|
��
<br /> rvuv-i�-�z r;un :��z� NM: �VERETT ?ERMIT SEP.VICG� FAY, N0, 425 257 8E57 P, 03
<br /> i-- --.- - ..—PERMIT APPLICATQON -- I
<br /> I � I
<br /> CITY OF EVERETT PERMI? S�RVICES
<br /> � 320o CcDAR STREET, EVERE7T, WA 98201 I
<br /> 425-257-8810— FAX 425•257•8857
<br /> S�i /��h�5 � � �C� � PARCEL TAX I.D.A c'ERMI7 N
<br /> SOd i �-�a
<br /> L65A LOT�70. BLOCN TRAC7 .
<br /> re�c.
<br /> iOWNCR AoppESS ZIP PHONE
<br /> �
<br /> iI TEN4NT NAIAE I CONTqCT NAME �- � pMONE
<br /> �O���C �� ,'r' � /-�-cv���� � z S'—LS 'Y -�f'�'yl
<br /> 4V1\ n�.IVn e �
<br /> � �l/d�l.l"f�fr �"+D'USr✓fts "���'��1��'1�'2'7°r /l�<(�� �IY
<br /> f`_-"' ��us�vqG .Na
<br /> � �`�i s-ZG 5--//z y �Y � Z ��, ��Lo
<br /> IPK'pPOSEDUSEqF9UILLIING D Buildin� A!1,� NBCIi7n10.71 Adtliu�n I NEpT50l1pCE
<br /> i lt��(�le�t�� I oFC1nIT I l f:nmhinelinn 1 ', I � _...
<br /> Phim4+inn wnuv ni�..,�:__
<br /> � ...� ...._......... � fl r
<br /> I `/ �+ /// Do�nolifion � Slpn TYpE Nen I � �
<br /> /' / TYPE
<br /> ;.,.,,;c
<br /> I -_.Jl���� � � � l.-hGt!�S Rnrin4lor G�^
<br /> _"' "'_ ' i - o,,, ::n.yi,. - C:.",..
<br /> CON7nnCr v01CP flc wnal � �-�� J�T...._-^• T -- .•..•-_w--- -. �.....,'.^
<br /> � �,/ �� 1 N+�. nc r11coC�+,nn• '
<br /> � WOflK OE3CRIPTION
<br /> �'k u ' ,[�1�k�- (/Uss li�-/ I�i�,y� (�r�P�ii'�s cnaar,�rcc� Gt',�i o�t �..o�y^ �do�
<br /> �PO�Y l_uJo to vt��'`i`l �'���� F,^sN7 +.�.�'��oN-� 2�,�t�t.r�' o�Gov'— U��yI Gr�i� ��S
<br /> � .,�'�' C17�� �f L� �Cr�'l:- 1,.�-f o�,I y
<br /> b� �IM1Gotni:_
<br /> iJicCHwiviCAL
<br /> iN0. TYPE 0�FI%TUA�OR�TcM NQ. TYPE OF FIXTUpE OR ITEM
<br /> I � �ATHTUdLUSET q/C-A/HqNOLINGUNiT6 '
<br /> � � '^RCEC ,�:I? 37,;i;.NS
<br /> � LAVqTORY(W�SIi BA51N) � H�AT PUti1P
<br /> _� SyOW[F _ UNIT HEATEF,S
<br /> �':YCI�iEN SIN.�(S DISPOSAL '-
<br /> _� U;SHV�AgHF.P , CLOTHES pRYER
<br /> � ``� ;..tiUfvL'it'f TFiA'i ',� RANGEFIOOD
<br /> ••,it*;CS l"r,1:;t,'-:H WnTpq 11�ATER
<br /> � i!iiih�At _ lnki'�LrIGEPLACFJSTQVc
<br /> I� �,I UIIIP,iqNG Fc:Ur�TA!N �_I FiREPIACB INRFp7
<br /> � 'r'IOGR i��ih6J _ - � ,� �! � ,r . �
<br /> __ ��AC�(FLGVJ PitEVFPJTEi� ____ GAS RANG6 I
<br /> ._._ S'."::;��EHVICEiBAfU!,tOplc�C) —_ GAS pIPING
<br /> I __ OTFi6A_..---.—,— , EXHAUST°AN
<br /> I -^ ----� — .—. OTHER _� I
<br /> i -- --- ----- — —.__
<br /> � I�iER[3V'CER:TIrr;'1iqT I MAVE FE/;D NJO EkA611NED 7NIS qPPUCq71pN AND HNOY!THE SA�dE TO 9E 7qUE AND COqRECY, ALL I'
<br /> Fp�UV1.5�p!JS CF iTWS nND O�1OINACCS GCVERPll"�G THfE TVPF QF NlOqK PlILL OE COIA?UED WITH Nri6THER SpF.CIFIcO H[REIN OR
<br /> � NOT. TNE GR.171tiG pF A YFI7h11T DO�$NO7 PRESUME TO GIVt pUTNQf11TY TC VIOL4TE OR CFNCGI,THE PqOVIS�ON OF�NY CTH°R
<br /> S74TE OH LDGfLL I.AW q'cGL'LATI�V(i GON�TiUCTION OR 7HE VE.9POR�dA(�Cf OF CONSTRUCTIOk THAT I MI AUTHUR12ED 0Y THE
<br /> 01VNF,R F iHiS FRCIPC9N TO P RFO'iM THE WORK FOR WHI�H APPUCATION IS MADE AND I COMPL�WITN 7HE STqTE
<br /> COIJ7 70RS LAv: 1B RCW D 29G.200 WAC.
<br /> ��� I�'/ w
<br /> �i.-� � Z-
<br /> tu o wreuL'cn ir.i UAulhorixe(�Agarl Ual9 )—�
<br /> '_'��—._._._-_.. — � �
<br /> '__" /L
<br /> �
<br /> L
<br />
|