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ap�za �a oz o�p . '- <br /> �, PERMIT APPLI�ATIO�1 '� ������ ���� <br /> ' CITY OF EVERETT PERMiT SERViCES I :.r:.:.; <br /> 3200 CECAR ST?[ET, E`✓cRETT, WA 92201 ;.. <br /> 42�-257-5810 - FFJC �i25-257-8857 � � � � <br /> J� <br /> SITE A��RESS PARCEL 7A?C I.D. Y aGN'ti7 a <br />---==-. _.- —) �-�-Q�.G� Mif�lo ' 07� <br /> ��-�.,-�,-, ; <br />,,,, _Er L0T NO. f3LOCK TFACT ' . <br /> L'fiS�� ....w.� �ESC.r q,�,/� <br /> �~ OWNER A�DRE55 � LP FHONE ��-S�O�{ — I <br /> r:.;..: <br /> � 1 1 � �, � W1 d�'t� �y G'i� 1 ��T�11.C� ��aG , �r-.2!; I <br /> TENANT NAh1E CONTACT FOR PERId1T� FHOKG <br /> \� � �r..�o�r.�o_ �/.�s' �5` �i'��-- <br /> CONTRAG70R V'�Q�µ.S '�'Y\ I'J"CGL A� ADDRESSt.+-� J� �`�'�` h .�'�Z�P CCNTR.LICENSE C , <br /> � Y'Yi Cc.�'a`�v'i l k' , u�— 9 yy�> <br /> � PHONE��7 ' ��S' �III�-� n��.�s�-�;���� �-�- �: <br /> � -- <br /> I PP,O�OSED USE OF BUILDING I I� Bullding Ne:h89ic�:l 'I Adddr,n HEAT SOURCE <br /> PERhtiT �ttt---��� Combination Plumbing IWORK Alterahrn Elecs�: <br /> �y,� � ' '�(�f� TfPE �/ Dem�iiticn �Si3n i7YPE J �J��i; � Gzs <br /> " 1 �` U SpfiRkler P,e��iri'sa�nt. � Othe' <br /> l.� �J <br /> CONTRACT PRICE OF N'OP,K 'S -� CIIY OF EVER[TT LOCFL SALES T:J(CODH IS 3105 <br /> I�i �"JOFK DESCRIPTION / � � j) a� CJ �(,n� '/��YYIC✓(/� ✓�`=,"' � •r�� <br /> l� ��.Jc- 1! <br /> iPLUP�ABING MECHANICAL <br /> N0. 'I TYPE OF FIXTURE OR ITEM NO. T'IPE GF FIXTURE OR ITcM — <br /> � ',VAiL-R CLOSET ?GLETI �C -ruHANDL'vG UtJITS ' <br /> � BATHTUB _ FOR�ECAIRSiSTEiJS <br /> �' � 1..4VATORY �'PiASH 6ASIN) _ HEP.T FU1�1p <br /> ' SHOV,'ER _ IJNiT f-.E4TE�S <br /> � � KffCH_N SIiJK& OISFOSAL CLO�iES CFYER <br /> —I D�SFRYAS'-.=R ' ____i RANG[ HOOC <br /> I LAUNDRY TRA'/ V��.a'1 Efl HF1�-ER <br /> � ��L07HE5 vV�1SHER �!ETAL FiRcPWCE�STOVE � <br /> I -- URINAL � FIR�°LP.C= 11SEP.1� ; <br /> uRINXING FOUhiTAIN i GAS FIREPLACE � <br /> �LOOF2 DftAIN i GAS Ri".NGE ' <br /> BACKFLO'+V FRE`JEN-TER I GAS PIPING <br /> � SINK ISERVICE2AR�MGPIETC.; � EXNA�Si FhP: <br /> --- ''�TH"cF _�'; CTIi[R_. -- <br /> I -- _—i -- <br /> ,I ^ - ----- �I <br /> � I N=�EJY CERI"IFY Ti1AT I I-IAVF Rcr'.D ANu cX:.D.IINED TH�S AFPUC4T ON nND K.''IOVI TrE SARIE 70 B=TRJc AND COr=.li2GT. .LL <br /> PRC�'iS10N5 Or l.1'NS:.ND GF..DIPI4CES GO\tRNI�lv �'HIS.iYFE OF WCRK'.NILL 7E C0:'AFLIED'✓'lI1H W HET-11=R SPECIF�cC -iERE P: CR <br /> ' VCT. THc GP.ANTING .'.f A PEP.bif�C:�ES ?IOT P4ESU`Ac TO G:VE A_I'F1QnITi TQ`.'IOl?TE GR Gr�:'•CEl THE PRQ'JISIC"1 0=AY'+' �✓7yER <br /> � STn�E OR�OCAI�_4�;!R:.SJU1T�.t.G GO VSTPUi:IC'N CR THE PsRFORIdANCE OF CO.`JSTR'..CrION. THAT 1?.1.1 AUThO? =EG BY 7iE <br /> :4NER OF THIS PRCFERT'f TO FERFORh".TyE'.YORK FOR VJIi,CH P.PF�lCA71JN 5 1.1AOE:�+�D l CO'dPLY N1�T'1 THE � � _ <br /> CGNT CTORSIA'fJ <7 .ZC1^!:-1JD296.ZCOK'AC. <br /> �i� y���� <br /> Sic,, at re e`OfinerlContractcd:.uitorized Aycn; Gate <br /> DE81T & CREDIT CARDS ARE NOT ACCEPTED <br /> -- � <br />