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P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> �$J�/ <br /> SITE ADDREC Q S f�7/O D gz oy� X I.D.N a a PERM�D��/� <br /> • �:> <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDNESS 9�3� PHONE <br /> ���se � c . I � 7oq s. 2os�°� sr 1�«tr as3-ssy-63S7 <br /> TENANT NAME CONTACT NAME PHONE <br /> 2S3- �S4 -63s7 <br /> �in�r�.�l�� �� C�� 30���,��d z�-yoc -z�o <br /> CONTRACTOR �W�� Y� ADDHESS CONTR. LICENSE N <br /> R <br /> PHONE zs�'r� —�3S 7 ; �� �J. ,zG3"a sr ��Hr�� <br /> PROPOSED USE OF BU�LDING Building n Alechenical Aaai�ion HEAT SOURCE <br /> PERMIT Comhination � } Plumbing WOHK Alteration Q Electric <br /> n/ TYPE � Demolition � Sign TYPE New L1 Gee <br /> C/ C L3 Spdnkler Repeir/Maint U Olher <br /> CON AC PRICE OF WORK 2 CITV OF EVERETT LOCAL SALES TAX CODE 19 3105 <br /> WORK DESCRIPTION !1 / <br /> �Pav t.Y��v�� �xrSylhc{ Ca���9 ahtl IONr� q Meu/ 01 -�' <br /> J <br /> .���9� .�S3v <br /> Lp�l MBING Nl€StiAdLG9�, <br /> N0. TVPE OF FIXTURE OR ITEM NO. TYPE OF Fl7fTURE OR ITf:M <br /> � WATER CLOSET _ A/C-A/HANDLING UNITS <br /> _� BATHTUB / _ FORCED AIR SYSTEMS <br /> � LAVATOFY(WASH BASIN) _ HEAT PUMP � <br /> 2 SHOWER � � / L UNIT HEATEAS <br /> �� KITCHEN SINK 6 DISPO f� ,_{e_ CLOTHES DRYER <br /> � DIEHWASHEH / L FANGE HOOD <br /> _(__ LAUNDRY TRAY Z WATER HEATER <br /> � CLOTHES WAS R = METAL FIREPLA STOVE <br /> URINAL FIREPLACE ERT <br /> DRINKIN�i�OUNTAI� __ GASFIR CE <br /> 3 FLOOPURAIN GAS GE <br /> BAGt(FLOW PFEVENTER _ GA IPING <br /> SINK (SERVICEBAWMOP.�ETC.) _ E AUST FAN <br /> OTHER OTHER <br /> I HEREBV CERITIFV THAT I HAVE FEAD AND E%AMINED THIS APPLICATION AND KNOW THE SAME TO BE TPUE AND CORRECL ALL <br /> PROVISIONS OF IAWS AND ORIDINACES GOVERNING THIS TVPE OF WOFK WILL BE COMPUED WITH WHEfMER SPECIFIED HEREI�i OR i <br /> ; NOT. THE GPANTING OF A PERMIT�OES NOT PRESUME TO GIVE AUTHORIN TO VICL4TE OR CANCEL'HE PFOVISION CF ANY QTHER <br /> STATE OR LOCAL lAW FEGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �HAT I AM AUTHORREO BV THE <br /> OWNER OF THIS PROPERN TO PERFORM THE WORK�OR WHICH APPLICATION IS MAUE AND I CJMPLV WITH THE STATE <br /> CONTRACTORS LAW 1 FCW AND 296 2C0 C <br /> l� � � <br /> l � ./r��v'/ q�.70�f3� � <br /> Ign I wneri ontractor'Authonzed Agent ale /Z <br /> `---- ------ — . . <br />