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F� cRMIT APPLICATI`UN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERE?T, WA 98201 <br />425-257•8810 - FAX 425-257-8857 <br />5T[ADDRESS (,l�y��� L <br />�C_l:. 2�' _l ��4--�'���1 � �-_ <br />.. �- LOT r O �LQCK <br />O�VNER <br />----� <br />�1: c1� a � 2- ._ ��,r.:....�1�v...'o_a.� ��4. C <br />�FNAFT NAME <br />CON7RACTOR <br />� <br />f1�1 �c�2 C�ll.,��'R�Sc�•3 L.�C <br />HHONE '_110--1'�l�-tZl`% <br />PRCPOSED USE OF BUILDING <br />,..�i�1���� ��'�.�t\�1y <br />J <br />- - — 1�C7 � c� N-Yli� <br />CCNTRACT PRICE OF WORK <br />PARCEL TAX I.D. li <br />IRAC7 <br />6 � a� -o.s <br />C,'`� v�-Z <br />� PERMIT o <br /><�S.�r..� il�i-�) <br />Huunwa t�, !7 CIY PMONE <br />�"lU'S3-'�J'� t1�"i`a� I"Ji,i�kiS-lgi5C1'J� �-1�-'i��43 <br />�'1l) <br />CONTACT FOR PERMIT PHONE <br />�.,ja t_ey71� y�o •'(�t3- � � i s; <br />AOORESS ZIP CONTR. LICENSE n <br />t"lu3a-- 35�(��eSE <br />t3�iin.�.l1 ��Sol� �}-t�ASRE�u3?� t <br />uitding M1lecnan�cal <br />PF.RMIT �Combina�ion Plumbing <br />TVPE Demolition Sign <br />Sprir�kler <br />..c <br />l U S� �-�Z� <br />WCRN DESCRIPTION <br />ti��.,: �����l��uw1�1�Re���c���n:r <br />40 TVPE OF FIXTURE OR ITEM <br />�.VATER C��SET�TOILET) <br />BATHTUB <br />. _ v1VATORV (WASH BASIN) <br />ShOWER <br />�_ KITCH[N SINK 8 DISPOSAL <br />�_ � DiSHV�ASHER <br />i_AUNDRY'F�V <br />�, _ :�,.��THrS WASHER <br />.. _ _ JRiNAL <br />�. DRINKING FOUNTAIN <br />�LOOR DRAIN <br />9ACKF! p��' GREVENTER <br />SiNK iSER'dICE9A2'MOP.ETC.) <br />�7HE� __ <br />ACtli�ion MEA( SOC9CE <br />WORH Alteratwn � Eiea�,c <br />TYPE ew r�'Gas <br />Repav�Ma�nt. � �� Olner <br />CIIY OP [VERETT LOCAL SALES TAX CODE I� 7i05 <br />N0. I TYPE OF FI%TURE OR ITEM <br />A/G - A'HANDLING UNITS <br />�_ FORCEDAIRSYSTE1dS <br />__ HEAT PUMP <br />UNIT HEATERS <br />� CIOTHES DRYER <br />RANGEHOOD <br />_L WATER HEATER <br />METAL FIREPLACE�STOVE <br />FIREPLACE INSERT <br />y G.4S FIREPLACE <br />� GASRANG[ <br />� GAS PIPING <br />_� EXHAUST FAN <br />i OTHER i11.c�� <br />�� EB� CE�.'�G+ "HH' : rA`:E �RErC ANO E.+WMINED TMIS APPLICaTIpN �ND KNO`A''(r!E S4ME TO BE TRUE �hD �:.ORRE�' <br />� �.. J�iS C� =:':5 �ND CRiD'NtiCES GOVERNWG THiS T1PE OF WORK'.Vi�.L BE COMPUED WiTH �ti�hETHER SPEGF�E7 nE�E ^. _ <br />� -_ :,n.:r, r r,� pF .: a��Rrd;7 ppES KGT aRESubtE TO GiVE FUTnORiTY 70 v�OLF,?E GR ^FNCE� ?hE PRO'n5i0N OF Ar,r " - <br />-. iR �.G�%.. _4�•; REGU;.,:T�.N:; i;ONSTFUCT10N OR THE PERFORM4NCE OF CONSTRUC'i ION TMAT i AM AUTMORiZED 9� '_ <br />��.. �F'^iS ��OGE .' �"O �ERFpqM'ME WORK FOR WMICM APPLICATION ly �dACE 4ND i COMP�_v ;Vi i h TnE S'%.'E <br />. •-'.:'JAS�_a;, •u.•:ar' a,D:96240W:.0 <br />, � <br />__ ��-�- i�.�.J.,�_}-i-�. _7 � 1 �J � OS <br />. .._'y bl �„�/!le"C;;/llf3CfOl,f�J[ttp� 'Q': r�QL'n( L7AIB � <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />