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Pg iMIT APPLICATIC�.. J <br />�T CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />d25•257-8810 - FAX 425-257-8857 <br />SITE ADDqESS <br />� � �� � <br />=�'�' �� � .� �;'.K�.�t, -aC. <br />l0T !10. <br />O�SC <br />PAiiCEL TAX I.O. M I PERMIT � <br />,.�t�� li `��� ` �_ %�."%,- ri:� �;"�i�; C oa.r�7 <br />TRACT <br />�rV J / ~l/ <br />'' ��LG ��'_/J�Jc_ l='l i.Qj.� 1 i5 � ��f%'1T/ s:.d. iv.� ,!; � S:'- �c�'ii <br />TENANTNAA!E I COHTACTNAMC PHONE <br />CONTHACTOR <br />Ll.';_ �}U �- <br />PMO�JE .�j�� <br /><-�1-� <br />_ /� _ . �T <br />��L <br />PqOPOSED USE OF BUILDING I <br />_.-� �'.i� _ L� .�.ci i',= _ '' I <br />, � ��— �i ,'� �� ( <br />� c <br />COHTiL1CT PpICE OF 1YORK � � � <br />SVORK DESCRIPiION <br />� � �:'f F�/r :� � . <br />Y0. I TYPE OF FlXiURE OR RE1d <br />� waTERClOSc7 ! <br />Z 9ATH i UB � � <br />3 i LAYATORY (WASH BASIN) �/ � <br />� Si�OYIELi <br />L KiTCr.EN SR�K d DiSPOSAL <br />/ OISITYlASHER <br />LAUNDRYTP.AY <br />/ CLOTHES WASHE9 <br />_ URINAI <br />_ DRINNING FOUNTAIN <br />_ fLOGR DRAR1 <br />BACKFLOVI PREVfiN7Er7 <br />_ SINK!SERViC68AFU610P�ETC.) <br />_ OTHER <br />ADDRESS <br />i-='!�. :. i�� , i�c� < / f`'��? :'..rC <br />r -• <br />LP CONTR. UCENSE � <br />�a.tv� <br />�'S!.-,U�UGTO i�'�� <br />��tr�y. Bwiding MechnniCai AdO�Iwn NEAT SOURCE <br />PER60T �) Ccmbmat�on R Piumbing WORK�AIIeml�on n El�ctrK <br />TYPE ❑ L�omOhlWn p Sign TYPE �ew � �"ne <br />}{..� <br />D Spnnkler ��J •� Ropcu,l.ln�rn lJ Othor <br />� �+ �� �� C� �� CITY OF EVERETT LOCAL SALES TA% COOE IS 3105 <br />Tr'Ji �)��' �S-Z'L'f/� � <br />NO. I TYPE OF fl%TURE OR REM <br />A/C — A/HANDLING UNITS <br />� FORCED AIR SYSTEMS <br />HEAT PU�YtP <br />UNIT HEATERS <br />� CLOTHES DRYER <br />�RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACElSTOVE <br />FIREPIACE iNSERT <br />� GAS FIREPLACE <br />� GASRANGE <br />GAS PIPING <br />_I EXHAUST FAN I f I� <br />OTHER <br />� MERE9Y CERiTIFY 7HAT I MAVE READ AND E%AI.IINED THIS APP�ICATION AND Kt10W THE SAfdE TO BE TqUE AtJO CORRECT. ALL <br />°QOV1510�IS CF Lq'NS Af:D OPI�INACES GOVERNING THIS 7YPE OF YlORK'NILL BE COIdPUED WITH WH[THEfl SPECIFIED HEREIN OR <br />'.OT TH�GRANTING OF A PERId1T �OES'i0i PRESUME TO GIVE AUTHORITV TO VIOLATE OR C�PlCEL THE PROVISION OF ANY OTHER <br />:; tai� /SR LOCAL LAY/ iEGUWTING CCNSTRUCTIOM OR TF1E PERFORIAANCE OP CONSTRUCTION. THAT I A1d AUTHORIZED BY THE <br />'_. NNER OF TNIS PPOPEPi/ TO PERFOPM TME WORK R WHICH APPLICATION IS fdADE AND I COMPLY WITN THE STATE <br />CGhTPAC70fiSl.�Ylt llAND295200WAC � <br />., -; �� �/ <br />G � � �� � ' <br />;���natyie�bl u ontractouAuthonzad Ag�n a1e l/ <br />