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r-- --- <br /> � PE��MIT APPLICATIO�. <br /> � CITY OF EVERETT PERMIT SERVICES <br /> I 3200 CEDAR STREET, EVERE7T, WA 98201 I <br /> 425-257-8810- FAX 425-257-8R57 � <br /> SITE ADDRESS 30� E, Cl.Sin D JZ , pARCEL TAX I.D.# I ��ERMIT p sp(( O3'[b� <br /> � ���G2'�IA�O/D I I I ��o �`l � <br /> LEGA LOTNO. �}n, BLOCK TRACT � <br /> DESC. • / � <br /> � _ <br /> OWNER DDr�SS ZP PHONE ��"�� <br /> EJer</E Fnc(�3/i/Kw.�irx.�O Y�+-+�CS,u/�C*All�edeaa/�Z1C. 5KS I�fr�iu.s.�(u[. N,STe'�.03, Rv�i� 9 <br /> i % J ,�9�'Sg <br /> TENANT NAME CONTACT FO,R�PE/RMIT PHONI? <br /> �iYi 2cn �,(/,�►�o�55 �t�h �,�.v- --(,�JIcL o?Q'o-S�� <br /> CONTRACTOR �D� n ..� ADDRESS ZIP CONTR.LICENSE# <br /> � <br /> PHONE <br /> I��s� �. G� tis1. <br /> PROPOSED USE OF BUILDING I uilding Mechenlcal rr�Aadi6on HEAT SOURCE <br /> i1_ L�s � � /� PERMIT Combinalion IR--( Plumbing WORK II�-((_Alloration R ElecUlc <br /> �y���� �" TYPE Demolilion u Sign TVPE Gy'New I u Gas <br /> Sprinkler U Repair/Maint. U Olher <br /> CONTRACT PRICE OF WOR /]� CIN OF EVERETT LOCAL 9ALES TNC CODE IS 7105 <br /> v <br /> WORK DESCRIPTION �7 ' L� � ,��jp <br /> E I P �� � '��S L7� ''� O 1�i�5 7{'� yCL/ _ J <br /> 3�'i c�.sa�o . �/�ec �o � �:���e,��.� ��—✓�,yr�� 6 � <br /> �,ce;�f��. 6'ne�ese rm�o t�s.�;�.�'��j�s���./,�ui�/1 a (o' r e!la;., L:•rk �i,ee, <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) PJC-A/HANDLING UNITS <br /> BATHTUEi FORCED AIR SYSTEMS <br /> LA�ATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> — DISHWASHER — RANGE HOOD / <br /> LAUNDRY TRAY WATER HtATER � / <br /> UR�NALES WASHER � � — FIREPLACE NSERTSTOVE /v � <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> I = SINK (SERVICE'BAR/MOP,'ETC.) = EXHAUST FAN <br /> OTHER OTHER <br /> I — <br /> � — —I <br /> I HEREBV CERITIF�THAT I HAVE REPD AND EXAMINED THIS APPL'CATION AND KNOW THE SAME TO BE TRUE AND CQRRECT. ALL I <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THiS TVPE OF WORK WiLL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. i HE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE AUTHGRIN TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LNW REGULATING CONSTRUCTION OR THE PEFFORMANCE OF CONSTRUCTION. TMAT I AM AUTHORIZED BV THE <br /> OWIJER OF THIS PRUPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRA/C.T LAW 1B.27 RC'N AND 290.200 WAC. i <br /> ' S wnedCon ract uAuthonzetl Apent Date � �/L I <br /> I <br /> .� DEBIT & CREDIT CARDS ARE NOT ACCEPTED _� <br />