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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CC-DAR STREET, EVERETT,WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.evefCttwa.orB <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM /p —la _�� <br /> SITE ADDRESS ��� PARCEL TAX t.D.N r['ERMIT N <br /> ', � Z1h 5T SE 2�051 00�-lo I� � 1�10� �� <br /> LE LOTNO. OLOCK TRACT <br /> DESC <br /> OwMER APU S9 CITY/l�P P ONE <br /> H i ►2 3 � ,RN (Aco�`► Po �o�c sae3 ►,'�E�.�� W� 9so �� <br /> TENAN�NAME CONTACiFORPERMIT PHONE <br /> CER/��1(L �L�C,E I �u /_ 2 -575- Z�_ <br /> coNrRncronS1`RTB (�G'CN/-ilUiCtl�ona�ssg'UtP 5�22�varr�ar i'MONETI]�a'.�J�ly.lZ7 <br /> s���E�r,wai �5'v3 r <br /> CONTR.LICEN9E/ 5•�� rc-ML i y/ �� <br /> US[OF gUILDING � HEAT 90URC[ I CONTRAC7 PRICE OF WORK <br /> 8� 3�a , 00 <br /> Eledric Gas Othor <br /> WORK D[SCHIPTION �,US �I�-�-I N C7 N �- W L vM8�Al Gt F i X'�'J2 `� Fd�Z <br /> TT . <br /> PLUMBING MECHANICAL <br /> No. 7YPL OF flYTURE OR ITEM NO. TYPE OF FIX7UP,5 ilR'TEM <br /> �� luilct NC-eir handlin3 unAs <br /> Unthtub � Fora.�d air systems <br /> _'� Lavatory(w.ish unsln) — ��f�M"9 <br /> Shcnver Watcr heatc� <br /> KiMhen sink 8 dlsyoanl � Gas fire�lnce <br /> Dishwasher u Gas�angr. <br /> � ClMhes washer ^ ClMhes dryer <br /> l;wrdry tn�y Raigc hood <br /> � Sink(sernrllbadmop/Mc) ` Exha�st lan <br /> ^ ❑ar.klluwprevr.nler � F{��WmP <br /> U�tnal _ Untl hxalr.r <br /> � D�inkirx�Founlnin _ [lalcr <br /> Fkrx dram Rafriycratim <br /> Gruwsel�ap + WuodStova <br /> R�nf dr:ins _ Othcr <br /> _I.— other J�uJ A_T'�`..a._J�f� k — <br /> CI TY OF EVERET7'LOCAL SALES TAIC CODE IS 1105 <br /> I hareby rx±ntiry lhnt I have ieaA and nzamined thie ep��i�xnion and know tha same!o bo Vue and mrrad. NI prohsfone d lews and <br /> ortfin�x:ns g�varning thir.rypx oiµ«u wn�Ue�mplied wnr�w�x�0ier s{.tified herein or nct.Tiro grnnting ot a permit dces rot preaume <br /> to gw�o�dhcviry lo vidaM or canCel tl�e{xv�sion ol any other etale w local law�egulatmp wnsUu�iion or Iho porlcxmanee of <br /> mnslnxilon, Thnt I am authonzed by ttx�ownnr o1 thls property to perform the wurk for wnim ap{N��non is mado end I a�m{ry with Me <br /> sca�� �«s�aw�n 2�r.cw nnd zao wnc <br /> ��"`�' � �� < < � �� <br /> ygn . � CM'��ci .nnt aclw Aulhonzed Apen� etr. <br />