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09/13/2010 11 : 18 FA% �001/002 <br /> � i <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-6810-FAX 425-257-8857-www.everottwa.org <br /> A��LICATION!ARE ACCEPTED FROM�AM TO 4 PM ��-I'S-((� <br /> SITE ADDRESS PARCEL TAX I.D.• MR/ <br /> l� al �'li'/�� i ' .S ee. fi GL'� 39�1��0/ 7oa Ov - O/ <br /> LEG LOTNO. ELOCK TRACTOREU�DM610Nr <br /> DESC. <br /> OW N O��_ <br /> C�-j�j o�Ev��Pff� 3� Ceda.,. Si-. r.vP�rFF 98-�v� <br /> 7E AME CONTACTFORVEkMIT PMONE <br /> �7L/�l C�►e�� �i�CA/�G�l�� '(:i2Z.I7f' �/'�j�D�l�/7�EJAAIL <br /> l-�/mhe��CUm��J ii�& ���J"�r�P� ,rCi�c�o•-p,o' N �i�S-8a���a <br /> CONTR.LICEN$E A No�M g,C A�0(�M E ���0��V <br /> USE OF YU��OiNCi1 . HEAT SOURCE COHTRAC7 PRICE OF WORK <br /> gl.t.L �Gu iLE��1.1Y�'OVPnY _ElacVic „�,Gaa_Ochor J�Or�C�� � <br /> WORK DESC PTION <br /> P/u.r�bc i� S1u.G[ WAS�, l�tr�f" ✓WR'�r, i4�,�J P/vml.J <br /> �'i x,�z�y <br /> PLUMBING IYIECHANICAL <br /> NO, TYPE OF FU(TURE di I7£Y NO. I TVPE OF ft7(7URE OR RE11 <br /> Toikt MC—�Ir h�ndling unlb <br /> Ba�htub _ Fo1rA.Meifsystems <br /> � Levelory(wash besin) 6aa pipinp <br /> Shower Wd�r hqt�r <br /> Kltchen sink d dlspo5al Oes firepleoc <br /> Dlshwasher Gat rnnpe <br /> Cblhes wachar Clolhea dlyer <br /> T Weter heeter Ranpe hood <br /> 3 Sink(ssrviplbsdmpp/etc,) E#��wlfan <br /> � Backflow�reventer Heat pump <br /> _L Urinel _ UnR hot�r <br /> Drinking Fountain Boller <br /> � FloorCraln Refripamtbn <br /> Grs.ss tnD WooQatove <br /> - Roof dreins Olher <br /> Other <br /> CIiY OF EVEIIETT LOCAL IALt{7A1(CODE IS N OS <br /> I hereby certify m�t i hsv�nad and examined this applicallon�nd know tha same b bc we and correct. All proviaioru ot lewn end <br /> ordinanws poveminp Mie type of vwrk will M cpmplled wlth vfiether apedfied herein or noL The yrantirp ot a p�rtnil dopp nul procuma <br /> to glve authorty to violate or pncel Ne provision of any oth�r stst�or bcal law rogulatlng cnnstrudlon or the peiMrtnanoe of <br /> conilNCiion.Thdt I am eW10 ' y the pwner of lhis propMty b plrfoffn the worit for which applintion ic mada�nd I COmply with�Ilp <br /> Stele Comredors Lew 18.27 and 286.200 WAC. <br /> /U <br /> ignsturs of q ntrecloNAutho g�nl <br /> � <br />