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Apr 30 70 07:11a C�41 Inc 3602258755 p.3 <br /> � i�'� �RMIT APPLICATIQ� ' <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www,evere!twa.org <br /> APPLICATIONS ARE AGCEPTED FROM 8 AM TO 4 PM S /O �(� <br /> SITE ADDRESS PARCEL TAX I.�.# PERMIT# <br /> I �to� �rr'r(.L C�'ecic KwY <br /> LEGAL LOTNO. BLOCK TRACTORSUBqVISIONY <br /> OEuC. <br /> OWI�ER ADORE55 CIIYlLP PHONE <br /> �a A c /C'v,�o.F,✓G. PARTn�eQS'b:P � i 7 ys sH� c6..,rcR /,h5 a cµ.�os /2irrck <br /> TENANTNAME I CONTACTFORPERMIT PMONE <br /> ' CONiRAGTOR ADOR SS �'TM�P E�IJIAIL PMONE <br /> �o����'q fY1c�t,A�i� ��, �60. :�. ,�o <br /> COIJiRIICEN5E0 P•o• (�O?� .Z16 � �„�ooq�,.q,,.,p �q cr867`� <br /> CoWn+Mrq83DR �/��fjp # 3Go 5 (t �fZWt7 <br /> USE OF BUILDING I — HEATSOURCE I CONTRACT PRICE OF WORK <br /> Electric Gas_Other .�8�•�Q <br /> WORK DESCRIPTION <br /> r_'X17'Na.r�r6 („g-5 L�UE ,co2 o�rt�ooiz Fii2GPi�. <br /> PLUMBING MECHANICAL <br /> NO, TYPE OF FIXTUREOR ITEM NO. TPp oF FUCNREOR ITEM <br /> _ Toiiot AfC—aifhanylin unils <br /> L�ava ory(wash basin) Forced air systnms <br /> ShoWar � Gaspipinp <br /> ` Kitchen sink&disposal _ water heate� <br /> Dishv,asher � Gos firepYaco <br /> ClotNeswashor — G�swnge <br /> Watarheater _ Clotlx;sdryer <br /> _ Sink(scrvico/bar/mop/efc.) _ Range hood <br /> �ackttowprevonler _ Fvhausthn <br /> Unnal _ Heotpump <br /> _ OtinldngFounhain _ Unithoatcr <br /> Floordrain _ 6oilef <br /> Gfeaset�ap _ Refriganfion <br /> � Roof tlnins _ Woodstove <br /> __ Otlier _ Othnr <br /> CITY OF EV[RETT LOCAL SALES TAX COOE IS J106 <br /> I horeby certily tlut I have road ar.d examined this application and know ttw samo to be true and ccrrect qll provisions of laws arrcl <br /> ordinances goveminc�this type of v.nrk wilt bo complied with whelher spocified herein or not.ihe granting of a permit does rrot presume <br /> to Qive authority to violata or cancol the provision of any other sta(o orloc311aw regula6ng consWetion or Che porformaqce oi <br /> consirucEon. That I am authorizod by tho owner of ihis proporty to perfortn ihe v.ork tor which appliqtion is made and I comply wiih the <br /> Stete Contracrors La�v�827 RCVJ and 2�Jd20I1 WnC. <br /> �5na�of OvmorlC�c;orlL�ed Agont v^Zf /o <br /> � -- - — --- uatc � <br /> � �; �/ <br />