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PERMIT APP�.ICATIOfV <br />CITY JF EVERETT PERMIT SERVICES <br />;i��on cror�F� srrirrT, r.vFF�Err, wn ��a�o� <br />.1:'!� 257 r,•Htu I-n��. 4�'i �5; Ha5; .. wwe�-�voiot�wa.or�� <br />�-� -�l, APPLICA710NS AflE ACCEPTED FROM 8 AM TO 4 PM �7/Z •� <br />/ L L -� . _ - -� --- —� <br />51I6 AUURESS �,'v`7 PARCEI TAX I.D. p PERMIT p <br />yZ"�D - 112�"� 5'r. 5�� 1 0o5379aoo04501 +005379�o9Goo �' .��� ' � ( , <br />_ _- - — - <br />� i.,:,i , LOT IJO. [iLOCK I 7flACT Oti SU601VISIOH p <br />, T2Ac,T5 45-►4(o PIAT oF PAiNC F�EI.D /lD0 k Q <br />-- ------- ------ _ _ _ _ <br />p�ypF{� � ADDRES i CITV ZIP PHOflE <br />Mqpl�.4vouo Co�R'T LlC I�GU7- "C�HQD G12.5•E. k�LLC��� 425•35�-o28ro <br />__ -_ _ _ - ---- <br />wA.98oi2 ' <br />itIVAN111AM11E CONIACTFOHPENMIT PNONE <br />CONTqArTOR �----�— -- --��� <br />CONtK LICENSE u <br />USE OF BUILOING <br />SityGi-� FiUnu.Y l'cwNNou;�S <br />17OHK DESCRIPTION <br />� <br />� E�MAIL <br />- � ADDNE55 —L'IYY.�ZIY �VH6M[ � <br />I HEAT SOURCF CONTRACT PRICE OF WORK <br />I b �_ <br />X L 1���.u¢. Ga:: Olhci P,�/,t o 70 <br />�-.'N5?�2vCr A 7wu_F: FAn�ii_�{ 'i'bwNNr�uS� U/J�t �� <br />� <br />__ _ _..— - <br />PLUMBING <br />NU. I TYPE OF Fl%TUHE OH ITEM <br />I I��Jci . � . .. <br />.d�d��� <br />�, � �IYJIUI)� ��4:IS�i �Jbliil <br />tihOW01 <br />I P d;hen sinh 8 disposdl <br />I ' I.luhwashei <br />� I Clplhc'S Wi15hM <br />I i LV[tlPi hC81E)f <br />' S�nh �seivice�barnnu�v�ic.l <br />�� t�dchllowpieven�m <br />Unnal <br />I �nnhiny f owtlain <br />I luoi Urun <br />� :iU850 II:1�] <br />I •IUUI dliiilL•: <br />� )IhCI . . . __ <br />MECHANICAL <br />NO. I TYPE OF FI%TURE OR ITEM <br />_ I__I NL' -- nir handliny unds <br />, �C'f.L`:!:l:•L�L:Cf"5 <br />_ �i:l$ �I�11111) <br />_ Walei he:tlel <br />._ (i�, hrCpl;7Ce <br />Gas r�nyc <br />I CIOIhes drym <br />� _ Ran�7e liaotl <br />�}- Exhaust lan <br />I lral pump <br />Unil h�ater <br />C3oilcr <br />-- Rr.lnycralion <br />WUUdS10VP <br />I�1�ICl <br />CITV O� EVERETT LOCAL SALES TAIi COOE IS 9t05 <br />����,�� cenUty Iha� I have iead and examined Lus .�pplical�on and hnow Ihe snme to be Irue and corroct. All pro�nsions nl laws and <br />�.�.� ��S yovernnig �his rypo ol woih will be romphed wilh whelh�i specihed hr.iein or nol Thr, gianiiny ol a{x!untl dUCs nol pre5unic <br />.�� aulhonty lo v�olale oi cancel �he prnvision ul any u�hor stale or loc�l law regulating wnslruchon oi Ihe pr.rlurmance ol <br />��,�,�.:i�on lhat I mn aulhonzeA by Iho owner ul ihi5 pro��e�y lo pednrm Ihe work for which appPcalion is made and I comply wnh Ihe <br />� ��.�nlraciors LHw IN ?7 HGW anA 79G.?OJ WAG- <br />_y, ,� i <br />,�r... �t..�. „ ii_�'-'_ <br />' C" _ f �,; �, I�.��� - <br />� <br />2 <br />