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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />s�un cE onr3 ::Tri�_r T. ev�r��rr, wn sezoi <br />•1:5 �'i7 tiNtl� 1-A\ •t2`i :"� ti857-4wvw.everellw.� ur�� <br />���; �(� APPLICATIONS ARE ACCEPTED FROM 0 AM TO 4 PM U��Z" �g <br />.J .. .._ .. ----- . . _ _..__ .. ... .___._ .. _ _ .._�----- - -- - � <br />SIT[ ADOfiLSS S�... ' PARCEI TAX I.D. p PERMIT p <br />4t���Y= I12�"i 5T. S?�. I o0 5 379 0000 4501 +005379�4Goo �-''i <br />� - -- — � 7�--��- <br />i I�..,I �, LOT NO. I �LOCK i TRACT OR SUUDIVISION p ...� —' '�'--_" _— "�— <br />I � �RAc'TS 45+4(n PIAT �F PA�NC ��bZ.O ADO x'L <br />�__ _ . --.. <br />--. . --- -- ------- <br />UV11lHI AOURF.55 CITY 71P PHONE <br />MAVL�WocO Cov�'t' LLC I�tGo7_ -n�tw Ct�.s.e. µ�uc2t�-�:, b25-357-a28Co <br />wA• 98oi' <br />- -- -- -- ------- - _ _ - ` - - - <br />ItNaqInAl.tF CONTACTFOflPERMIf PHONE <br />E•IANL <br />Gi11if1ACTOR ADDRESS — ZSI�F�1�f� -� PHONE- <br />CUIIIN. I_ICEN9F # <br />U51: OI' BUILDING � <br />�i����.� FM�u.Y -TcwNl-Ipu�L=S <br />l';OHh DESCRIPTION <br />� HEAT SOURCE CONTFiACT PRICE OF WOf:K � <br />i <br />� x i.i,�,.���,. c,�� o�i���� ��;t� S, 3ab. `� <br />i.'ibNS?I�Vi:I' A `iINLLF� FAn�ll-�{ <br />� <br />PLUMBING <br />TVPt OF PIX7URE OH ITEM <br />Ioilct <br />' H�Ililut� <br />'. i.rvdW�� i�Y.c;hbasun <br />5hnv:ei <br />I �! �ndchen sink 8 di5posal <br />l Uishw;�shm <br />� I, �;IUIhCS WlSh�f <br />i � Waierhenla <br />,,ink �saivlcc�barmop�o�c.J <br />�xkllow prevunlar <br />Unnal <br />Dnnkmg founlain <br />I luor diain <br />�. ilCllSU II:��I <br />I1Uot cli�vnti <br />' �Ihw - - - - . <br />i <br />"1'GwivNouS� �UN�r�� <br />. . . -- � ------- --- _ .. _ _ . <br />MECHANICAL <br />N0. TYPE O( FIkTURE OR iTEM <br />_�_ NC �- �ii handhng uni�s --- <br />_._. FoiccA aii syslems <br />__ Gas piping <br />Water heater <br />,._ Gaslueplace <br />Gas ionc�o <br />_ � _ C�0(�1CS [�IyL'I <br />. �Ranga hooa <br />' [ahausl lan <br />Ncelpump <br />_ Unit healer <br />Boiler <br />__ Hehiycralion <br />__ Wuudciovc <br />� Qlher <br />CITY OF EV[RGTT LOCAL SALES TAX CJDE IS J105 <br />���np r.orility Ihal I have reatl �md c�.inuneJ Ihc; „pphc,�i�on nnd hrww Ihe same lo be ;rue and correcl. All prowsions ul laws nnd <br />�,-�:s yuveining �his I�pe ol woih will be comphed v:dh whelhei specAmd herein a noL The �rnnting ol a pennit doe, nut prosumo <br />,.�� au�honly Io violale o� cancel tho pinvisinn ol any olhri slaie or local law re�ulatu�g cunsliuction ur Ihe peilomiunce ul <br />,�.;�:tian. 1 hal I ain authorized by Ih�� ownor of Ihis propedy �u pertonn �he worA loi which applic�tion Is inade and I coruply wilh Ih�: <br />. �:yiir;u9ms Law I8.Y7 HCW .in;I 1J6.2U0 WAC <br />�C <br />�..�ia._� �O-//- 0"% _ <br />� ., � � �t .nlui'Auihoi ..rd Ayenl Dale <br />��, <br />� � <br />