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� � , <br /> �ERMIT APPLIC�4TION ��'��s �/�-` ' <br /> CIT� OF EVERETT PERMIT SERVICES /�?y,3/ � <br /> 3�l)�1 CFDl1R STP.EET, EV[RE�i , WA 93201 , <br /> J?5-257 8g10 - FAX 425-?57-5857 � <br /> --- - _ — --- --- --- --- ----- � <br /> SIiE .�UIJRESS PARCELTAXI.D. # PERhnTr i"j � <br /> / <br /> _]y3a--l_�P,..��2J��,e. R�• - -�1�00�--��� 000-��o ----�v <br /> . - ,�..I LOT 4U � E3LOCK I TRACT �, <br /> _;_' .; j- 5-- 5�'-�� a r - a-a-i —_ '� <br /> O:VN[R � ADDRE55 i ZIP PHON[ � <br /> _ (� d�c��2�����sz.�s�s L�.c__ ��o3a.- 3s�'���s�__w�ti �t�so«. 4a.s--c�3 � <br /> 7CNA4TNA!,iE CONTACTFORPERLIIT PHUNE L�I� � '� <br /> L �Sl..esSl '-12-5 ' ��13-L"1 (8 � <br /> - ------- - ----- --- �---�---- ---- ---- -- � <br /> CO.'JTRACiOR ADIlHFSS ZIP COHTR. LICENS[C <br /> I� c�a�2 C ���JP�s��� ��-e- �'lo�a-3�'A�CSE 6o-IhsS+Z 95,�ia- ADaT.e��� a}ci <br /> ,�+c.ve <br /> PRCPOSEO USE OF E1UIL�ING � I ✓43uddiny �'1:18chamCe� '� Hc�a�,an I HEAT SOURCE- <br /> s�� �� $�,�,,,��� �� PERt.11T F ;ombinahon umbmg NORK Alerai�on r`� [ler.erlc , <br /> � , _�- '��- �� � 7YPE ��--��` Demolition Sign TYPE '�w ��tias � <br /> �\A.I�tJ.w�• �� LJ Sprinkler � Repair.hlaint LJ Olher <br /> CONTR�1Ci PRICE OF PJORK �CITY OF[VERETT LOCAL SALES TAX CODE IS 7105 �� <br /> _—_'__._ — ___. _--_ __—__ . i <br /> IVORK OL�::RIP710Y \ '� <br /> {v l�..l.�.. .��C��`+L �� �1.4.�-�.cAIJI�Y- <br /> 1��--� aaa9 <br /> - - —- ---- -- - <br /> PWh181NG MECHANICAL <br /> NO. I TYPE Sr FI%TURE OR IT"ri: NO. TYPE OF FIXTUF[OR ITER1 ' <br /> _ __�. __ _ __—__. _ .__—_______ _�— ___ —. .. <br /> �i 'PJ:,T[RCLOSEi 17OIL[I) il'C-NNA�lDLING UN115 . <br /> ,'l_ EATH7UD _L FORCED AIR SYSTEh1S I <br /> _�-{_ LAVATJRY(WASH �ASIN) HEAT PUh1P � <br /> l SH0�1�ER UNI7� HEAiERS � <br /> _j_ hITCNEN SiNK 3 DISPOSAL _L CLOiHFS�Rl'[R � <br /> � . D15NlNA5H[R RANG[ HOOD � <br /> �4UNDRY TRnY _L WATER H[nTER I <br /> ( _. CLOTIi[S IVASIi6R --- MEiAL PIRFPII�CEIS��OVE �. <br /> URiN�1L I�IR[PLACE INS[R1- ; <br /> _ �RINKING FOUNTAIN __(_ GAS FIREPL�C[ � <br /> f-fAOR UfiAIN __�_ G!$ RANIiE <br /> E3ACNFLOW PR[V[MTLR __t{. GpS PIPING <br /> _ �INK(SEkVICErH�1R�MQPIFTC.) l.� E?HAU51 FnN � <br /> _ �I �JiHER---_- _ -- --- — O'�HER _ _ ; <br /> I �---- -- - - --- ' <br /> , — - <br /> ' - -- — - -- - - � <br /> ; <br /> I i'.i.?E=BY CERI71FY THAi 1 HAVe ReAD AIJO[.Ii.MIWr"O iH15 APPLICAiION:.ND KNU`.ti'THE SAn'[ TO f3E TRUE�1tJD fORRECi aLL '�, <br /> ?RGVISIONS OF ldW S AND ORIDIN„CcS GOVERNING THIS iYPE OF!NORI(1VILl CE CCMPI.IED WITH\VHFTHER SPECIFIED HcREIN OR � <br /> `�OT. TI�.F rRANTIF:G OF A PERAIIT UOES NOT P('iF5UA1E TO teIVE AUTHORIT'i TO VIOL�.i c OR CANCEL THE PROVISION OF PIJ1'OTHER � <br /> .,�AT;� �.1F. LOI;>L I.i:.A'REGUL%�71NG CONS i Rl.'CTIOW Oii iHG FERf'r1nL1.�Nf;, OP .^,pNSTRUC'IQN '�{��T I:.f.1 i.UTHOFI�FD fiY 'HL- �� <br /> ...f�.:.C ��FTRIS'ROP�RTY`-OP�Nf'OhL; ibC'.bOR�IF�-�R`:.1ili;l� d'=PLIC=.iIONISh!:.f:E:�.hUiC016ai_�� "JIUiT�-FSTATc I <br /> _� . .- .;7CdS��U�� 18'.73C.N AND '_5o ip�'.,r.0 <br /> � � I <br /> . -�r-a��°y �� <br /> ,—.iure i O�•:nenGonvactor.nut onz��d Aqai Date <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED I � <br />