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n �i . <br /> _._ . . .__ ____.—___ _-__ __ __ <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, Wq 98201 <br /> 425-257-8810-FAX 425-257-8857 [J ��.,� _ // ,� <br /> �_ �� �,� <br /> SITE ADDRESS — <br /> PARCEL TAX I.D.p P��T# <br /> � �h `��9 �/ 7 <br /> LEGAL LOT NO. BLOCK <br /> DESC. , TRACT <br /> OWNER <br /> ADORESS LP PHONE � � <br /> L,,�„ �,� ,�, /� � � v2s -, <br /> TENANTNAME C" ' I�IO 1 �RPOgi-6_?� EV�/Z6� WiA RS <br /> CONTACTNqME � <br /> PHONE <br /> �-.,�. �.,� �o o.,,,,z KE,� N,�,.S-L 2o�v �23 - 3100 <br /> CONTRACTOR <br /> ADORESS ' <br /> NEATH NOIZTbFWGST �JZ7 S. 9li� ST S� ZIP C�R LICENSE p <br /> PHONE AT-f(� , w qa�o8 <br /> 2ole te23 -3tcx� li6�ibJ ,d� I �E <br /> PROPOSEO USE OF BUILDING I <br /> � Building Mechanical I <br /> PERMIT CpmbitlatiOn � ���� HEAT SOURCE <br /> �,PE Pumbing WORK R qneration � Electnc <br /> Demolition Sign 7YPE [�ew <br /> Spnnkler Gas <br /> U RepaiqMaiM. Other <br /> CONTRACT PRICE OF WpRK <br /> � SBCS . �� CITY OF EVERE7T�OCAL SALES TAJ(CODE IS 3105 <br /> WORK DESCRIPTION <br /> =NSTA1yA"['yON OF ��l N6w A1N1wLE;- F{�(�/J <br /> w�- SIIrN. 1 Ll.U�...� N.4?60 <br /> PLUMBING <br /> NO. TYPE OF FIXTURE OR REM MECHANICAL <br /> NO. TypE OF FU(TURE OR fi EM <br /> _ WATER CLOSET <br /> _ BATHTUB _ FJC-A/HANDIINGUNITS <br /> _ LAVATORY(WASH BqSIN) ._. FORCEO AIR SYSTEMS <br /> � SHOWER ._ HEAT PUMP <br /> _ KITCHEN SINK 8 DISPOSAL _ UNIT HEATERS <br /> _ DISHWqSHER _ CLOTHES DRYER <br /> _, LAUNDRY TRAY _ RANGE HOOD <br /> _ CLOTHES WASHER _ WATER HEATER <br /> URINAL _ METAL FIREPLACFJSTOVE <br /> _ DRINKING FOUNTAIN FIREPLqCE INSERT <br /> _ FLOOR DRqIN _ GAS F�REPLqCE <br /> _ BACKFLO'.N PREVENTER _ GAS RANGE <br /> _ SINK(SERVICE/BAR/MOP/ETC.) — GAS PIPING <br /> _ OTHER � _ EXHAUST�AN <br /> ._ _ OTHER �q� <br /> I HERE6V C�RITIFY THl�T I HAVE REAO qND ERM�iWED THIS APPLICATION AND KNOW 7HE SAME TO BE TRUE AND CORR[CT. ALL <br /> PROVISIONS OF Ll.WS AND ORIDIN�C[S GOV[RNING THIS TVpE OF WORK W9LL DE COMPLIED WITH WHETHER SP[CIFI[D HEREIN OR <br /> �JOT. 7���G���7�NG Or-q p[RM197 DO[S Np7 pRESUM[TO GNE AUTHORITV TO VIOIATE OR CANCEL THE PROVISION OF ANY OT}{ER <br /> STN�E OR LOCAL LAV!R[GULA7ING CONSTRUCTIOtJ OR TH[PERFORA1qNC[OP CO4STRUCTICN THAT I qM AUTHORIZED BY TH[ <br /> OV✓NER OF THI$p{�pp��try Tp pERFORM TH[WORK F(M WHICH APPLICATION IS MAD[AND I COMP�y W�TH THE ST�TE <br /> COtJTf TORS LAW 1ES27 RCW ANG 296200 Wl�C. '. <br /> Si lure o� ed t clor/Au�wili�p I7ed Agen� � ���� � �� � <br /> Datc <br /> _ _ —_-__.__- --__----�— `/�� I`7i �I <br />