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.\ <br /> PLMIT APPLICATIOi <br /> 47.7. CITY OF EVERETT PERMIT SERVICES <br /> 32C0 CEDAR STREET, EVERETT, WA 98201 . <br /> r <br /> 425-257-881 C — FAX 425-257-8857 1 <br /> 3B SCE ADDRESS PARCEL TAX I.D. i PERMIT a I <br /> l32-1 cpt_61, ekJS- X&o9 003 <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER AOORESS ZIP PHONE i <br /> fitaq tpSv/[.1- U LK-TT 01£D/444— [—T2 iIL PAcIF1L 4JL £,Jfgt,TT , wA /51D/ <br /> TENANT NAME I CONTACT NAME PHONE <br /> SAM!. RS Ad°JL YrhYGL' 6O61fr#.i 3/.0 -7;4-2,1.00 <br /> CONTRACTOR ADDRESS ZIP CONTR.UCENSE e <br /> D I4MO ND a CON ST(ycTotS 3431. Alit retT DR,v4. bl n✓1+a8C 0�4 KA <br /> PHONE a£.,-.-/.J6Y4e4, Wd 4622tr <br /> 3/.0 73H-3400 <br /> PROPOSED USE CF BUILDING Budding Mechanical Ammon HEAT SOURCE <br /> PERMIT ' Combination Plumbing WORK Alteration E!ec.rc <br /> YriGDlcr-' SPACLS TYPE Lj Demolition Sign TYPE New Gas <br /> SprinklerRepar,Maet. Other <br /> CONTRACT PRICE OF WORK 2521 .a I CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> _ rere <br /> WORK DESCRIPTION T£.V*,47- /,Jff<ovi.MLNr 4 Mc6mmji 4- _ vilro,J Ls <br /> PLUMBING /�1. �aSA1_�ef\-c MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM ,1 rF `: Q`P I NO. I TYPE OF FIXTURE OR ITEM <br /> 7 WATER CLOSET G ,KIv _ NC-A/HANOL!NG UNITS <br /> BATHUB <br /> FORCED AIR SYSTEMS <br /> /2 LAVATORY(WASH BASIN) A\ - _ HEAT PUMP d` <br /> 2. SHOWER _ UNIT HEATERS ll' <br /> _ KITCHEN SINK 3 DISPOSAL _ CLOTHES DRYER ' f <br /> _ DISHWASHER RANGE HOOD <br /> _ LAUNDRY TRAY ��}} ,/� WATER HEATER <br /> CLOTHES WASHER 3UY 0� _ METAL FIREPLACE'STOVE <br /> _ URINAL FIREPLACE INSERT /�O <br /> _ DRINKING FOUNTAIN GAS FIREPLACE ' <br /> 60 <br /> _a__- FLOOR DRAIN _ GAS RANGE <br /> _ BACKFLOW PREVENTER _ GAS PIPING <br /> b SINK(SEERVICEBAFLMCP'ETC.) _ EXHAUST FAN <br /> _2—_ OTHER GL/"//G S/NA< OTHER <br /> /i I/F4r/A/t wITTirt Tilar/,vrs. ON'7S <br /> 20 MLO/der_ 4/t5 0uTtL7s — -Jul .17j'() <br /> I HEREBY CERITIF?THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS CF LAWS AND CRICINACES GOVERNING THIS TYPE OF WORK WILL BE CCMPUED WITH WHETHER SPECIFIED HEREIN CR <br /> SAT CR LOCAL LAW REGULATING CONSTRUCTION CR THE PERFORMANCE OF CONSTRUCTION CANCEL THAT I OTHERHE PROVISION OF ANY <br /> AM AUTHORIZED BY THE <br /> OWNER CF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW'8 Z CN AND 256.000'NAC. IA/6 Z <br /> S,gnature wner/Contractor/Autnanzea Agent Date of 9�° <br />