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0 <br />i <br />U1/�6/2�10 15:30 2�6--368-8941 FEDEX OFFICE 5144 <br />l <br />_ (_. _.. _.. ---• -----_ - <br />pERMIT APPLICATION <br />CITY OF EVERETi P�RMlT SERVICES <br />3200 CE�AR STREET. FVEP,ETT. WA 98201 <br />425-257-8810 - FAX 425-7.57•8857 - vrn�w.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM II AM TO A PM <br />� SITE ADDRESS <br />' /_e3_ci�__%iicC <br />� LEG411 LOT NO, <br />OF�r � <br />'I � � <br />: �c..��!i � .�t1�— �,c3.a�� �.i <br />TEN�Ni NAME �/ I <br />nt�. <br />U N i ' "' <br />, a.�r��,(- y�c-/�"OYiCIL <br />CONTR UCENSBM1 <br />� <br />USE OK BUIIDIN.; I <br />PARCeL TAX I.D. # <br />TRACT OR SUBDIVISIONl1 <br />PAGE 62 <br />� ibb/ �0� <br />PF�;MIT H <br />�lc�i-�l <br />AOORE55 � CIIYlZIP PMONk `— <br />�nah�h s��rice� <br />uvi,.aL_C�vc,_.�y¢[c # _ /�/A 9.P.�oi �G �.r_ � � � _ .a �- <br />FOA <br />70(v �7 �i �� 3 / <br />HEATSOURCE <br />PHONE <br />�assz�/ (�'1� <br />L'c((--�(ZoU) 9Pd�d699� <br />CONTRACT PRICE OF N'ORK <br />.r'�U`I � _J( EIeCMc ^_GaS„Olher �y�pF• <br />o� 0 O DO C��)!a (p.G�f.t�.G <br />WORK �ESCRIPTION ������� �h� �G,�Q .Q �`Cda � �e <br />,fi .�CG�i"Cfcc% �✓0-f1P� <br />✓IA,c27o4<c� ��d i'eP ���i/:Jwa,u, c�c.� a��e� a. �Io% /3 � do09 ril� � <br />�'���_�c.c�c�cci7 �b�t�'Q_ /7ce�a _-�ii �b.c rtjo/A�<Q r� �-d� � %Y�'finr e%c� c, <br />NG. I TYPE UF FIxTUR@ OR I7EM <br />V Tqilnl � <br />Bathlub p � <br />✓ Lavatory (n^asA b�s�n) �/�) Cidd[7faN ,p�li <br />_ Shower , �� l <br />Kitchcn ;ink R dispos�l GC/7G�G� �%IL �l?'C/��/v <br />— o�shwosr,e� S'�ir,�' /leecf r�,o <br />_�!� GolheswiShCr �Q['n�/ <br />�Nal^r healer � / <br />— s�r,k `6PCatwc �ht `.i <br />__ iscrvirr_/bodmop/etr. ) <br />_ c�ecv.Omvprevcnlcr �^�ZE C/1 �mbQr <br />urin,d <br />Drinking Founta�n �� l✓C�Lr �R�!' b.ta, <br />..✓ FIOOrdriin �h�f �/�C. <br />� Greeis.� Irnu ✓�/ <br />Roof drains <br />- om�� ���u�r L�n�riJ <br />NO. I TYPE OF FIXTURE OR fT[M <br />�vC - air h�ndiino units <br />_, Forced eir systems <br />Gas piping <br />� Watet heater <br />Gasfireplace <br />Gas rangc <br />►T Cblhes drrer <br />� Range hood <br />� Exhaust tan <br />Hcat pump <br />Unil heater <br />_ Boiler <br />Refnpernt�on <br />� Wcodslova <br />,� oa,e��,rr;� �'u<os�ce <br />; _ ___ CITY OF EVERE7T I,OCAL SA�ES TA% COD6 I$ 7105 � <br />�� i ne�eby certify Ihat I have road and exammed Ihis �pplication ond know Ihe same lo be trve and wr,ecl. All provisions of Iaws and <br />. ord�nances go��eming ihis iype uf wor� will 6e complir.d with whelher specifi�� hereln er nnt. The granting of a permit does not prr.sume <br />lo yrve aulhon�y�.to v�olale or cancei Ihe provision of any o�her slafe or local Ian rcoui�ling con5lruction or Ihr pertormanc.0 of <br />rons(�ucdoi %�� 1 uin auttr�nzt�i-by-It� owner o111i5 prvperty Io perform Ihe work for which flpplitation i5 ^nde �nd 1 Ccmpfy ��nih fhe <br />Statc Co r,ocl rs aw 1 pi�17 CW and %196200 WAC. <br />% ..L � � � �li��q'1L. Qw'% <br />; s�gr,acu o��rcom�aciod� �c gent ���`�-`�Q�o oZOG� 77Y- ��3/ �Ceu� <br />,�j `�---�" � 04� v lS'- 3qa,r� <br />i • ,� . <br />'�__J_�ei1�o_/�o�.--�ccfre�t,�/y___�eScd.i�q—i.2_-_}h_� �ou,o�e,__` _ <br />✓ � <br />