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A25-252-166G CMHEA7ING 10�.29�O7am OS-0S-2014 : IS <br /> . _. __. _. ._ _ _ ... . .�. . ..__ . _ _ ._.._ _ - __. . •_ ._. . . . .. _ . ._ _. . . _. . <br /> PERMIT APPLICATION <br /> . ; . CITY OF EVERETT PERMIT S�RVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www,everettwa.arg <br /> APPLICATIONS ARE A�CEPTEp FROM 8 AM TO 4 PM � `(j5��y <br /> SITE ADDRi i S ' � � �� PARCEL TpX f.D.Jt /p�/E�R� I/!�3/ �y-� <br /> � 111 ��V5�.�l1� <br /> LEGAL LOT��0. BLOCK TAACT OR 9UBOIVISION N <br /> DESC. <br /> OW�1ER AODHE35 CITY2IP PHONE <br /> Jos � �n�{YP,r�aS n�,.� ('aS G�.��� �{25 2zo 2748 <br /> TCNANTNAME I CON7ACTFOqPEF�d1T PHONE�zL) Z�� ,��., <br /> �;�q{�'( �v�.�� E-f.1N .ICI)I��t�l�.(��i���('tlll(ej. L�yt <br /> C(�'IH�0.1►lC I�1�- �4i5 3rec�uxi� �ve��etf p -1 T � C��'-7`�—/J--/ /_ —�� <br /> � • CONTR��Ei��� 09 5R4- I �O l.OI G�Z J LGJ-I �IOb x' <br /> USE OF BUILDING HEAT SOUFiCE CONTRACT PflICE OF WORK � <br /> I �Eloclric _Gas_Olher I q 5q 7 l� <br /> . . WORI(DCSCliIPTION <br /> � �S� I I CIU�-�I�ss bu10.+..�U n� <br /> PLUMBING MECHANICAL � . <br /> " �IO• TYPE OF FlXTURE OR ITFM 110. �1YPE OF FIxTUFlE OR ITLfA <br /> _ Toliol A/C—alrhandlingunlls ' <br /> _ Balhlub Forced alr system, <br /> _ Lavalary(wasli hosln) — Ga,plping <br /> _ Showor Walar hoatcr <br /> . _ IClichen sink&dl�posal -- Ga;Iiroptac.�.� <br /> _ Dlshwashcr Oas ranyo <br /> __ Clolhes washor Clothes dryor <br /> __ Wat�r hoator Ranyo hood <br /> __ Slnk (scrvicc/6ar/mop/elc.) Ezhou,t lan <br /> __ �ackllow provunler �—� Heal pump <br /> �_ Urlwl Unll haalcr <br /> - _ Urinldn� Fountaln Boilor <br /> _ Floordmin Reldgcratlon <br /> _ Graa,o Irnp — Woadatovo ' <br /> _ Raof dralns _ Olher <br /> = OUier_ --- ---.. <br /> i — —_ <br /> CITY OF EVERETT LOCAL SALES TNC COOE 19 9107 <br /> I haraby cadllly Ihal I hava rcad and oxamined Ihls appllceliun nnd know Iho sama lo bo Ime and carracl. All pravLions ol Ia�vs arn� <br /> ordlnaca;povaminp this lypo al work will bo complled wlth wholhor spocilled haroln or nol. Tha pranling ol a pormh does noi presuw^_ <br /> lo pivc oulhadly lo vlololo ar cancol Ihn provLlon ol any olhar clate or local law ro�u�allnp con�irucllan nr iho pr.dormadcr,ol <br /> can;irucllon.Thal i arn aulharizud by U�o ownor of IhL pmperly fo pedorm Iho work lor whlch appllcalion Is rnado and I comply wilh '.ho <br /> Slate Conir,clors Law tp.27 RCW and 296.200 WAC. <br /> Slgnatu � of Ownar/Gopl octor/AuUt a Apont �, � i�� ' <br /> C� <br /> � .— ...--_._ --I <br />