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FROM :Evergreen Stdte Hedt ��/� FAY, N0. :4252596660 No�. 20 2009 08:47AM P2 <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERET i, WA 98201 <br /> A28+25� 8810 FAX.425 25T-8887 www,pvara atbr <br /> '�1'-Mff�'Mr.,'��#7"Q'!%�lIdM�AE�Y1kki�TllatiCLLrrC�L-+,tr+ ri27G�W1iMMo"v P:esn*�Nri1.""'tMoEt!TY Fp�n1� �f�`�+:'+�k+'�++'rtr�:x•Y-A e't4++�•-w.ab.. ��. <br /> 2?�,�. i:r Tis:- i y-rcP4t.1 . _:. i � u i. .,.. . C� _.� � 1 K„� <br /> APPUCATIONB ARE ACCEPTED FROM 8 AM TO 4 PM � <br /> sI�.ZOS$ S ST. P�RCEL TAX I.D�N PERMI7M ' <br /> � l�/1 - D� <br /> IEAAI LOT N0. BLOCK 7pACT OR BUppIVIBION N � � <br /> OESC. <br /> 0 E � . A D 7Y IP PM N <br /> _p�t.rc �.rie'r- z�.s s� sr � y�'I�.� ;Zs� v39'/ <br /> TENANT NAME � I CON7ACT FOp plqMlT PMONF � � � � <br /> . E�IAAIL . � <br /> . .,. . . . .. . , ,_. ... ... ._. ..._,. ..._ . ... . . ..... . � <br /> . . �...._.._.... .,.�.......... .... . . <br /> �"dY�lLG�Y ST. H�7f�'i ' •A,/c __. . _ . _.. _..._. <br /> CONTR.UCCNBC�Y � � � ZI�C1 Pf�C/�%G A/� E1! y'g,�o� z5.7 —3�iy �, - <br /> _ ��ssa2�o� <br /> U8E OF BUILpINO HHAT 90URCE � CONTRACT pRIC�OF WORK <br /> _ /Q�/�y�/� I �loctric _Gas`Other I �f�� 9,in .,. <br /> WORK pEBCRIPTION <br /> /N57''f7G� �7 .9k /r�/� <br /> L MBI •' HA A�-- <br /> N0. TYPE OF FDITURE GR ITEM . N0. T1PE OF PIXTURE OR ITEM <br /> _ Toile� A/C—sirhdndlinp!�oils <br /> � _ Balhtub ' _ Foroed elr ayetem� <br /> _ Lavutory(wpeh bnsln) _„ Opa piping <br /> Shower _ Water heater <br /> ___ Kltchon slnk 8 dispocpi _ Qyc IlreplaCO <br /> __ Diehwashor 4es ranpe <br /> _ Clothos wesher _ �,lothea dryer <br /> _ Wator hoeter _ Renpe hood <br /> _ 31nk(aervicu/bnrimapietc.) Exhaust lan <br /> _._ 8aoktlow provonler � Heat pump <br /> _ Udnal ____. Unit heater <br /> _ Drinklnp�ountain � Boller <br /> � _ FIoOf dlaln' _ Roldgoratlon � <br /> ..._ d�oase irap _ Woodstove <br /> Root dralna <br /> _ Other,,._ _ —__ Other ,_ � <br /> � � � CITV OF BVER¢7T LOCAL 9A6E8 TAX CODE 16 9106 � <br /> 1 horoby cerltliy that I have rund and exnminad thic appllcellon end know Ihe same to be true and correct. qll provlslona o(lawe and <br /> ordinacea governinp lhis lypo ol work wlll bo complled wilh whothor apeclfled horeln or not.Tha grantlnA of a permlt does not presume <br /> to glvo euthorlly to vloln!o or cancal thp provlslon ol any other etate or local �aw regulsUnp cOnstructic,n or the pertormance of <br /> •:onstruction. I am euihoriz6d by tha ow�e�of this propotly to peAorm the work tor whlch epplictltlon Ie made and I compty with tho <br /> Smte C aclora nw id.27 RCW and 298.2Cti WAC. � <br /> "'`' / ?�O D <br /> e ure o wner ontrac or u1 ar ze Boii� ete <br />