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�- cRMiT APPLICAT�vN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEh2ETT, WA 98201 <br />425-257-6810 - FAX. 425-257-8857 <br />SITE ADDRESS <br />— �Q� . <br />=EGALI LOT N0. <br />DESC.� <br />� �t a\(�- 1 r'���) R� 3�S <br />TENANTNAME <br />CO�+ TRACTOR . <br />1-��a��2, Cr-leape.�w,��� <br />PHONE -{ <br />�l�s' �L�3'���� <br />PROPOSED USE OF BUILDING <br />�;, ����.z -F�.n..�1 <br />,Ji-Y-�A �kaF.�.�C" <br />PARCEL TAX I.D. # <br />00 ��,rb -� - oi b- 02 A�U <br />20o5cG -axr- orr -oo <br />TRACT <br />6 •-aa �—o�' <br />(�jC/j "�j <br />PERh11T � <br />�A..c 13�c <br /><:+— � l4 S <br />����,�- 3� A�� 5E r3,�+wr� �Y���. yas-��3- ��i8 <br />CONTACT FOR PERMIT PHONE <br />�-.yr1 � e�s 1� 4�-� --1 `l 3- 1 Z 1$ <br />A�ORESS ZIP CONTR. LICENSE # <br />i-7031- 35�AJt`S'E � `30�3, �Df�l2CLo 3J��- � <br />Building echanical <br />PERMIT �Combinalion Plumbing <br />7YPE Demclition Sign <br />Sprinkler <br />CONTRACTPRICEOFWORK �LS'�cac�p.�~ <br />WORK DESCRIPTION � <br />� z .,� 5 � n ��1 � �' �,�� �Lc.cu �-�' <br />NO. i TYPE OF FI%TURE OR ITEM <br />"� I bVATER CLOSET (TOILET) <br />3. BATHTUB <br />� LAVATORY (WASH BASIN) <br />SHOWER <br />I KITCHEN SINK & DISPOSAL <br />� DISHN'ASHER <br />LAUNDRYTRAY <br />_�� CLGTHES WASHER <br />_ URINAL <br />� DRINKING FOUNTAIN <br />I FLCCR DRAIN <br />� BACKP_OVJ PREYENTER <br />_i, SINK (�ERVICE:BARIMOP'ETC.) <br />___ ; OTHER <br />� <br />AOOition HEAT SOURCE <br />WORK Alteration °lectnc <br />TYPE I New �Gas <br />RepaiuMaint. Other <br />CIN OF EVERETT IOCAL SALES TAX CODE IS 7105 <br />mt� <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C —NHANDLING UNITS <br />1 fORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />� CLOTHES DRYER <br />RANGcH00D <br />�_ WATER HEATER <br />h1ETAL FIREPLACEiSTOVE <br />FIREPLACE INSERT <br />� GAS FIREPLACE <br />� GAS RANGE <br />�_ GAS PIPING <br />� EkHAUSTFAN <br />� OTHER (nia« <br />-��'�EB� CER�iIF�' 7HAT I HAVE RErD:.ND E.Yi�h114eD THiS APPLiCAT10N AND KN01'V'NE S:.f.1E TO BE TRUE nND CORRECT. :.L� <br />�'��uviSIONS CF WIVS AND ORIDINACES GO`IERNING TnIS Tl'PE OF WORK'��VILL �E COMPLIc� ltiiTH WH[THER SPECIFIEC HEReLv OR <br />.�.' "nE GRANTi.^JG OF A PERP,UT pOES NOT PRESU6IE TO GIVE nUTHCRITY 70 VIOIJ. i E QR C:.NCEL TME PROVISIO� 1 OF AtJY OThER <br />-�"E �;R LOCAL �_%.lV R"eGUL:.TING CONSTRUCTION OR'HE ?ERFORh1ANCE OF CONSTRUCTION. i HAT I F�d AUTHORI'LED ZY Tn[ <br />..: NcR i;f �MiS PROPER7� TO PERFORAI THE :VORN FOR IVHICH APPLICATION IS G1ADE. AND I y'Oh1PLY VJITM THE S'=TE <br />: _';iRAC'ORS LA1: �827 RC'N PND 29b-�OOI"JAC , <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />/ <br />Z <br />