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Oct-14- 10 07 : 33A - P.O1 <br /> I ._ _� —..— —_ _ _._. __I�., .— . .— _._ .—_. ..—. _— _ <br /> PERMIT AF'PLICATION <br /> CITY OF EVERETT PERMI7 SERVICES <br /> 32U0 CEDAR STREEI', EVERETT, lVA 9A201 <br /> a25-257-8810— FAX 425-2;�7•6857—www,everettwa.org <br /> _ _— APpLICA710NS �4RE ACCEEPTED FROM 6 AM TO 4 PM ro ��(� ��� <br /> I SITE ADDRFySS � . — �� pAFtC[L TAX I,D.# � <br /> ��.� �O ��,fY;�/+ ('/;— � �,���� _`� <br /> �EGALL LOT NU. TI 6lOCN TRACT OR SUBUIVISION Y 1/ <br /> UESC:I_ ..._.. _.J�. _ "— <br /> OWNER � ADDRE55 <br /> GIiY21P ��PHON�� <br /> =�'� /, C��[ I�Q� � �' �- �fL.> `8'70 — 2zG <br /> -- ---� --`��30 ..vfa.��� U,- �vt�� y.�r1��. — <br /> 7ENANT NAME I CONTACT FOR PEqM1T PHONE � � - <br /> CONTRn�OR� ' �—�� S�� E-MAIL <br /> C ��1n�f� .XI�r� 9F �Jrrt/...� `�T�'Ll�' PHONE'— . ._ <br /> y 3�a i ����.�u-I�`�..� yz s -z>y��i�/ <br /> � CON H.LICENSE# � <br /> _—�`�1��55oafzKz . --- �i.t� ��d/ <br /> USE Of DUILDING HEhTSOURCE ���� ' <br /> CONTRACT PRICE OF WORK <br /> R( J ar <br /> _ _ ^ k tiectric _�as,_pther Z. Z.�O "` <br /> WORKDESCRIPTION � ' '� � �— <br /> � <br /> cr/o�e �=�.c.y.�, c F,-�a�t <br /> PLUMBING MECHANICAL — <br /> Na� TYPE OF FIX7URE UR ITEM ND, TYPE OF FIXiURE OR ITEM <br /> _ iuilel qIC-•air hanJling Units ���� ; <br /> I — �d��110�� � Forcetl air syslr.ms <br /> _ Lavmory(wash I�ashU Gas pipiny <br /> _ Shu��•or — WatOrpC3ler <br /> _ Kilchr.n sinh 3 di::p�,s�l _ Gas lireplaco <br /> _ Ui�n�.vasher � Gas rangn <br /> CWlhes w�ishr,f <br /> i Waler hr.ater ._ Glotl�es dryer <br /> -- R�ngc hood <br /> _. Si.�k(smvice�bar/muplr.tc.) Exhaust(an <br /> _ _ b�ckllvw provenler _..— Heat pump <br /> _ Urin31 Unil hoate� <br /> _ nrinkinp FounWm Boilef I <br /> _ Fl�or drain Rehipe�alion <br /> _ i3rCase Irep — Wppdsluve <br /> _ Roof diains ` Othet <br /> = Othr.r_ . _.. ..'—' _ . .__ I <br /> _ � <br /> _ CITY OF EVERETT LOCAL IiALES 7A7(CODE IS]105 <br /> � I heieby r.��itity thul I have re�id and axnmineU lhis appllculiun end know Ihe same to be Irue and curred. A�!provisions of IawS 3nd <br /> I ord�nacas goaeinin� IhiS Iype nl wurh will Ae tuinpliod with whothe�eFx:cilied Ilerein o�nol. Tho pranling 0�3 permd tloes not prasume <br /> . w ylv�z amhu�ity tn viol�te ur cancel thc provision n�any othor stale ur iocal law ropulatinp construeiion or t�a pi:dormancr.nt <br /> rnnslwcliun. Tha!I �m authunced hy Ihe uwnor of ihls pmperty lu p!rform Iho Work for which applicalion is m�Ae and I contply wilh the <br /> Stat7n�l'vnUa�:lors I.aw 1@,27 R�IY anA ?�JG.1UU WAC. <br /> I ` ,• /�� <br /> ;. �.G.`—Llc� �4 -/y"/o <br /> =�ynr�Wre of OwneVi:nntr�.CWr/Auth'pri2e�A�jeltt — — at�' '-- _— —' — .� <br /> � <br />