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' PE_ ;MIT APPLICATIO: . <br /> '�i CITY OF EVERETT PERMIT SERV'ICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> Ij <br /> 425•257-8810 - FAX 425•257-8857 <br /> SITEADDRESS 3I Z` �R�HJlJi91' r'F+.' PARCELTAXI.D.g PEFt,tiTn <br /> ,. # ; c 3 j 7// � <br /> I LEGA L T NO.�_�- -'"9LOCK TRACT 'i <br /> iDES0. � <br /> OWNEA ADDRESS ZIP PHONE I <br /> I �.yr,�� DEVGLopHErV � 372G, vkc.aow�Y<��-,�. <br /> i ✓�-�.�7: w va �Y wi <br /> i TENANT tJAh1E 7��L (FI L �ONTACT NAfdE RU N NJN�OL' Y PHONE <br /> i Md�N f7'j�lU � <br /> C'>>aNIL �,C� -79�f-734� <br /> � CONTRACTOA AO�RESS 5 Q U F NS i H�`L/�% ZIP CONTR.LICENSE a <br /> G� 5 �i .-r_ ,�ri�vU � coeun.e- <br /> I PHONE HCNI�C (,✓ '��L72 ��, <br /> C-SI-1�/�C `t3 �)M �l <br /> I PROPOSED USE OF BUIL�ING Building �fdeChaniC81 �-a Ca�ticn HEAT SOURCE ' <br /> . I PERMIT RI--( Combina;ion K�Plumbing WORK'}�-�( +Ane•ailcn E!ectrlc <br /> TYPE �j Demolition L.1 Sign TYPE �j New �as i <br /> U Sprinkler U Peoa�ril,na�m. Other <br /> I CONTRACT PRICE OF WORK q L' <� CITY OF EVERE7T LOCAL SALES TAX COOE IS 3705 I <br /> �i 1, � Z� <br /> I WORKOESCRIPTION � I�5�/�.LL ��UCj(,�jQl2�L � 1�11=FuSE2S �r, G-�-��L-.ES , <br /> ; �o �+�� S � G c��Jr� t'-t ��v7— � <br /> I <br /> �N5 7Ac.-�— (�) F i� �l.J '� <br /> � lNSi rrLL Lc� t� vL � L� SS 9P�1� N�, L St'S, � <br /> PLUMBING MECHANICAL <br /> N0. TVPE OF FI%TURE OR ITEA7 h0. TYPE OF FIXTURE OR ITEM �� <br /> WATER CLOSET � A,'C-A/HANDLING UNITS � <br /> BATHTUB _ FOFCED AIR SYSTEMS <br /> LAVA70RY (WASH BASIN) HEAT PUM19P <br /> SHOVJER _ UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER � <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY bVATER HEATER <br /> _ CLOTHES WASHER AIETAL FIREPlACE/STOVE i <br /> URINAL FIREPLACE INSERT , <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAiN GAS RANGE <br /> BACKFLOW PREVENTER _ GAS PIPING ' <br /> SINK(SERVICFJBAFUMOP/ETC.) J_ EXHAUST FAN <br /> OTHEP OTHER <br /> I HEFE9Y CE'nITIFY ,THAT I HAVE READ AND EXAMINED TNIS APPUCATICN AND KNOIY THE SAIdE TO BE TRUE A40 CORP.ECT. ALL I <br /> FRGVISIONS CF L:1�YS ANO GFIDI�ACES GOVERNING THIS iYPE OF WORK WILL BE COMPUEO WITH WHETHER SPEqFIED HEFEIN OR <br /> IJOT. THE GRAN7ING CF A PEPId1T DCES NOT PPESUh1E TO GIVE AUTHCRITY TO VIOLATE OR CANCEL THE FFOVISION OF ANY OTNER <br /> STATc OR LOC:.L LAIY REGULATING CCNSTRUCTION CR TNE PEFFORt.1ANCE OF CONSTFUCTION. THAT 1 A61 AUTHORIZED 6V THE � <br /> CWNER CF THIS PFCFEFN TO FEnFOFA1 THE WGFK FOR WHICH APFLICATION IS h1ADE PN�I COIdFLY VJITH THE STATc ' <br /> CCNTRACTOFS LAVJ 1827 FC'JJ AND 2562C0 WAC. �, <br /> �/ > /1 / i <br /> /"V''t / / ..�.���Or7 ��- Z —Q % i, <br /> S�gnaWre ol OwnevCon acton ulhonzed gent �a;a �I` I <br />