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o�: ;. 1�:� i��i � 2 � r,�g;��;� ;�. ��� ,, ZG � � <br /> -�-- -- <br /> PERMIT APPLICAT'ION j <br /> CITY OF EVERETT PERMIT SERVICES ! <br /> 3200 CEDAR STREET, [VER[TT, WA 98201 <br /> � <br /> 425-257•8810— FAX A'Z5 257-8t357 - www.evoretiv�a.org <br /> APPLICATIONS ARG ACCEP7E0 FR0�16 AM TO 4 PM <br /> j SITC AUURESS .` PApCEL TAX I.D.N I PER�AIT# <br /> � �2 No r-Eo n /actv e C-�1 e�e-rt-q 8?-0 � � �i 3i o - o� <br /> I lEGld LOT NO. pLOCK TRACT OR SUB�IVISIOt�q <br /> � DESC. ' <br /> iOYRIFR AOORC95 --� Clry(tIP PHOI�F � <br /> �� �en �K� n 5 _�,vt �.���. � �� ���- <br /> �ENONTNAS�E I CONTnCTFORPERh11T PfiONE�;�� z �� • (p�: , <br /> ��b I� �n�ni��(?�7UIL�(,`'�C'I'1hKt'hf2�. ,4C1�i <br /> ' � r,u OiiE§ —'_'THbFT: � r I <br /> ��1�I�irtqinc- ��ri5 �r wr�,1 �ve,�etf q9;7.c�i 4i1525�f���k <br /> CONTH�1' E`t SE � � �1� � I <br /> � �1��_- 9 . 4 �� <br /> USk OF DUILUIt1G HEAT SOURCE CONTRACT PRICE OF YJOFiK <br /> i 1 .�,19 g _ <br /> lettnc �Gas_Cther <br /> �, <br /> �70RK DESCRIPTION <br /> � I n5�zi I � c���1.eS5 G�c�� ���� <br /> � <br /> � _ <br /> PLUMBING MECHANICAL <br /> N0. 7YPE OF FIXTURE-OR ITEM NO. TYP[Of-f•I%TURE OR IT[L7 <br /> I _ Tuiiel q/C—air hantlling uni�s <br /> I —. ���h��� Forced air systems <br /> Ldvatory�tvash Ud5i0J _ G�s p�piny <br /> � Sho�ve� Walor healer <br /> K�tchen sink R disposal Gas firaplacc <br /> _ D�sh•.vashcr Gas ranga <br /> __ Cloihe�taashyr Clolhes dryer I <br /> _ 4Vaten c�atcr � Rangc h�od � <br /> _ Sink (SV��¢MUIr/mOp/cIC.) Ekh3t151 la❑ <br /> _ dackYow prevyntor __►._ Hoat pump <br /> ! ___ Urinal Und hcaier I <br /> ____ Dnnking Four',ain '� Elo�iar <br /> __ FloorUra�n _, Relrigcraunn I <br /> Grease�mp Woodeiove <br /> _ Hool tlrelns � Olher <br /> Olhcr — <br /> ' CI7Y OF EVER[TT LOCAL SALES TNc CODE IS 7105 , <br /> I hereb�cenbty thal I havo ryad anc]examined this applicauon and knOw ihe,amo lo bo Irue and co�rect. /�il provisions ol lav+s and i <br /> ordmaces�nvem�np Ih�s rype o1 wo�h�vtll be cromplled v;dh�vheiher 9pociGotl hereln or nol. lhe yranting of a pennit tloos not presume <br /> !o p�ve autnomy tu vioiato or cancel tho provision o�ary olher slate or iocal lflw repulating construcaon or Iho perlomianco ol <br /> construcfon. ihat I am.vthorizeU by �he owno�ot this proper�y to pertorm Ihe w,or{tor which applicntlon is matle antl I compiy�v�lh ihe <br /> State Contractois�aw 1827(iCw and 29B.200 VJAC <br /> � � � �f ��.'.� <br /> Si�natu ol wneNCo;�t�Aulh z Agent Ua�C <br /> (i <br /> �- — <br />