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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425•257-8810— FAX 425-257-885 i <br /> S���l � <br /> : �EMDRESS CU3���EL� U2c#_CU /0�1'�2'COb NERMITY � <br /> �;� E�kQC,��EN V-�AY 45zo1 a��, �-�.,-��,-,,�/ -o�-�� �v1o3G - � <br /> _ecHu! OTNO. BLOCK rruc* <br /> o=_sc.� I I <br /> , OWhER AD�RESS ZIP PHONE <br /> � ��tti.' �VY�1'�1�4SSUC— �"�`I�E 7�� itV�(LcvQE2N 4vl�y� F� WJl 1��O�j <br /> � TENAN7 NAME COATACT FOR PERMR PHONE <br /> ' t�tc�,�:5s r,,E, ��,� I �Y�N �YN I� �f ZS 77'1—�`i I <br /> GONTRACiOR ADDHE55 ZIP CONTR.LICEHSEI <br /> CLYMpr�- ti�1C•�tifjN�i�C- iNC. 2�71g (��Tll i}U�. w. W�U���Tv1n[ cti^,.lutcw �,� 9t�0�13 <br /> PMONE <br /> C�-Yw1p�tS1"f001 <br /> �J'7�N ��9k <br /> '� PROP0.5ED USE OF BUILDING Bwlding �IdeC7ianipl JJJ Atltlilbn MEAT SOIIRCE <br /> � I PERMIT B Combinalion�H Plumbing wORK �Altoralion �Eactnc <br /> i TYPE Demoh6on LJ Sgn TYPE New Cas <br /> Spnnkler RaCak�Ma�nt. Otner <br /> ' COMRACT PRICE OF WORK 3 O 7jOO o:. CITY OF EVERETf LOCAL SALES TA%COOE IS]105 <br /> � WORN OESCRIPTION yN��/�.L Z (>hs �,�A1R�Y5 �L'�'�i Z SP�kT S`�51 e{'n ��� <br /> iUNiX-;ia��1C(t-5 ae-�O cC,v.P�fiTe A.�c.� SYsi M-�.WCL C�"S�S(ZG:rkS.. v6NT'Sivc.- <br /> OF F�RTt� f.�1.iS �SltJ�CS ���1D CtLyG.fCS . /��'� PSPLIvG- FROM �vIC'f£.Ct '1a <br /> Ti.�:V G'YS �lAl�uNccs !�tJD 1 w�sT&Q �iF/tCC(�, � <br /> I <br /> PLUMBING MECHANICAL � <br /> MO. I TYPE OF FIXTURE OR ITEM NO. I TYPE OF FU(TURE OR ITEM I <br /> — _ � <br /> WATER CLOSE7 PJC-NH.4NDLING UNITS I <br /> BA7H i UB FORCED AIR SYSTEMS � <br /> LIVATORY(YlASH 6ASIN) � HEAT. PUMP � ! <br /> SH0IYER UNIT HFATERS / ; <br /> KITCHEN SINK E DISPOS.�L � CLOTHES DRYER � .1� n. ( I <br /> � _ OISH'NASHE.; � RANGE HOOD �,( �-T � ) � <br /> LAUNDRY TW1Y WATER HEATER j <br /> � _� CIOTHES'NASNE� _ METAL FIRE?LACE/STOVE v�r,I� i <br /> —I URI4Al FIREPLACE INSERT <br /> DRINKING FOUPJTAiN GAS FIREFLACE ; <br /> _I FLOOR DRAIN _ GAS R.4NGE : <br /> BFCKFLOV!PREVENTER GAS PIPING � <br /> SINK(SERVICFJei+R/MOP/ETC.) �� E:{HAUST FAN � <br /> _ OTHER ,._ _ OTHER � <br /> i <br /> — , <br /> ._i — i <br /> i MERE3Y CERIT�FY 7MAT 1 MAVE REFO AND EYAMINED'HIS APPUCATIOtJ AND KNOW THE SAME TO 9E TRUE AND CORRr_CT. AlL � <br /> �ROVISICNS OF�1�W5 FIID Or71DIHACES GOVERNING THIS�lPE OF WORK WILL 0E COMPIIED WITH WHETHER SPECIFIEU HEREIN OR <br /> vOS i ME GR?t1TING OF A?ER!dl7 pCES�IOT PRESUME-U G�VE AU7HORITY TO VIOIAi E OR CANCEL THE PROVISION OF ANY O7HER <br /> 3'A7E OR LOG:L LA�7 REGUUTING CONSTRUC'ION OR THE PERfORMANCE OF CONS7RUCTION. THAT 1.4M AUTHORIZED BY THE <br /> 0'N.•�'cR O ' .IS PP.OPER7Y'O PERFORIA iHE'7JORK FOR YlHICH APPLICATION IS MAOE AND I CCMPLY WITH THE STA7'c <br /> �O`1Ta ' . i LAY!1827 P,C' AHO 238.20D YlAC. / '/ G / <br /> . �L� _ ���J �'�Jl� l� J �`/' U`/,J� �/�/ � ^ G��, <br /> U /__� � <br /> � . a� �o'ONn tracronAutnonzeaAgent Date �,���`o�/ - p�9 ��Q�2X <br /> � �Zp /D , A , �[ <br /> DEBIT 8 CRE�IT CARDS ARE NOT ACCEPTEDi•� �� i � �y-� a �C <br />