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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> �23-257•8610—FAX 425-257-8857 <br /> SITE ADDRESS PARCEL 7A7(I.D.M PERnu7 r <br /> 1CQ02 CheS�i1 u f S OD� l o ; 3i � - ��� <br /> lEOA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADORESS ZIP PMONE <br /> Gt �l � L! Sk. f�-4y�s llvaZ C�JfyiuF �'� ( �(o s79 Q� <br /> TEHANT NAME CONTACT FOR PERMIT VHONE <br /> � Car�d�ce. q'all4r�'' �G Za-yy�.n <br /> CONTI:ACTOR c� ADDRESS �"��j" ZIP CONTR.LICENBEN <br /> W/�S�t(vls G(Za.v�,�i :,k'll'/f � vi,rxr� '� ��c <br /> PHONE n Q',O /, [ L�l� �j�//�J�ICJ T 7�.+'� <br /> Llx <br /> PROP09ED USE OF BUILDINO Building chanical AEdI11on HEAT 80URCE <br /> PERMIT � Gombineliull Plurtibinp WORK �Alleratlon D ElecWe <br /> I TVPE DrmolltlOn SIpr1 TYPE New ��l Ge� <br /> Sprinkler Repalr/Malnl. �Other <br /> CONTRACT PRICE OF WORK Z �� � CITY OF EVERETT LOCALlALES TAI(CODE IS�103 <br /> WORK DE6CRIPTION <br /> �l�l�t .�� �l �h�4:e cu��-, �f /��pi� C�S '� <br /> ?� �o � `S <br /> , <br /> PLUMBING MECHANICAL <br /> N0. iYPE OF FIXTURE OR ITEM N0. TYPE OF FU(TURE OR ITEM <br /> WATER CLOSET(TOI:ET) A/C—A/HANOLINO UNITS <br /> BATt1TU8 Z FORCED AIR SYSTEMS <br /> LAVATORV(VJASH BASIN) HEAT PUMP <br /> SNOWER UNIT HEATERS <br /> � K�TCHEN SINK 8 DISPOSAL CLOTHES ORYBR <br /> I DISMWASHER RANGE HOOD <br /> LPUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACEISTOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKINO FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS R4NOE <br /> � BACKFLOW PREVENTER Z GASPIPIN6 <br /> SINK(SERVICE/BAR/M11CP�ETC I EXHAUST FAN <br /> OTHER __ _ OTHER <br /> i HEREBY CERITIFY TMAT I HAVE REAO AND E'(AMINED THIS APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. AI.L <br /> PROVISIONS OF IAWS A4D ORIDINACES GJVf.RNINO THIS TVPE OF WORK WIIL BE COMPLIED WITH WMETHER SPECIFIE�MEREIN OR <br /> NOT •HE GRANTING OF A PERMIT�OES NOT>FESUME TO GIVE AUTHORIrV TO VIOIATE OR CANCEL THE PROVISION OF ANY OTHER <br /> $TATE nR LOCAL UW RE6ULATING CONSTRLCTION OR THE PERFQRMANCE Of CONSTRUCTION. TFIAT I AM AUTMORIZED BY TME <br /> OWNER OF TMIS PROPERTV TO PERFOFh!'i FE�.KORN FOR WHICH APPLICATION 18 MADE AND 1 COMPLY WITM THE 9TATE <br /> COM1TRA TORS L4W 1 .7 RCW AND 786 JC�B.LJAC / ^ /�/�� <br /> I Ld/ <br /> / � 1�- ^� `� <br /> S� tur o1 wnedCon ctod uth - A nl Date z-J 7 (b J � <br /> LOEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> -� .. LS98L525?hi �Ql �W021d 00�60 £002-8-J30 <br />