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t - -- - ---- — — <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STAEET, EVERETT, WA 98201 <br /> 425•e57-8810 - FAX 47.5-257-8857 <br /> SI7E ADDRESS PARCEL TAX I.D.i PERMIT M <br /> .:��a� c�c s A� .ti«� v o i�oo v l��o� ) <br /> l EiGAL LOT NO. BLOCK TRACi , <br /> UCi SC i <br /> - 01VNER��� F/�iV�XAUS[L � ADDRESS - PHONE <br /> : JS/ �Y/'t� NC Sr'Ii%� /u/ <br /> �,cs si wA P3S�'' 3 9 7 ~e�3�7 <br /> TiNANT NAME �3 ` ��� I JONTACT NAME PHONE <br /> /rrc Fdt/L�j T C.�/MG .wrisJ I,�flila✓C� yJs 3.�-7-y�X <br /> CONTRACTOR • ' ADDRESS ICONTR.UCENSEM <br /> T� 1'��'�•C c�i ('uM� � �9 p/ f/vY T� /?d� <br /> PHONE <br /> � PqOPOSED USE OF BUILDINC pp 8widmg ldechanitnl AdcLuai HEAT SOURCE <br /> M!'U1C/JL Gu,��if- PERMIT [} Combination R Plumbinp WORK � Nturoibn � Eixtric <br /> TYPE C? Demoldioa � Sign TYPE Now Gns <br /> U $pnnklor Po{wtrlMamt. Othor <br /> CONTRACT PRiCE OF WORK '3O V�C� ' r' � CITY OP L•'VERETT IOCAL SALES TAX CODE IS JI05 <br /> WORK DESCRIPTION <br /> ,�'�'��.��"L 7v A� �X/S7� /+,^�U/C/JC. CL.'n.�Il_ �'c�� il,fL' /}S !�/CD/C�G. <br /> �f0/C+4L Gu�t%(G. � �ti+fovt[ c�rr P�`l,QTn.� +�/'iI.L � ,vt:w [a�YL(�-(� <br /> PIUMBINO MECH�NI_CAL <br /> �i0. TYPE OF fl%TUFiE OR REM N0. TYPE OF FIXTURE OR REM <br /> __ Y�ATER CLOSET NC-NFIANDLING UNITS <br /> _ BATHTUB FORCED/11R SYSTEMS <br /> _ � LAVATORY(WASH BASIN) H[AT PU�dP <br /> SHOWER UNIT tiEATERS <br /> . . KITCHEN StNK 3 DISPOSAL CIOTHES DRYER <br /> OIShiWASHER RANGE HOOD <br /> LAUNDRY TfiAY WATER HEAT[R <br /> CLOiNES Y�ASHER _ METAL FIFEPLl�CE/STOVE <br /> URiNAL FIREPLACE INSERT <br /> DRINKING FOUN7AIN _ GAS FIREPLACE <br /> FLOOti DRAIH GAu RANGE <br /> BACKFLOY!PREVENTER GAS PIPING <br /> /,'. SItJK(SEF�VICE/BARlIdOPlEiC.) EXHAUST FAN <br /> OTNER_ _ OTHER <br /> � �"�7E9V CERITIFY TNAi I HAVE READ AND EY.AIAI'�EG THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANf)COR(1FCT. ALL <br /> �'��OV�S�OP150F UVlS/WD ORIDINACES GO'/EHNIN6 TMIS TYPE OF WORK WILL�E COIAPUED WIThI WHETHER SPECIFIED HEREIN OR <br /> ., �� THE GRA!7TING OF A PERIdR DOES NOT PRISUTAE 70 GNF:AUTHOt11TY TO VIOLATG Ofl CANCEL TIIE PROVISION OP ANY OTHER <br /> �1 nTE OR LOCAL LAY!iiEGULATING CONSTRUCTION OR THE P[RFOR1dAtICH OF CONSTRUCTION. THAT I AM AUTHOP¢ED OY TH[ <br /> �iY1NER OP 1NIS PROPERTY TO PERFORId THF.V/ORK FOR WHICH APPUCATION IS�dADE AIJD I COIdPLV WITH THE STATE <br /> J <br /> �:ONfiUC70R5 LAY/18.27 RCW AND 2fi5200 WAC. � �v y��.�S <br /> �n,�. �� � <br /> :,••�nnturo o rl Ontraclor! uthonzfxl pant 0 �`L <br /> ,�--OrT'v �= �' -- <�iG. � l l <br />