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��.-�.;'1 :C.,�. . .�_n '_ �_ .t Hc;�t ._ N ' FH',: Idil. :4:��S�rS�-,:J 1{-�r. -._ � l.' .Sif-ii F" <br /> PERMIT APPLICATION ` <br /> CITY OF EVERETT PERMIT S�RVIGES <br /> 3200 C[pAR STREET, EVERETT, WA 98201 <br /> 425•257-8810– FAX q25•257-p857 –www,everotriv2..ord <br /> APPLICATIONS ARE ACCEpTED FROM 8 AM TO 4 PM /� � �—� � I <br /> 91TE ADbRE88 � PARCEL TAX I.D.q PERMITp <br /> l S //lE�-��/06� Di2. �� �,:j !� - � .� � <br /> lC-C3AL l07 NO. @LOCN TRACT OR SUtl01VI610N Y '- <br /> DESC. <br /> WNeR A�DREB ITV/ZIF pry ��F <br /> I �D � �/J/.yG>v�i S�/y v�r�/1rnG� /�r E7� �g,?o 3 Y,Z.s-.25� -/7�7 <br /> TENANTNAMF COHTACTFOHPERMIT PHONF <br /> ��7"-aa�r�zc,Y�Q-c�� I Q�€sn=/�gx;.�2 _ S'?s - zs� —��� Y <br /> E•MAIL <br /> CITOiZI�—��1 <br /> �n c,e�-v� sT, s�i-�r,z �7 �7� <br /> CONT�R.L�ICg N6E q 2�Z�� /"�/�G �(.� �! ��l� �J.L '— ���7 <br /> __ �•1/�GJ�O��-d`T <br /> U9E OF BUILpINO I1EAT SpUIiCE I CONTRACT PRICE OF WORK <br /> /�t' 3/G�G?�v i��Z I --eionrm �p�s_omor '_ ,z � ��j�J <br /> V,'ORK DESCFlIPTION - <br /> GA5 �2r.0/�.9� G6,49�rG�' ouT <br /> MBIN E HAN CAL <br /> ��0. TYPE OP fl%TUfi�OR ITEM N0. TYPF OP FI%TURE Oq ITEM <br /> _ Tollot NC-alr her,qlinp unlls <br /> _ Balhlub � Furced xir uystOm� <br /> ._ Levalnry(wosh banln) Oas p'pinp <br /> ___ Showor � 1YalurY,od�or <br /> _�_ Kitchun slnk 8 dlcpocal G4e limplece <br /> _ Dlohwoshor _ pos rqnpa <br /> ,_ Clclhos waehar Clothos dryer <br /> Wnlor heator -'— <br /> __ Slnk(survico/badmop/olc.) — Renpe hood <br /> — Exhaustfnn <br /> __ Ueckllow proveNer Hopt pump <br /> _ Urinal � Unit heator <br /> _ Ddnklnp Fauntaln Boller <br /> _, Floor tlrnln _ Rofrigarption <br /> ___ Greasotrop Woodelova <br /> ,,._ Reof dralns Othor <br /> _.. Othor ---- <br /> i � CITY OF EVERE7T LOCAL SALEB TA7(CODE 19 J7p5 <br /> I haroby cerilily�h�t I hnvo ruuJ und exemined ihis qppllcntion anU know tho semo to be trua nnd curroct. All provislons ol luws and <br /> ordinacoa poveminp Ihis typu of work will 6u compGod with wholhor spOciliod hureln or not.?ha prnnting of n pgrmit tl0os nol prosume <br /> Ito piva avlhorlty;o violate or cancol tho proviclon ol any olher stato or local law reguinting eonsWetion or iho porformqnco of <br /> consiruCti �gt I pm outhodzOd by tho o�mer of�his pwporfy to portorm Ihe work lor which applleatlon I,matlo and I comply wAh ihp <br /> s�ato �Irac ra LaK 7d27 RCW and 2A6.200 WAC, <br /> "'� O L/D <br /> � `.gnnWroo wnen��,ntracor ut orto poN p�g <br /> �—__..----- -- -- <br />