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� <br />I��RMIT APPLIC�4 i I `C�N <br />CITY OF EVE:�ETT PERMI'f SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />�osBb �V fa2,GIZ�fJ� <br />LEGAL LOT NU. <br />DESC. <br />OWNER <br />_ �G�. /Nv�s� <br />�iENANTNAME <br />'P��' s �+-� � <br />CONTRACTOR <br />p�F�R�2r.! <br />PHONE <br />PROPOSED USE OF BUILDING <br />� q,25.tb�S� <br />CONTRACT PRICE OF WORK � <br />VV �� <br />BLOCK <br />M <br />00 <br />TRACT <br />PARCEL TAX I.D. It <br />Bsi�i. � • � � • <br />auunts5 ,�D (jb jC <br />6�0� �� <br />CONTACTNAME <br />ADDR�SS <br />v� �-cr� q-N � c � � � � � <br />WOqK DESCRIPTION <br />�rT�7 2 Z�Z+.sari <br />PLUMBING <br />NO. I TYPE OF FIXTURE OR ITEM <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />PERMIT <br />TYPE <br />a��a <br />w.t � N G _ <br />l P�So nf <br />J�p�"£C..L <br />BBufldfng �Mechanical <br />Combinalion Plumbing <br />BDemolilion Sign <br />Sprinkler <br />PERMIT # <br />PHONE <br />ZIP CONTR. LICE'- .'G H <br />98oia aB�e►���z <br />�Additlon <br />Alterapon <br />Naw <br />Repnir/Malnt. <br />HEATSOURCE <br />�leclrb <br />as <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX COOE IS 3705 <br />CSf�L {t'CThGiW 3�.�bNSI'�A�.� <br />N0. I TYPE OF FlXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEATPUMP <br />UNIT HEATERS 2a°ao ° $fK� <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND MINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS ANO ORIDINACES, V NING THIS TYPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED HEFiEIN OR <br />NOT. THE GRANTING OF A PERMIT D O PRESUAIE TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOC � REGU G CO UCTION OR THE PERFOFMANCE OF CONSTRUCTION. THAT i AM AUTHORIZED BY THE <br />OWNER OF IS P PE T ERF THE WORK FOR WHICH APPLICATION IS PAA�E AND I COMPLY WITH THE STATE <br />CONTRA O W 1 . 7 ND 6 00 WAC. / <br />3 <br />