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�� ERMIT APPLICATIvN
<br />CITY OF EVERETT PERMIT SERVICES
<br />�_��7
<br />_�100 CEDAR STREET, EVERF_TT, 1'�'A 99201 ) _�'��1�
<br />.1, �-; 57-8910 - PAX 425-2:i7-8857 - �:^,.v: evere�t�:a or9 �,:,' (• ��f
<br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �LLi�`(� - �� �� I
<br />�- - - - ----- ----- --
<br />SiTC ADUR[SS �� �� �� ! 1� ��� I PARCEL TAX i D. tt P ,'IIT lt `` I
<br />�53_�—_�Ss�-{a�C �.zsE ' uc�.�k.- �=e5 -c�—��c ���/�—
<br />- LO1N0 BLOCK � TRACT
<br />�� I S,w„ PPe Se���e � a8 ��- kNE W.p1
<br />ur. r,t �i - - `'� - L --_ 'N l'� �-°ur�s�'—'`S� - �---� -- ' '
<br />C�n.����1��K�� A�ORE55 " CITY,ZIP PHONE
<br />�-1.�; a�2 CrLLU.�tR.9r��� L.Lt 1'1�3�'1-by (��e SE= �� B1ct� ti aa -�� 3- �l�g
<br />TLNANT NA1dF.
<br />C,»�l1;4CTOR . ... . . ._._ _ .
<br />;1��u iriE,�ieup�;5� ,,L�C
<br />l.pN117 l_IC[NSE a
<br />CONiACT FOR PERh111
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<br />nooarss - -
<br />llo3�-3st�1u� 5t
<br />. _ .'_'___. ____. . _ _ _ __ —_..__'___.'—__ __- _.—. --- _
<br />US[ Of �UILDINC � HEAT SOURCE
<br />S1f�<'1L �em�1� 2r•f..da.r}
<br />__D���.In� .✓C;ns _ Olhrr
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<br />._. __. ... --_. ________ _______
<br />1'.i1RK DfSCRIPTION
<br />C' o.._a-1u-.c � � cr- .,t .iv�a,._ �_ �`i`=-1�.� �. !� w�. d.�.
<br />PLUM[31NG
<br />. rvi�� ui i ixTua� oa irrra
<br />� 1���4.� _.
<br />:� ,�, �.r.;..b
<br />�{ . -_d�.�ry (wash basui)
<br />��r
<br />i • � �•n s�nV 8 dispasal
<br />� nshcr
<br />� ��-��s washor
<br />� .. �t� � hcatcr
<br />' �• r:rnice'bar�mop!etc.)
<br />� . .IInW �)fCVCflICf
<br />�:
<br />. � ��r �ng Founlaui
<br />�r Urain
<br />:rease trap
<br />F?uol drains
<br />_'Ihp,f
<br />PHON[
<br />�I��-'113- 111�
<br />CITY�ZIP PHONE
<br />�3:.�1t�:iL K�ts -743- «�8
<br />�iBc t!.
<br />', CONTRACT PRICE OF 1YORK
<br />', pt ��, cod.�..
<br />l3�-ukc- t# � � 4�
<br />MECHANICAL
<br />NU il'PC OI 1 UiuRE OR ITE:ht
<br />. .. - Tir h�fr��,Lni_� uni:ti
<br />1 f ���red art syslems
<br />�j � t,is pip ng
<br />� . :..iter henlc�r
<br />� � � L�s hrePlflco
<br />� '� ,,.is ranye
<br />1 ' �'i-�thos drycr
<br />i ! f-::inge hood /In�Reu
<br />5'i f�.hau:lfan
<br />__ IILdI pUin�,
<br />Und heater
<br />Boder
<br />Rolnyoratwr:
<br />VJOO�StoVO
<br />Other
<br />dTY OF EVERETT LOCAL SALES lA% COOE 15 J105
<br />. cer�tdy Il,al I have read �,nd e�arnineo ihis apVhcaUon and Anow Ihe same lo be Irue and correcl. All provis�ens ol laas an�
<br />��;s go�crning Oi�s lype ol ��v�k w�,: Uc comp6ed wtlh v.4elher spe�i6ed herein ur not Tre 9ranling ol n permd does nol presume
<br />� .� �wthnnty In �. mlale o� canrrl Ihc prows�on of any other 5tate or local law regulatiny coi.slruclion o� Ihe perlormance of
<br />� ,. �, 7 i�. ,! �„r ,i, �D, ,c�� ! by tho owrar ol Ihis propert� lo prrtonn Ihr wur� lor which apphcalion is made and I compiy v:dh the
<br />. , �. , . . ... . � �.. ,.'. �ur.f 296200 WAC.
<br />�' , ,.i�;�,j1_ ^_ - -- 1 \ � �..1� e b—
<br />��. . .� , -, ., �,-,f. �;,..�..i Aqenl Datc
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