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OCT-20-2011 01:26 PM SNOHOMISH.ENERGY <br />360 563 9131 P•02 <br />� ` <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CBDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 42&257-E�57 — www.ewnttw�,orp <br />APPLICATIONe ARE ACCEPTED fROM ! AM TO 1 PM �D `�� `�� <br />i1T! ADDRE68 � _ `PARCEL TAX I.D� � I 2lRMIT • <br />.�. _ I ., , .. . _,,. MI _�,n ( Yl � � , ;� _ �1�.i,� <br />LOT NO. <br />DESC. <br />coNrn <br />U!L OF �UILDINO <br />DRK Dl�CRIPTION ��v��,J �, _ q�L <br />011.a/ t77�ic�Do� 21.y1-t't • <br />NO. I M! 0/ AXTUIIE OR IliM <br />Toll�t <br />B�lhWb <br />L�v�tory (wash buin) <br />8how�r <br />ptcMn Nnk 8 dbpoul <br />Di�hw�ah�r <br />Cloth„ wuM� <br />W�Wr M�ur <br />&Ink p�Malbu/mop/nc.) <br />B�ckflow prrwnht <br />Urin�l <br />Drinkinp Founuln <br />Floor dnln <br />Onu� tr�p <br />aoor dnin� <br />an.r <br />$ v <br />HlATfOURC[ <br />���ctric _on_Oth�r <br />���y���� <br />��a�o <br />�CONTRACT ►RIC! OF WOIIK <br />,+1 ''%li]rYi. E��o <br />No, I rni oR �xnn�e oR i�+ <br />NC - �Ir h�ndllrp units <br />foroW �Ir�y�D�mt <br />W� plpinp <br />WtpK hNbr <br />Ou finpl�w <br />Ou nnp� <br />CIMM� Cry�r <br />W�p� hood <br />Exhw�t hn <br />MMt pump <br />unft M�br <br />Boil�r <br />R�frip��tion <br />Wood�tow <br />Oth�r <br />� atv oF ��tt �xu, ��u r�x cooi it o+a <br />I heroby ardfy th�t I h�w rs�d and �x�mlrnd thl� �pplic�tion �ntl know th� wme ta b� hw ��d corr�ct NI p�ovidorr oi I�ws �nd <br />ordin�no„ Oov�minp thit qp� of work will W compllW wNh wh�tMr �p�clMd h�nin or not. TM ptinqnp of � p�rmk dat ral Prrwm� <br />�p plw wthoAly to vlol�t� or anal tM provl�wn ot my otlwr �hta or loal I�w npul�tlnp 000�woGon or th� p�Aorm�na � <br />conrtrucllon. TMt I�m �uthark�d by th� owMr of tRl� prop�rt;� to p�rh+rm Ih� v+ork ror whlCh �pp�lwtlon I� m�d• �nd I comvly witl� tM <br />St�t� Contnaton Uw ts,27 RCW �nd 200.400 WAC. � � <br />