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I <br /> � PE�2MIT AF'PLICATIOIV �I <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-885i /�G / , /OS- G.�l I <br /> � �� y � <br /> PARCEL TAX I.D.# P�Mi7% n y <br /> SITE ADDRESS �i <br /> � c,S- �� � � <br /> p � vE. U0�39D798a.�laa i - , <br /> LEGAL LOTNO.S BLOCK TRACT /� � ��sr /I �troN I <br /> o=_sc. ��_� �9 EUEkfilf �ANO \oN�P � Z1P�� PHONE <br /> OWNER ADORF�S <br /> ,v.�,�s R . Fow�,�.� p, o. ea x z� EvE,�t rrWA 9�.�� azs�s.z-�ZP6 � <br /> //.�...anieiL L�. �(AIL.�i/� PHONE ' <br /> �NANT NAME I CONTACT FOR PERMIT <br /> , �I�� z.�t-�2� � <br /> ��Q ���� ��h�j/ i3 LL �� SI� Z�P CONTR.LICENSE# � <br /> CONTRACTOR A�DRESS I <br /> I <br /> PHONE J /� , , A , I <br /> / / ��Lci�� I <br /> �� Mechanical Addit�on HEAT SOURCE <br /> PROPOSED USE OF BUI DING1a,1- � � -I �Building Q I �Electnc <br /> ��11L F1U.,�21�r��U'�YYj� PERMIT Combinali0n U Plurnbing WORK�AIIeration Gas <br /> ! I TYPE Demolition U Sign TYPE New <br /> Sprinklet RepaidMaint. Olher <br /> GONTRACT PRICE OF WORK �,S'O� 000. O � <br /> CITY OF EVERETT LOCAL SALES T.VC CODE IS 3105 <br /> WORKDESCRIPTION �`\1Wi�.Y7 TT-���- lr.(,l���t-YQ1l�LL > 1'� � `� �(� I <br /> v1—• � y <br /> o.r�����,� . ���c�v��r[ �-- P�-�2�-�u��-�- �z�P- -�� -t-�� �-r� � I <br /> MECHANICAL <br /> PLUMBING <br /> Np, i TYPE OF FIXTURE OR ITEM <br /> NO. I TYPE OF FIXTUf2E OR ITEM <br /> A/C-AIHANDLING UNITS I <br /> — 1VATER CLOSET(TOILET) — FORCED AIR SYSTEMS I <br /> BATHTUB HEATPUMP <br /> LAVATORY(�VASH BASIN) — UNIT HEATERS <br /> CHOWER CLOTHES DRYER i <br /> _ KITCHEN SINK&DISPOSAL — RqNGE HOOD I <br /> DISHWASHER — yyATER HEATER i <br /> LAUNDRY TRAY METAL FIREPIACE/STOVE I <br /> _ CLOTHES WASHER — FIREPLACEINSERT I <br /> URINAL GAS FIREPLACE <br /> DRIMKING FOUNTAIN GAS RANGE <br /> FLOOR DRAIN GAS PIPING <br /> BACKFLO�V PREVENTER EXHAUST FA:� � <br /> SINK(SERVICE�BAfZ'Y�OPIETC.) — OTHER_ � <br /> I _ OTHER _ _ <br /> II — — <br /> I <br /> i <br /> i ; HEREBY CERITIFY THAT I HAVE RFi1D AND EXr.P.91NED THIS APPLICAT!ON AND KNOW THE SAtdE TO BE TRUE AND CORRECT. A <br /> PROVISIONS OF WWS dN0 ORIDINACES GOVERNING THIS TYPE OF N'ORK VJILL BE COh1PLIcD WITH N'HETHER SPECIFIED HEREIN OR I <br /> SO TE OR LOCALILA V REGUTATING OONS RUCTICN OR THOE PERFORM NCE OF CO STRUOCT ON. THAT AM1ROUTH�ORIZOED BV-iOHE E� I <br /> ! GWNER OF THIS PROPERTV TO PERFORRd THE N'ORK FOR�VHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE �I <br /> CONTRACTORS LA\"J 1827 RC'N AND 29fi.200 WAC. <br /> I� ` �..('� �•Z�/1�� <br /> SignaWre of OwnenContractonAuthonzed Agcnt <br /> 0t0 ��� � <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />