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. PE :MIT APPLICATIO� ' '�� <br /> CITY OF EVERETT PERMIT SERVICES I <br /> 3200 CEDAR STREET, EVEREI7, WA 98201 I <br /> � 425-257-8810— FAX 425-257-8857 i <br /> � <br /> SITE ADDRESS PARCEL TAX I.D.# rERMIT� I <br /> i2.p5 Ci����rn� w►a pZ_ ��,� I <br /> LEGAL LOTNO. BLOCK TRACT � <br /> DESC. I <br /> ON'NER ADDRESS ZIP PHONE I �. <br /> TEPIANT NAME CONTACT FOR PERMIT PHONE I <br /> Sc�;n.C6�T �,�,� e,�e� 2.fl�:,-I� �I3oo ; <br /> CO!JTRACTOR DRESS ZIP LONTR.LICENSE� �, <br /> Sr����ur� SrK��/ `�,� rnr���ox� i.�mV S (� � <br /> PHONE SCI�� �l/ /V I�I �IGIY i <br /> �� �ID '`�3�0 � S�1N�FSSZ��r'� i <br /> PROPOSEO USE OF BUILDING Building Mechanical Atldilion HEAT SOURCE <br /> PERMIT � Combinalion � Plumbing WORK � Alteralion �IecVic � <br /> IYPE Demolition Sign TYPE New Gas � <br /> Sprinkler RepaidMain� ._ Other <br /> COIJTRACT PRICE OP WORK 4/.0�� ,1� I CITY OF EVERETT LOCAL SALES TAX CODE la 3105 I <br /> G�.J <br /> WCRK DESCRIPTION j <br /> � Ko�� CJP c�c�•icm. 3�c,� Ho�� w�;�� SvPPr�ss► a�l <br /> � SYSi�r� `�0 7Rk-�'iP��� �lu�S. <br /> IPLUMBING MECHANICAL <br /> � NO. TYPE OF FIXTURE OR ITEM NO., I TYPE OF FIXTURE OR ITEM <br /> I _ WATER CLOSET(TOILET) A/C—A/HANDLING UNITS^ ! <br /> BATHTUB FORCED AIR Sl'STEMS / J <br /> � _ LAVATORY(WASH BASIN) HEAT PUMP � // ' � <br /> I = SHOWER _ UNITHEATERS `/ � ,�J <br /> � _ KITCHEN SINK 8 DISPOSAL , _ CLOTHES DRYER /\\l <br /> DISHWASHER � ` RANGE HOOD � <br /> LAUNDRY TRAY 1vATER HEATER <br /> i CLOTHES WASHER - , METAL FIREPLhCE/STOVc ' <br /> UP.INAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN a`:: : GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> _ BACKFLOW Pr�EVENTER GAS PIPING � <br /> SINK(SERVICE/BARlMOP/ETCJ EXHAUST FAN I <br /> _ OTHER . � OTHER E{fl�il`Yl���l Sut�i'�SSwr� <br /> -- I <br /> ..-- ' , - � , I <br /> I HERE9Y CcRITIFI'TfiAT I HAVc READ AND EXAA9INED 7HIS A?PLICATION:.WD KN01N TH'c S�L9E TO oc TRU_:,N]CORRECT. 0.!L �.. <br /> �RJVISiONS OF LAWS AND ORIDINACeS GC\cRNING THIS il'PE 0=WORK WILL BE COMPLIeD IA�ITH lNH_i HcR SP_CIrIED h'c�=1N OR <br /> , !JC��. THE GnAN71NG OP A Pc?L11T DC=j NOT PRcSUh1E TO GIVc i+UTHORITI'TO VIOLAT�OR CnNC=!THE?ROVISIOPI 0�AI�Y OT�cR � <br /> ST�,TE OR LOCAL LAW R�GULA-ING CONSTRUCTION OR TH�PERFORASAN:'c 0�CONSTRUCTI04. TfiAT I nl,q AU-HOP.IZEp 3Y 7,yE <br /> '�IJ'cR OF THIS PrZO?ErZTY 70 PcIC'rORIJi,TH=��'ORK rOR WHICH l.r'PLIC�TION IS 1,5ADc:;ND I C01�1?LY N'ITN;�'c STf,Te <br /> J dTRhCTO L'11'13.'7:�C1V AND 29"0�0011'AC. � , <br /> ��c�--- 21��l►� � ' <br /> Si�iature o(Own�dC�ntracton4ut7onced Agert Ca:e � � � <br /> ' DEBIT 8� CREDIT CARDS AF.E NOT,aCCEPT��J ''Z <br />