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�r•ERMIT APPLICATIvN <br />CITY OF EVERETT PERMIT SERVICES <br />3�00 CEDAR STREET, E�: ERETT. V� A 48201 <br />a��-257$810 � FAX d25-'7.5;-8957 - v,nv�,v e�-erettwa org <br />a �5-� 7 <br />�Ii,�I� -��2� <br />y L�'� �' r�'I ` R LICATI NS-QRE ACCE-PTED FROM 8 AM TO 4 PM �)`/J C,^ C� �' ('� I <br />.l 'J -------- ._�.._ _ . . --� � - - i _ .. <br />� �j— ----- --- <br />SIT[ ADORESS � � pARCEL TAX ID. p � /PF�RMIT il <br />�s?��. ' \�S " 1�.2�E ' 1(..��5�'��_.�SI� <br />- ------�� _---- oc4$o�-_�Cl� cc'I ce ---- <br />.� . LOTNO �� BLOCK �RACT <br />- —�'-----1�S��w��_.:_PPc Sec3�er�_4_LI�"'".�&8 ��-��IEW.Pti. <br />OLYN[R Chp,ltJ�T,�+�� AU�HESS " CITV2IP PHONE �—r-�-�--... . <br />�JIQ�(LCrlllA�l0.i�r•,�1.�Lt ll�'i,�-b� A�eSF ���1�e1( yao -�V3-l��Q <br />qBci� <br />TENANT NAtAE <br />_ _ __. _ __ _ <br />CONIRACTOR <br />Ac4a �R�,��eapcz, sr�,� L�C <br />CONTR LIGENSf: R <br />CONTACT FOR PERh11T <br />l-.��...1 �tSS�� <br />ADDR[SS � QTY�LIP <br />�7�3�7"3:it�Ue SE f.�:�i� <br />�i$c;l� <br />_. _ ...___.___. . . __.. _ . _ ...__._...----____-__. ._... <br />USE OF BUI�DING , HEAT SOURCE <br />S�f�t�\L C"orv���� IGr•��..1...s-} II <br />I _ E_b,�.ln� _.�G.t9 _ _ llth��• <br />. .. . . _ ____. _-. _ __.___ __-. <br />WORK DLSCRIPIIUN <br />(' �u.:3 -1�.YaC � � cyv- � •�v+L..�_ �i � ��u L`: �L � .iry cA C. <br />PLUMDING <br />NO. i TYPL' OF fl%TURC OR I1f1,1 <br />—� — _ <br />� i Toi'ct <br />'� ! �nt," <br />y , -. � ,, ��vasn bas�u <br />i <br />I � '��n sink S Aispc . i <br />� , :..ishcr <br />� �i'���s �v.lshcr <br />� .. ..., healCr <br />. �.:crvicr,b;icntop/elc,) <br />� . . •.�,�.v preven�er <br />�in.{I <br />Dnnkinq Fountain <br />Floor dra�n <br />l.�easc trap <br />Rool d�ains <br />Other <br />PHONE <br />-�a��,�3- ���4 <br />PHONE <br />�(as -743-11�b <br />CONTRACT PRICE OF WORK <br />pl 7�, can...., <br />13�,.a.�� t� a3 � <br />MECHANIrAL <br />NO � TYPL OF FU'.TURE OR!TRd <br />. .. � . av handOnu u� ; .. . . . <br />i � �� od air systum> <br />�� r. pipiny <br />� .'.,�t��rheatcr <br />( �,is hreplaa; <br />�_'� G�s ran9e <br />__I_ Clo�hcs dryer <br />_ � Range hooC /1✓I�Reo <br />5 Eahausllan <br />Heal pwnp <br />Un�l hcater <br />poilnr <br />RelrigeraUon <br />N'oodslove <br />Olher <br />C�TY OF EVERETT LOCAL SALES TA%COOE IS J105 <br />I hereby cenlify Ihal I have read and ekammed ttvs applir.alion an<1 F.nor, Ihe same tu be true and correcl. All provisions of ia.ss :�ntl <br />ord�nacas gocerning Ons lype ol wo�F. will 6e compLecl with whelher specihed heran or nol. The 9rant�ny ot a perm�t tloes not presumc <br />to gwe authority to violite or canrri Ihe p�ov�sion ol any ollier slate or lecal Icnv renulnl�nn construction or the perlurmnnce of <br />r; ns'✓u t. �� lF i" im �r.uhr,n)i, 1 h, �hC OWf1Cf OIIhiS pin��Frl� lu ��.:,riJrnt �hr n.�„y I. ,. �_it l�`I''4 nI � ,. :1•� "i . .. , <br />i . .. ,.� ., i �. . ��. ���,. <br />� , �. � , � . _ . . ' I. � .'. .�'Id 291i 200 WAC <br />�:�y �� ;�.. ---- —4 c l�-� � c c� <br />; i r'.u?h: �,i: ud Agcnl .`.:L, <br />�l' v <br />