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Ju1-12-11 07:32A P.O1 <br />PERMI T APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA �J8201 <br />425•257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FRbM 8 AM TO 4 PM <br />SIT[ AD�RESS <br />� �� - ��r� 5y s,� <br />i E+J�� LOT NU [iLUf, <br />I:ES(: J• . ____�" . . <br />UIYNER <br />PARCEL TAX I.D. p <br />TRACT OR SUODIVISION N <br />! �i S�i �^� �4� _lT/� J5�/,5,7,5/.- �'!/��'l� %��� <br />I �ENANi NAME I CONTACT FOii PERMIT YIIONE <br />co�+�i�n�ori . <br />�r ,,,,6,� .�.� � � � <br />CONTf UCENSE t <br />' CY�-9/US . vy •r <br />' USF OF 6UILOWG <br />, ��'s <br />/ �,, ���y. <br />PHONE � <br />��zy -�� y- ��y6 <br />' E•MAIL <br />__ .'—TlTiftEb'S`- r1 Pl�� —�r r{bF�. <br />Jric9i� ���//_`"r?ir�il`-� l�vt'�I� [�Z)�-1>'%•�/��/ <br />k Z_ �/8%0/ <br />HE/�T SOURCE <br />L Elec�rir. � Gas _ O�hor <br />WORK OESCR�PTION �J <br />I Jt'P/l1G�C�C. D�/ r/r'a�i, c L <br />I <br />' �-1 �� s i� . / / �G <br />; / �„��'/-s �` <br />� Pl.UM61NG � <br />NO. I 7YP[ OF Rl(7URG OR ITCM <br />—� "_ _ _-- <br />Tuil�l <br />__) P:dhWb <br />_ i L�v�Wr� �w.ishba�sin) <br />Shu•.rcr <br />_ KllChen 6ink ,4 di5��u�..d <br />Ui,hw, sh0i <br />I i:lo�hor. wd6lier <br />� -_� �� VJ�lor he3lei <br />� Sink(SCi�ICeiUd�hi�uplulr.) <br />H�r,hOow l�revenlei <br />Urinal <br />pnnFin.� FuunWin <br />Flonr dreiu <br />� , l3rr.�so tio�� <br />F1UV� Ii/Ull15 <br />Olhnr <br />� <br />CONTRACT PRICE OF WORK I <br />� /z� "� i <br />I <br />HANICAL <br />NO. � TYPE OP FIXIUIIE OR ITEM <br />NC - aif handling undx <br />Forcod eir syslems <br />Gas pipiny <br />Walcr Mr.nler <br />Gas lireplacn <br />Gas rango <br />Clothes tlryar <br />Renga hpuJ <br />Enliaucl lan <br />Hoat pump <br />Unit heal�r <br />OoilOt <br />Refriguralion <br />WnOdCtuV� <br />CIIY Of BV[NCTT LUCAL SALE9 TA7C GODC 19 ]t0y <br />i hurcny <;cnhty thai I h:rvo reed anJ r.r.iminr.n ihis �pplicuUan and 4now Ihe some to bo true anJ correct All piovisiuns ot InwS 2n0 <br />nrdin�ms pr���emintl lhis lypn ot a�iiL, H�II be complied wdh whelher spocifiod herein or nut. T�e granlin,y u1 n permd Jone not pmsunto <br />tu yr,i� nuth�rtly lu �iulela ur <:�nrnl Ihe ��ruvisinn ol ;�np other slalr. ar Iocai law neyuloling u7ns�rucliun or iho poAonnencn ol <br />rn0'tlfuf.LQq. TII,II I JfTI :IIdh�Jf VNiJ ���� �I,e uwnor ot lhis pa�perty �o p3rtorm Ilir. work for wh¢h applicaLon is maJee und I comply wllh Ihe <br />;itatr <'n�w uro L� W 1 RC1'r 7�iJ 2bU.lIIO \1'AC <br />�_ , <br />� �.. . - "- , , � � , j ._ // <br />�iyn.�iiueuf VwncrConna�:lunA�dhonmA�Ajenl ate <br />