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( �i <br />PERMIT APPLICATION <br />�CITY OF EVERETT PERMI� SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />SITE ADDRESS PARCEL TAX I.D.� PERMR'A,,1 <br />3815 HIGH ST �����Ot ��''O ��v <br />OWI�ER <br />&orvn <br />NpM�a Compeny (SEA) <br />PROPosEo use oF <br />c�tw►cT Pwce oF wonK µs.00 <br />R�a„o snsp�.�yes weler hseter <br />ADDRESS <br />3815 Hfgh St <br />Evarett WA 98201 <br />CONTACT NAME <br />pamsle MNI <br />ADDRES8 <br />12801 732nd Ave. N.E. <br />snrHrus <br />uVATORY ryYl►sH 9ASIN) <br />EFIOYVER <br />KITCHEN &NK i DISPOSAL <br />DIEFIWAEHER <br />LAUNORY TRAY <br />CIOTHEE WASHER <br />URIWLL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />OACKFLOW PREVENTER <br />SINK (SERVICEIBARlMOPIETC.) <br />OTHER_ <br />WA <br />�w <br />� <br />_�_ <br />98034 <br />PHONE <br />� <br />FORCED AIR fY87ElAs <br />FIEAT PUMP <br />WiR NEATERs <br />CLOTIIEs DRYER <br />RANGE lIOOD <br />VIM7ER FIF.A7ER <br />METAL FMt�LACEfBTCVE <br />flREPLACE INiERT .- j�^'\ <br />tiAE FIREPLACE i;::..1� 1 <br />w►s R� � 1� �� <br />J <br />GAs IIIPNIO " <br />ExHAlfst F�w . •�_�u1 <br />OTHEII' •' ...� <br />1 . <br />.. _..f'./ L �• <br />HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS APLICATION IW � KNOM� THE SA�E ���UE MID (�RRECT. ALL <br />�ROVISIONS OF LAWS AND ORDINANCES f30VERNN�O TH�B TYPE OF WORK WILL BE COMPLIED YYIHT M�METHER SPECIFIED HERE <br />Nt NOT. THE GRANTINO OF A PERMIT DOES NOT PRESUME TO ONE AUTTIORITY TO VIOLATE OR CANCEL THE PROVISION OF AMY <br />)THER STATE OR LOCAL LAW REOULATINO CONSTRUCTION OR THE PERFORMIINCE OF CONSTRl1CT10�• �T ��M �T�D <br />IY THE OWNER OF THIS PROPERTY TO PERFORM171'�E WORK FOR WHICH APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />;ONTRACTORS LAW 1887 RCW AND 288.200 WAC. <br />M <br />Ap�nt <br />D�N <br />a�� ni <br />