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---- --— ------— — <br /> i <br /> Pi[.�MIT APPLICATIC�J <br /> i �r CITY OF EVERETT PER�VIIT SERVICES <br /> 3200 CEDAR STREET, EVERETi', WA 98201 <br /> � 425-257-8810 — FAX 425-257-8857 /p <br /> ' 1,D02�/G� <br /> i <br /> i SIT ADDRE55 PARCEL TAX�.D.N PERh117 M <br /> i _ �-����}� Vz. 0�75`l 3h63 0o do� <br /> � LEG.� LOT NO. BLOCK TRACi I �p � <br /> � oesc l /U Sv�k , l .�� ��:cT��1 <br /> OIVNER ADDRESS ZIP PHONE <br /> {-f�(�cK L��,���: �c�s�. 39dd B��Av�. iJ�s� �1�2c�s'-12S-3n?-� 360 <br /> � <br /> TENANI�^'�,.J. � I CO� �aM��1'� �iz5E3q�-�360 <br /> CONTRACT AODR SS 21P CONTR.Li^ENSE M <br /> }-iRt�c � l3R<'�, C�UST. 3q2? E�+�Av�. -N� �vere��- �'��2oS {-IAAci� �"Lo�zDz. <br /> PHONE <br /> l�2S- 3�1�-�3G0 <br /> I PROPOSED USE OF BUILOING Bullding M14echanical Adtlnion NEAT SOURCE <br /> �� ,. 1 PERMIT � Combinalion Plumbing WORK R Allemtion I7 Electric <br /> � �C\�(�C�� t TYVE Demolition � Sign TYPE D New � Gas <br /> r Sprinkler �� RepairR.tamt Other <br /> CONTPACT PRICE OF\YORK � —��-}-��-- '/-, �j(^ — CITY OF EVERETT LOCAL SALES TAX CODE IS�705 <br /> � j� JS lJ <br /> WORK OESCRIPTION <br /> �u�Id �, �-�I -Cur C�1�� p c� t�" <br /> i <br /> PLUMBING MECHANICAL <br /> NO. I TYPE OF FlXTUHE OR fTEM NO. TYPE OF FlXTURE OR REM <br /> WATER CLOSET A!C-A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEA4S <br /> � LAVAT�.RY (WASH dASIN) HEAT PUMP <br /> , SHOWER UNIT HEATERS <br /> I _ KITCHEN SINK 8 DISPOSAL CLO7HE5 DRYER <br /> i _ DISHVJASHER _ RANGE HOOD <br /> LAUNDRYIRAY _ WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> UFINAL FIREPLACE INSERT <br /> i DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOOV PFEVENTER GAS PIPING <br /> = SiNK (SERVICEiBAR/MOP/ETC.) = EXHAUST FAN \ <br /> OTHER _ OTHER 1N <br /> V <br /> — — Y <br /> � HERE�'�CEAITIF/'HAT i HAVE READ AND EXAfdINED THIS APPUCATION AND NNO�Y THE SAME TO BE TRUE AND CORRECT. ALL <br /> PPC��ISIONS OFl,AWS APID ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE C01dPUED WITH WHEfHER SPECIFIED HERE�N OR <br /> ��OT. i HE GRF�JTItlG OF A PEPIAIT OOES NOT PRESUfdE TO GIVE AUTHOR1IY TO VIOLATE OFi CANCEL THE PROVISION OF ANY OTHER <br /> S i A7E OR LOCAL I.AV!REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I Atd AUTHORIZED BY THE <br /> YlNER OF i 11S PROPERT/T�PERFOFM THE VlORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> �N RACT 1VJ 1827 RC ND 296.a 'NAC. <br /> � �►- -�-03 <br /> Signa ol Owneu onlractor/ U�b ;ed Age it _ Dale (/ <br /> ,\ � <br /> �� /e2, <br /> � �- – — <br />