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�ERMIT APPLICATIVN <br />rITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT 11'A 98201 <br />�i. 5-257-8810 - FAX 425-2.5i-F3957 - �titivw everettwa org <br />� �a6 -d7 <br />� l �i,-- I.� - U� <br />APPLICATIONS ARE ACGEPTED FROM 6 A�A TO 4 PM `� (,�, v� U�� -U� I <br />,. , � � _ _T 1�--� -- - --- <br />Si7f ADDRESS I'� �� � � � �� I'� PARCEL TAX ID. p i PERMIT 17 � <br />'w <br />�5?�0 __lSS__ {��?E �,�.�z� . I �c`l���F- cc4'_cc_7_-_c:C---��— , � / <br />.. �- LOT NO BLOCH TRACT 1 � �� <br />_t'? _—_. i �"�`J�J.�.,.�I i�PC _sCC�,art_ti-��_da ��-j�ti� W.PI_ <br />OWN[R - �� w A�ORESS CITY�LIP PNONE —'- <br />t� F3Ji1�el( Z�-"l V i' 1'l l <br />l�.Y�.cz.-Crtls,.ea.y�-;,t-�f ���'�,'�-'�� Ao� SE �t• � 8 <br />----- - q B c � J, <br />TCNANT NA1dE �� CONTACT FOR PERId1T PHONE <br />II �-. +1 4.% L f Si �� <br />- -- —_ _ -- v <br />CONTRACTOR AD�RESS <br />� ck a �RC ��ie� pRi SrS, L�C. 1'10 3�- 3��*{aut S E <br />CONiH UCCNSEu <br />. _.___.—._ ___. _. <br />. .. _ ._ ... _ _._ __—.___'____—___— <br />USE OF F3UILDING I HEAT SOURCE <br />5��<��� r-�.�,,�y �<<•�;..��,�t- <br />_ f b��lm� ✓(��:r. ��1h��r <br />CITY%ZIP <br />���� <br />�i8u l!. <br />�laa'-�13- 11lQ <br />PHONE <br />�i;ts -743-���8 <br />CONTRACT PRIrE OF WORK <br />�I Jc, oo�,.�� <br />PdURK DCSCRIPTION <br />(' ¢�w3��s-�C �t 1 ov� ..� ,Ml.._. �l ��..�.� � � .-fv c4 � <br />_ ` <br />3�•u.�c� t� a a t� <br />__- <br />PLUMBING � MECHANICAL <br />NV TYPE Of FiKIURC OH li@M NU. � TVPE OP fIYTUR[ OR IlEld <br />� <br />� 'I' t'I'tldl <br />�{ . .:. �.tory («ash bas�n� <br />:.�.r <br />I � �����n sinA B disposal <br />� �. � �.asher <br />� . � �s v:ashcr <br />� .. ..., hnatcr <br />� � r�uNicc:bavmop!elc.) <br />1 ; , . �;�-no preverner <br />� <br />; ��.�,�mq Founlain <br />F��cr drain <br />Giease trap <br />Rool dr2ins <br />Olher <br />� �L.�-Aifhd���. �.�.�.'. <br />7 �'forredau�..�l..,�. <br />� � �;ds piping <br />I � �. �:: dter heal..� <br />' . � , �.��dc lirot�ln���� <br />� � . .J.�x ran9e <br />� �i _I�,�hesAr���� <br />� ftan�ehood/1✓��Rrv <br />I_ 5 FrhausU.�n <br />____ Heat pump <br />Unit hcalcr <br />�oilcr <br />_ Relriyeration <br />Wor dslove <br />Othur <br />CITY OF EVERETT LOCAL SALES TAX CO�E IS J105 <br />I herrl�, ceritdy lhal I h,�ve re.�A and exnm�nu�t Ihis applical�un nnd knn�,� Ihe s�me W be true and correCl. All prowsions ol la.�s ;:�� �. <br />acfinacos go�.emmg Ihis Ippe ol wor� will be comphn_d wdh whethi�r specilieA herein or nol The grantmy ol a permit does nol prn.._- . <br />IU qi.c �uilh.�ni� lu ����lalo nr cflnr�l Ihe prOw5iUr1 01 Bny o�hM ciali� or IOCeI Itn�� i�r,Wabnq i nnytru[hon or Ihc {'�<trtnima^.��.p cl <br />�. � �m.t;u. � . -. 1 �. �: I u^. .ert � n ��,.f 1�,� �he owner o� lhis prupnrt� lo perinnn IhF �•, .,. � . . �. " ��:�: � �; - � ���. �i :� ;�. � . . . �� •. , <br />o! �b.. �.,� �, I ���, �...�.. � . ' {��:�,', dnd 29fi,200 Wl�C. .. . . . .. <br />� <br />�� ��.�. -_�1�_����__ <br />� ,� ���'• .. � .. � �-r �uthnnzed Agent f'ai^ � <br />' �' L <br />