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--� � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,H1A 98201 <br /> 425�257-8810—FAX 425-257-8857 <br /> PARCEL TAX I.D.R ` � v i,3 I � �b'(VJ '�� <br /> SITE MDRESS � <br /> � �� If��: F - c��,t, OC�{ 3�1 --cr8 - �. co C.; <br /> � LOTNO. BLOCK TRAC7 I <br /> DESC. �� • �' I np PHONE <br /> OWNER � � � I C' "i yza-33�i-D$� <br /> -t",,11 l�� �� � iIC� q �1 �� e�re� tSZu1 �E <br /> TENANTNAME I CONTACTP PERMIT <br /> S0. ..�c. <br /> S0. rt�°— <br /> CCMITRACTOR <br /> �nor+Ess av coNrrt.uce�r <br /> l� � <br /> PHO?!E 1_ �1• <br /> PROPOSED UEE OF BUILDING Building Mechanical � AddRbn I M��E <br /> Combinetion � Plumbing WORK ��«°" �6 <br /> PERMR �E �, Ges <br /> )�5\1Ll\L�i����- /�.O�l4Lce.C, T� � �molition L] Sign RepaiiMairt � <br /> U Sprinkler <br /> CONTRACT PNICE OF WORK ,� ' C l 1 ` _ <br /> cm oF�rtErr�ocN.su�a T�z cooe is s�os <br /> WORKOESCRIPTION � �„`y,,,'l:pn�S Qv.c` j1�Ll(�C.� �ZL'�r�S , ;��l�C.�+� <br /> CC"\UCG.\�nJ,\ `F�t$ -in <br /> e�����v� \�.V��n�.+�� ex��(�.�,. ,v�(��,\e��. acecJn��c� YL�h,.C� �3av)� . CC 't,l'0.,"�ry\��G <br /> 1 �1 1` � � A . A . 1 { � � ����.� M 1 V.���„n� `_YY'\� vA <br /> �i �� Ev� ,` `.l�y- �O V�L'ai �la:.�UZ`Llb\Z.ti��ll`� I w l`�--- • <br /> CK�K.��nc �'�C-E�e�f_0. �G '�Ov 1tX r.,: <br /> — PLUMBING MECHANICAL <br /> Np, TYPE OF FU(TURE OR ITEM <br /> NO. TYPE OF FIXTURE OR fTEM <br /> '. > WATER CLOSET _ NC-AlHANDLING UNITS <br /> BATHTUB _ FORCED AIR SYSTEMS <br /> � LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> = KITCHEN SINK 8 DISPOSAL CLOTHES DR'!ER <br /> � DI3HWASHER ,� RANGE HOOD <br /> LAUNDRY TRAY _ WATER HEATER <br /> CI.OTHES WASHER _ METALFIREPLACEJSTOVE <br /> � URINAL _ FIREPLACE INSERT <br /> ..,.� GAS FIREPIACE <br /> � DRINKING FOUNTAIN — C,qS RANGE <br /> � FLOOR�RAIN <br /> BACKFLOW PREVENTER � E HAUST FMl <br /> h� SINK(SERVICEIBARIMOPIETC.) ?, — OTHER <br /> OTHER — <br /> I _� '��-i������ ; , _ <br /> i _�— <br /> I HEREBY CERITIFY THAT I HAVE READ AND E%AMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING TNIS TYPE OF WORK WILL BE CAMPUED WITM WHETNER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT�OES NOT PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCE�THE PROJ�S�ON OF ANY OTHER <br /> STATE OR LOCAL��R@GULATING CANSTRUCTION OR THE PERFORMANCE OF CONS7F2UCTION. THAT 1 AM AUTHOR�ZEn BV THE <br /> OWNER OF TIiIB ROPERTY TO PERFOftM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITFi THE STATE <br /> CONTRA�T6RS LAK'18. 7 fJd �96200 WAC' J <br /> C �'� � ��I}'-' �"� <br /> �j•. � ,// <br /> ISigneWre o ner Conirectar Authonzed Agent ete �/� <br /> I — _ DEBIT 6 CREDIT CARDS ARE NOT ACCEPTED <br /> L <br />