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FF,Of�9 :E�erqreeri 6tate Heet & fa/�' FRX IJO. :4252596E[O Sep. 22 2C�1C�9 09:4�Hf1 P3 <br /> _ � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SER`JICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425•257-8810- FAX 425-257-8857-www.everettwa.org <br /> APPLICATION8 ApE ACCEPTED FROM B AM 70 4 PM <br /> SI7E 4DDRE93 PAACEL TAX I.D.• I PEaM17J�,�� �� <br /> O / .� � ,Q SC //% y <br /> LEOAL LOT N0. BLOCK TRACT OH 9UEOIVISION Y <br /> oesc. <br /> E A 0 E8 Y IP p110NE <br /> CAivc-' a���-.si�a0 9�io/ 2ieD2 Sc= �- �87.��� Y�s--g�L- S�s�d <br /> 7ENANTNAME I CONTACTMORPERMIT VHONE <br /> E�I.IAIL <br /> Cl/j�n- �i/f-fit7✓ S%, .S� /1/t!�i�L. / I N <br /> CONTp.LICENBE M �-I Z � ✓��/�rc t�GE. Q/. �d f �� ����!� <br /> �:�-rl_�ss � a 2 m,' <br /> U9E OF EUILDINQ HEAT SOURCE CONTRACT PRICE OF WORK <br /> �SiO���� Xeioc�ic `Qos_oiner I � y �oa <br /> WOAK DCSCqIpTION <br /> �.v s��� O�*��ess f��-- P�ry,,a <br /> � MECHANICAL <br /> NO. TVPE 0►FI%TUAE OII ITEM N0. TYPH OF FIXTIIRE OR ITEM <br /> _ To1101 � NC—alrhm�dllnpuNta <br /> ^ Balhtub .,� �orcod eir sysloms <br /> _ Lavptory(wash besin) _ Qoe plpinp <br /> _ Shower � Wnlor Ixiatnr <br /> _ Kilchon slnk&disposel Gao 1�ropinee <br /> _.__ Dlshwnshor Gas ranpo <br /> , ._. Clolhoe wuahor _ Clothos dryor <br /> __ Walor hontor Renpo hootl <br /> ._.__ Slnk(eorvlco/hnr/mop/olc.) � Exhaust lan <br /> _ Oackllow N;ovon�or Z Hool pump <br /> llrinni Unit lieator <br /> Drinkinp Fountnln Uoilei <br /> _ Floor draln _ qulrlpernUon <br /> _ Greoea iroD � Woadstova <br /> _ Rool drains Olhor_ <br /> Other _ -- -"'— <br /> � CITV OF EVEl1ETT LOCAL OALE9 TAX CODE IS 7105 <br /> I horoby coritity thot I hevo renU ontl oxaminod thlB Cppiicelion und know thn 3nmo to be irue a�d eercacf. All proWelons of iaws and <br /> urdinucos povurninp Ihls IyVo ul work wlll bu complted wlth whothor cpocillod horoln or not.lho grnnling 01 a pertnil doo3 not pros,:ma <br /> lo givo outhoriry�o vlolnto or cnncol tho provision ol any othor etote or locul Inw reUulntln0��etruelion or iha poAormanea oi <br /> constructio t t nm authorized by llio ownor ol thle pmperty to porlorm tho work for which appllcatlon Is madu and I comply with the <br /> Stalo C r�ctor Lnw .27 RCW nnd 2�3(1200 WAC. / <br /> r- 9 Zi/ r9 <br /> gnaWrao wnoU onlmclmi ulwrzo pont a'�— <br /> I I <br />