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hlOV-4-2�a5 i0:�9 FROM:PERMIT 92�775E315 Tu: -4��2�79857 P. 1 <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT, WA 9820'i <br /> 425-257-8810-FAX 425-257-H857 <br /> �RE f?itS3 � l �.�- S� �nOARCELTAXI.O.M O� � �/I _ � <br /> v <br /> lE LOTNO. 6LOCK TAOCT <br /> DESC. <br /> ADORESS LP PHO E <br /> m,+�H� sf �2�,�'3� �23F <br /> SaSt��. �v�q l�z.t� �l f� �'�� L <br /> C01lTACT F�OJR PERMtf y PNONE c �-�J <br /> iENAHTNANE I ��LKrL yLS �F-Or'r'�� !/�" � " <br /> CONT �� AGORESS LP CONTR.UCEN9E0 <br /> t,U�J'� ��9y �� ,�,,,, '. f54/'/r��.1l�/qq <br /> P�a�� z8� ��� ��''�rG�4��Q <br /> VROP09E�U9EOFBUp.�INO Bu�du�g ►AaU�aMc2i ne��b^ HEAT�OURCE <br /> pERMfT R Combin�Uon �umbin8 WORK �nl�eratlon D.EkcMc <br /> S� , TYPE D Demolltlon l� SK7� T�E ��� <br /> � ��� U Sprinklor ReP�rlMelnl. U � <br /> COMRACT PR10E OF WORK 3 G�G�'^'� � � CRY OF EYERETT LOCALlAI-E8 TAX CODE IS 7705 <br /> wo�o���oN ,f �,4 f ��p�n� �o <br /> ��-.5 ��v�Q�� Ghan�uti- ` �a 5-..� <br /> �O �d �� S MECHANICAL <br /> PLUMBING <br /> ryp, ' TYPE OF FlICNRE OR ITF.M N0. TYPE OF FUCTURE OR 1TEM <br /> WATERCLOSET(fOILET) _ A!C-P1NAN�LINGUNITS <br /> — BAT}ITU9 _ FORd=D AIR SYSTEMS <br /> LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER __ UNR HEATERS <br /> -- KITCHENSINKBOISPOSAL CIGTNESORYER <br /> OISHWASHER _ ��+F HOO� <br /> LAUNDRYTRAY __ WATERNEATER <br /> � CI�1'HES WASHER _ METAL FIREPLACEI5TOVE <br /> URINAI FIREPIACE INSFH'i <br /> ORINKINGFOUNTAIN � GASFIR6PtACE <br /> F100R DRAIN GAS RANGE <br /> DACKFLOW PREVENTER � GAS PIPING <br /> SINK(SEI3VICEIBAWMOP/ETC.) I �U��A� <br /> _ OTHER _ OTHER_ <br /> I HEREBY CERITIFY T7iAT I F1AVE READ AND EXAMINED TMS MPIACATION�ND KNOW TME Snn�E TO BE TRUE nND CORREGT. nLL <br /> PROVISIONS OF tAWS ANU OAIDIW+CES GOVE(iNING THISTPE OF WORK Wlll.BE COM�'�IED WRN WHETNER SPECIFlED��N� <br /> � NOT. THE OMtlTING OF A PERMR DOE9 NOT PRE6UME TO G1VE AUTNOR�7Y TO�I������'�PROVISION OF AIJ1'OTIiER <br />� STATE OR LOCAI.U+ur REGUu+TINp CON9TRUCTION OR TT¢PEFi�0i1NANLE OF CONSTRUCTON. TFIAT I AM AUTFtOR12E0 9V THE <br /> q OWNER OF TNIS PROPER'TY TO PE(tFOAM iF{E WOPoC FOR WF4CM AVPLICJ�nON IS MADE NJD I fAMPIY WrtH TNE STATE <br /> k corrr croRs u s�acw u+o zes. 1 (�`f b� <br /> 1 i � <br /> I g s re Owner nVactor A ze0 gont aze <br /> DE6iT&CREDIT CAR05 ARE NOT ACCEPTED <br /> - r <br />