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ti�/n;;:nnR 1n 1°� fAY G?5793R2'�;' _ <br />�--- -�- ._. .. <br />PERMIT AF'PLICATION <br />CI7Y OF EVERETT PERMIT SFRVICES <br />:i7oa cf DAR STRCGT, [V[RETT, W� 9P�2U7 <br />4.^.5-257-8810 - FN' 4'l.: 757-A851 -+vww ev�-reQwa.or9 <br />� ooziooa <br />APPLICA71oNS ARE ACCEPTED FROM F AM TO 4 PM <br />51T[ADDRESS �%/S ���_Y-'' ��- 5L� p�RCCLTAXI.D.N P RMITN <br />_����, ���, ,�1� _I _-- --_- ��,�,% -9 <br />LEGAL �OTNO BLOCN TRACT <br />UESG j I I <br />i>Wf1F � AD R&S CI7VK17 I�H N /./ j <br />��) ��, /�Q�l ��Y�C��I'I._. � /�/ � t�"YI� �I. �f !2i I� �I%iT(�� C-4. � E,f <br />/� _(._lr� �3s�/ � <br />TENANT NAMF CONTAC7 fOR PEHMIT ►HONE <br />��" <br />. _ . _ _ '._ '_' _' <br />CUN�RIIC �UR , ��/.: C`� �lc I��') �1 � A'7 �,��1DRE66 CITV2IP PHONE ���� <br />CUNiR. LICENSt t Iys - 5 ��'7 <br />USE Of BUILDING <br />_��..:�r]: <br />-� '��_�. <br />WORi< DESCRIPTION <br />MEA7SOURCE <br />_ _ Eroctnc � Gaa __ Other <br />�,,�,"_,j'i�I/�;•l, {1 �y/'.',�',�C.'J'Z- <br />� )L��,.'�� <br />NU. I lYV[Uf fIXlUkf U�tITfM <br />� <br />l oilel <br />Axtrnub <br />l.evxtrny (wesh h»t�n) <br />Shn��er <br />_ Kilchxn smk 8 diepoeal <br />� Di5hwA6'�Or <br />C�othes washer <br />� I aundry Iray <br />Smk �ee vlta�ba�:mopletc. i <br />�AC4(IItW j1rP.VPr11Fr <br />__ Unnal <br />Drinkinp �rninm�n <br />_ FlOOf CIB�II <br />G�P,pSP.IfBp <br />Roof drains <br />_ Ulhe� .. _ . _ _. _ <br />I NU <br />_ X_ <br />� /1 �'%�� � <br />GONiNAGT PFIGE 0° WORK <br />p F i? '-�=��5 <br />TY►E 0► FI%TURE OR I7EM <br />NC - e7 henAGn� units T <br />ForceA a�r syolemy <br />Oi5 pip��g <br />W�dei hr.atri <br />G85 fireplaGB <br />Gn.ranpn <br />GWtr�es drye� <br />Ranpe hnoA <br />r.r�w�„� ra� <br />Heal Vvmo <br />Und henle� <br />Baler <br />�i0(Ii9qrp�iUn <br />WOOtiSI0V9 <br />Other <br />CIIV qf 1 VI Ff ti I OCAL S.fLLS TAI( CODE I� 7105 <br />---_.. ._ _. ._. — <br />1 hereby cerlti/y tnat I havr �nad end e.nn•���wd uns ni�i !n;a���„n d��d w��_;o piu s;�me to be true nnA eorreet Ali prov�sinns o! iaNs antl <br />rrcdinecea go�e��in9lhis type o' woik �.,�II he romphetl w.th wnatht� 6pxd�nJ h�nein or nuL Tha grnn�mg ol n pr.rmn doea not pneum• <br />Iu gwe autnoniy to v�aeiu �� cancu� Iho prov�cinn o� a�c n�hc� emtc o� iorai lew r��wet�ng �pnttrocdon or the perlermanu of <br />cnnstruclion. Th�t I am Authnr�retl py U�x nwnn� o� Inie C��Peill' to petlUrm the weik Int wMieh 8006Cetion ie macle and I ComDly With the <br />Staty Cont�acbrs L�w 18.1/ RC1V n�A : 9E ?np WAC <br />/7 <br />