AODRkSS C TYlLIP PHONE <br /> Lp 1 s t,ld,r V� �u'►� RF25 25� I �+�-P <br /> TENANTNpME CONTA�TFORPERM1IIT PHONE�'Z� x � 7 <br /> GONT I I.GV���_.— C1TP2 E•Mn��1 @cmh��I c.�. Ql�� <br /> G�1HPa 'rt Ih� �4i5Brfxd �e,rett � r <br /> q �"�1 qg�' �25259��66 <br /> `o",��`;rv1i c�� Oq 5R4 <br /> USE OF DUILDING IiEAT SOURCE CONTHACT PRICE OF WORK <br /> � ` _Eleclrlc �Gus_Olhor 3 Zq�� <br /> �YORK DESCRIPTION <br /> h�e,�I�C:�, �a5 -�ur�a�.�. <br /> PLUMBING MECNANICAL <br /> N0. 7YPfi OF FIXTUR6 OR RFIA NO. 7YpE O�f•IX7UFiE OR ITER7 ' <br /> _ Toilet NC—air handling units <br /> Oathlub Forced alr systems <br /> _ Lavatory(vrash Dasin) Ga, plping <br /> Sliower � Wutur Iroater <br /> � Kilchen&ink 8 di;posal ' Gas tiicplace <br /> _ Dishwa;hr.r Gas ranUe <br /> Clothes wa,hcr � Cbihus dryer <br /> _ Walon c�;rter _ Range hood <br /> Smk(aCrvico/bar/mup/alc.) Exhausl lan <br /> Backllnw prCVCnICr Heal pump <br /> Unn;d _ Unil haatcr <br /> Dnnking FOun�din � Bailer <br /> _ Floor drain HeMgCral�On <br /> _ Groa,e irnn � Woodslovo <br /> __ F10o1 Qryq, _L OIhOr����� <br /> Olhor I <br /> � CITYOFEV[REITLOCALti�LE3Tn7(COnE�S�105 <br /> I hereby curility thal I have rcad ond examincd ihis applicalion and wtow Ihc samo�o be Irue antl cnrrr.ci. All provi,ions of laws and <br /> orUinaces gov�min�Ilns type ol work wlli be compliod wilh whmher spr.cllied he�ein or not.lhu prantlnp of a permit does �ot pre5ume <br /> to prve outhority to violale or Gincel Ihe provlslon nl any othor slale or local lnw tenulaGn�conslrucbon or Ihe porionnnnca ol <br /> con;lrudion. That I am aulhorized Uy Ihu o�.vner ol this propeqy lo perform the work tor whlCh applicatiun is made and I comply vAih tho <br /> •State Convaciors Law t U.27 HCW nnd 29G200 WAC. <br /> . <br /> �QcR.. u � � I�� J.3 <br /> Sipnutu •ot Chvnar/Co aCloi/Autho ��1� nfleni Uate <br />