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PERIVIIT �PPLICATION <br />CITY OF EVERETT PERMIT ��RVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />SITE ADDRESS <br />81•3� �Ui'�' tC�l IJC� <br />LeGALI LOT NO. BLOCK <br />DESC.� <br />OWNER <br />�re�- �erhe%s�LI,C�jp�u�, <br />TENANTNAME <br />/1�ru I.�Ee F:+Ne+,a,Lle oaA <br />Worlcl 6ut�t �uc�e�-�- _ <br />PARCEL TAX I.D. # PERidi7 � <br />� <br />2�C�5n7CY���7Cc:D r3 c y o z- 0 25 � <br />TRACT I <br />FOR PERId1T <br />6ro���e L.,F��loarentix <br />CONTRACTOi2 ADOREiS <br />�..��1'nCot.i}ru.+lo�. Cnre, 1�%G��I�ISTHAVCHwt5.E.5u��t�OD-A <br />PHONE IYj�IILPpC��� W� <br />PROPOSED USE OF BUILDING <br />I�✓nr id S y w� <br />Buitding Mechanical <br />PEr�h71T Combinalion R Plum6ing <br />7YPE Demolilien p Sign <br />Sprinkler <br />CONTRACT PRICE OP WORK _� {;"��/ — <br />)/' <br />PHONE <br />I-ya�-a�u-a9R� <br />ZIP CONTR. LICENSE � <br />LCC COC <br />9soi2 .� � s�i K N <br />Addition HEATSOURCE <br />WORK Alteralion �Electric <br />TYPE Nev+ Gas <br />RepaidPdaint. Other <br />CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br />WORK DES'CIRIPTION1 ( <br />��I(a /'(ON�s'{f4�i'1.rHL�'N�h—I.OG�� OQAf/NQ fN{-er�u�l.��1�5 -Fc�bn�hfOD�H�s� <br />{a„„:M� rcoiNS, cli�l�lc�;re nhd s�ur��SeJ <br />NO. I TYPE OF FIXTURE OR ITEM <br />_ WATER C OSET (TOILGT) <br />BATHTUE <br />�AVkTOP.Y i:VASH BASIN) <br />SHOWGR <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHESINASHER <br />URINAL <br />CRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PRFVENTER <br />SINK (SERVICEiBAR/tdOP/ETC.) <br />OTHER <br />r� <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — A/HANCLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUh"P <br />UNI i HEATERS <br />CLOTHES DRYER <br />P.ANGE HOOD <br />VJATER HEATER <br />META! FIPEPLACE!STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND E.KA611NED THIS APPLICATION ANG KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK':VILL BE COA1PUED 149TH WHETFIER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PER��II�ES-t�OT PRESUP.tE TO GIVE AUTHORITY TO VIOLATE OR CANCEL TNE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REG�:1,� , tiCTION OR T4E PERFORA1ANCc OF CONSTRUCTION. THAT I A�d FUTHORIZED BY 7HE <br />OWNcR OF THIS PROB ` � M11 THE WORK FOR \VHICH APPLICAT:ON IS MAOE AND I f,OMPLY WITH THE STATE <br />CONTRACTGRS . .� ND 29"a200 WAC. � <br />r��:<r �aniatit, ��c D(!A loe�l�/dy M-Fve�r�f{- <br />DEBIT & CREDIT CAR17S ARE NOT ACCEPTED <br />�'Z <br />