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— ---- - -- - - � <br /> P�RMIT APPLICATIUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-$810- FAX 425-257-8857 <br /> SITE ADDRESc PARCEL TAX I.D.# HEftti�ir a <br /> - G�c ,S p�� r�' I i'o3°9 -c�°-�--- <br /> _��— lOT NO. BLOCK I RACT <br /> �cSC.I _ <br /> ADDRESS ZIP PHONE <br /> OWN�R / , � c� � <br /> ' -;?��, 7-t _�� �}S�c�RTr'S lGDZ /G — ST c>rl��-�^��5� R 360�S6S 3/ <br /> TENANTNAAI �CONT CTFORPERA11��u`�� ' /ZS �3�'" ���77 <br /> �rl��- C��' J7"�'VE- '-�C�1TH � •�r �r <br /> CONTRACTOR -/ '� l `/�,, •r'�.10DR S 21P CONTR.LICENSE Ii <br /> PHONE �.1� �.N��9�/ ��C�-t�Wl��C�Y rI/C L� /lL'j7�'i2 �v� 2.9 r�Sz z3�s�v,��shr�S2 A <br /> .c{Zs"�33�s- 'z� '�7 _ <br /> PROPOSED USE OF BUILDING f7 Duiioing Mechanical Addi�on NEAT SOURCE <br /> PERMIT �_� Combination �Plumbing WORK Altoration /�}{S Elecvic <br /> TYPE �..� Derr�olition Sign 7YPE New � �.( Gas <br /> L� Spnnkler RepaiuM1taine LJ Oiher <br /> CONTRAC7 PRICE OF WORK /� , i�y�¢_ I CITY OF EVERET7 LOCAL SALES TAX CODE IS 7105 <br /> [� C� �� " � <br /> 4Yp DESCRIPiION ' � /�/,nC � ) f1 � )!-; �� � <br /> �E-t�� [�s�C �c�cCi���� ��•!2 1! 'c c� v r c- r <br /> nlE�t�� �c;Q-f lZ��-s��t5 l� CU/tc� <�p-E-iu.s <br /> PLUMBING MECHANICAL � <br /> NO. TYPE OF FIXiURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> —'� WATER CLOSET(TOILET) _ FJC-A/HANDLING UNITS <br /> BA'�HTUB _ FORCED AIR SYSTE�dS <br /> � LAVATORY(WASH BASI�J) _ HEAT PUMP <br /> SHOV'JCR _ UNIT HEi�TERS <br /> � KfTCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> DISHVJASHER _ �+NGE HOOD <br /> LAUN�RY TRAY _ WATER HEATER <br /> CLOTHES'JJASHER _ METAL FIREPLACE/STOVE <br /> .z URIPIAL _ FIREPLACE INSERT <br /> � DRINKING FOUNTAIN _ GAS FIREPIACE <br /> L��, FLOOR DRAW _ GAS R.4NGE <br /> BACKFLO`PJ PREVENTER _ GAS PIPING <br /> SINK(SERViCEJBAR/tdOP/ETC.) _ EXHAUST FAN <br /> OTHER _ OTHER <br /> —I — <br /> � <br /> _; — <br /> � ��"0�E3V CERITIFY TMAT I HAVE REnD hND EXFMINED THIS APPLICATION AND KNOW THE SAME TO 6E TRUE AND CORRECT. ALL <br /> � �.:��SiONS OF LAwS AND ORiD�r�qCES GOVERwNG 7Hi5 7vPE OF WORK W�LL BE COMPLIED w�7N WHGTHER SPEC�FIED HEREIN OR <br /> - THE GRANTiNG OF A PERtl.iT DOES NOT PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> 'E OR LOCFL Li:'.`!REGULATING CGNSTRUCTION OR THE PERFOR�dANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> �;�,r,_R OF THIS PR;PERT'TO PEr�FORM THE WORK FOR WHICH APPLICATION IS tdADE AND I CO�dPLY WITH THE STATE <br /> ,��nCT��RS J�'Jl,;�B2 �RCN Ft:D 296200 VlHC. <br /> � . � <br /> �I _�,[ l .r�iv�7il �•� 9/S-C� � <br /> -',n.Iturn wnnr!Contrar.tor�Authonzed Agent Date <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />