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SITE ADDRESS <br />Jo �,_ <br />TENAN�qME <br />• � ' � �l[�I: <br />CONTR. LICf.NSE Y <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />32D0 C[DAR STREET, EVGRFTT WA 98201 <br />425-257•8810 — FAX M125-757•8857 — w+vw.pvcrettwa org <br />APPLICATIONS ARE ACCEPTE� FROM 8 AM TO 4 PM <br />PARCFL TAX I.D. N <br />�s s� ���'fl:�-�l/ <br />BLOCK � TpACT OR SUBDIVISION k <br />���' s���� <br />AODR � <br />�Y��._����'L;L_f } / � <br />----ICONTACT POR PEtiM11 <br />��-�ti .T, �n�ti�— <br />USE OF BUILDING HEAT EOUFlCE <br />i <br />������. —" ��H���if, �85 _ �fhPf <br />WORK DESCRIPiION � % �p <br />�G�/qt�`c� �`��C/Sil I�.�� LJ'14.5 <br />�/� � <br />-- GU�_T�`'' d(/c'ZG% �/vl � <br />NO. � TYPE OF FI%TUNE OR ITEM <br />-- - ToiIM -Y- <br />flalhtvL <br />� � � I.nvalory pvash basir; <br />ShoN�or <br />. _ Kilchm sink 6 tlisposnl <br />ni,n�,..,5no� <br />.^,Imhes washer <br />Water hoater <br />SinM Ismvite�Uach^op�clr. 1 <br />.. [j�^MI�ON'(:ff.VPr"(±r <br />__ lumal <br />__ DnnkirgFoun;ac <br />�lonr drain <br />� Grense Irap <br />_ . Rool Crains <br />_= Otiv»-- -- . —. <br />-��.7 �L� / <br />r GTY,��- <br />,-�,�, aj aNe?S <br />PMOf1E <br />j PERMIT p <br />� ���i�l'-�i �-/ - C, <br />CONTRACT PRICE OF WORK <br />� [J!� r✓/}-C c.� <br />M�ANICAL <br />NO. � TVPE OF FI%TURE OR ITEM <br />rv� - au nanai�ng �rns <br />Forted air sysloms <br />_ . 3as piping <br />N/nter hea!or <br />__. Gasli-r.p�ace <br />_ Gas ranQe <br />_ . Clothes Aryer <br />_ _ �7ange hoad <br />� EYhflUS��df� <br />— �a�� p��K� <br />. I Unit Y�etor <br />C�ol le� <br />Refngera;bn <br />. WooCStov¢ <br />_ _ Other_ _ __ -_— <br />CITV OF EVEpETT LOCAL 511LE4 TAA CODE IS 3105 <br />I r•eieby codldy Ihnt I hove read ar�d oxqminetl lnis applicalbn ard kno•,v Ihe Seme ta be Ime �nA cnrrece. A'I previslons al laws a^tl <br />ordin�ces governiny ;Pk�ype �f yGork wl�l be cnrnpFed vd;h whether s�wcilied Yereln n� nnt Tho g�ant�i�fl pl p per�nil does not p�e�i:me <br />lo give authn�i�y to v�.ehlo or c��Yel Iho piovis�on ol eny olher stato o� I�r_al iaw.eq� a�i��� ��ns•�,;cii��� or Ihe porf��nancn o' <br />consVi,ction That I am ai.thori�eC by ire rnvne� nl this property to peilorm Ihe wei for wn�ch aoclk:aiinn is maAs a�d I r.�r��h,� wih Ihe <br />Slaie Cc�,'iactort Law 19 2?,�iGW ar� 296.20D WAC <br />� � , / . � _ �/�' � <br />l d 1909-£hZ-90Z uosiQoa Ple�e� dy,.ZO 60 6Z �dV <br />