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DEC-OB-05 THU 12�21 P� EVERETT PERMIT SERVICES FAX N0, 425 257 8857 P, O1 <br /> .._- ------... - ---_ .......`_-•{ ---� ----.._ <br /> I PERMIT APPLICATION 'c�� 5��5� <br /> � C17Y OF EVERETT PERMIT SERVICES �—�'�� <br /> ' 3200 CGUAR STREET', EVEFETT, �NA 98201 <br /> ' 47.G-257-8810-•FAX 425-257-8857-www.everellwa.org �' ��� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM `'' �, <br /> I SPf�AUI)R[:;5..^.._�_.—.�-_...�. ----' —'-'PARCEL TAX I.D.# PERMIT# `— <br /> � i_�tiv - K�c ea.i� A-��� 1 oe�_y_�s- ��z600 1���� <br /> _ --� -- -- <br /> I.Fi?i,�.l I.O� �:0. ULOGK TRACT <br /> �,���..� <br /> lillNfn'�'---........�.. -'- ---'—�AO�RE55 —� qTV21P VM4NE <br /> _»�uti2��...._�z�C_L�:��..__ �Sam� � S � �� i�� <br /> 7CNANi NkNF CONTACTFORPERMIT pHONE <br /> I C-�e. ratd ��?-ia rs � n `6�7-53� "�-{-3 =j <br /> � -� <br /> GONfRAf,fOR_..y...�_.�.__._.,__�__._...nDDRE55, ^1� 1� �- CItt21P GHONE���'/� I— <br /> � 'NUi-ihw � )t �12.c-1�' � � �• 1�e� �w u�+h � Nti, <br /> CONIit.LICf1�15'L'0 _J <br /> .� �.r.��.N�5.....�.��4�.��--�Y�v� � n ��zr, v�� � � .�� 5 y,� ., .,� <br /> , � t.ISFi UF F]UII.UING y _ ---_�V^_—HEAT SOURCE _ I CIONTRACT PRIGE OF WCRK <br /> �.� ) I (�� � Y! (� _Electric Gas Olher �+ G '�' U , (� � <br /> 1Sh1RK DE'SCIltPTIItN <br /> (�� �2 -1m ��,L �� (� -�� 10 �v J�wv r�u_i:�! J. r`,c,� t`�c���1 �l � W � '.�`.' <br /> �� w ��, ��� r v� a-i �, , ��-� � I n i� � -1 h2 � v✓� o ; }-u,� - <br /> , <br /> ---. _� v _.------ PLUIIAHING`-- —•' — MECHANICAI. V <br /> «�3. ll'PE OF FIXTUFF OR ITE69 N0. TYVE OF�IXTURE OR ITEM <br /> ...."'____'."'_'.......... _...... ..__' .—��._ _ --_ —.- <br /> _ 'I'p�lr.t A!C—alrhandlinguNls <br /> __, [':�:hdub � Porced air systems <br /> _,._,__ 1.5val0iy(:N:r:lt lcn;iq) G35 plping <br /> __ St�GviCt VJ31E�hcTir.f <br /> _ I:II��hcn a�.inlc R di_posal Gas Greplace <br /> ..,__ � (1i;f��w;ishnr Gasrange <br /> ...__ CIOL'in:w.��,.lv:r Clothes dryer <br /> __.. _ lYci�ah,^,:�Icr Rangehood <br /> ._ Fink(rniviculD��/nwpldc.) Exhaustfan <br /> __ Onctilloiv��rovro;��r I�oat pump <br /> ..... U�in;�l Und hocter <br /> „ „ Urird�inr� I'ounta.in BOiIEr <br /> I '---- Flonr dr,^.in ` RCffigC2lI0r1 <br /> � C,rcnso hap WootlstOve <br /> I'nnl iirr,in, Olher_ <br /> Uiicr <br /> . ,. . .. .._ .....—•--•----..._....-•— ---....___. ----- ----- <br /> CITY OF NERCTT LOCAL SALES TAX CODE IS 3105 <br /> I 110(�;I)Y f.C'ILJY lilnl I Ii.l1h1/(:;1i1:illA PYRMIOPA lF1i:aFpl'caUon and know Ihe s2n:o to bo lruc and correcL All provfsions ollaws and i <br /> Ic�di�:;cra gOvcinlnp (hL';lyF;n ct woile Will bo tomplleJ ultl�whctncr specliied herein or nol.1'hr,yrantmg of a permit docs not Prasume I <br /> Ir,{�fvc rulhoniy to vii�'.:,lo or uincc I iho pruvi�:ion ol any olher sfate or local hw re�utafing cons;ruction or the performance of � <br /> Itcn;:ln�c.tiun. I I��,il I am;�uihor4>.vJ by nu:uwnr.r of this G.rnperry Ir�pedorm tho work 1or which appl'Mation is made and I r,ompiy wilh the � <br /> �+Inli�CCndr.tUof51„ + I(�,?7 RCW bnd 2SG.200 WAC. <br /> � �. , � ��•�Cc�.,__ � l � - / i -c1 S� � <br /> .u� ��- <br /> ..__ .�_��_ _.._ _._.. _�__..__......._ -.-- <br /> �Ah�;b.ve nf C��ir.rJl:ant,�UUUAull�nn�ed Aprnl Date <br />