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P`�RMIT APPLICATIC,N <br />�lTY �F �VEkETT F�ERMET SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />/ �� 1 <br />LEGAL LOT N0. BLOCK <br />CESC. <br />OWNER <br />Strrck/ �/ �P���� <br />TENANT NAME , I � ( ���� <br />��� ���y�� �/ /" <br />J(/'1�Z[z�CFi�7� �! r,R. l�sS <br />CQdidTR4CTOR� / <br />//iC10II0 N�r( <br />TRAf:T <br />PARCEL TAX I.D. # <br />;� <br />CONTACTFGRPERMIT <br />ADDRESS ZIP <br />q8'a� H�rb��w ar�ce,5w�.�1ob <br />�1�.,E,/� � 9� <br />� /� <br />PHONE <br />� c3�iq �5C�7 <br />CONTR. LIGEN <br />%9 .'L./J/D <br />PRONOSED USE OF BUILDING I BUilding MechaniCal I Addilion HEAT SOURCE <br />PERMIT B Combination � Plumbing WORK �Alteration D Electnc <br />IYPE D D�molition Sign 7YPE New D Gas <br />I U Sprinkler Repair/Maint. U Olher <br />CONTRACT PRICE OF WORK �.� ao CITY OF EVERETT LOCAL fiALES TAX CO�E IS 3105 <br />WORK DESCRIPTION <br />_/2-�p1�� ex ��s����� j„ W�, fQ 2c-�p�ss ` s���( �,� cJ �i�i"���2 r�nl (J � QE�c-,ss �, <br />1nG�+'� illUM(rN�pJ�Y�' ��1IU(�tuCLi /c1-Ex/'6- <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLGSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLUTHES N�ASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BARlMOP/ETC.) <br />OTHER <br />•V <br />� <br />i / <br />NO. . I TYPE OF FIXTURE OR ITEM <br />FVC — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAi PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />i METAL FIREPLACE/STOVE <br />�% FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />_ OTHER <br />I HEREBY CERITIFY THAT I HAVE kEAD AND EXAMINED THIS APPLICATION AND KNOvV THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPIIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGUfATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRIJCTION. THAT I AM AUTHORIZED 8Y THE <br />OWNER OF THIS PROPERTY TO PERFORAI THE WORK FOR WHICH A�PLICATIUN IS MADE AND I COMPLY WITH'i HE STATE <br />CONTRAC� � 18.27 C/ M 296.200 WAC. <br />/Z�09� �/ <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />