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' �+ 1; <br />r <br />PERMIT APPLICA"i�ON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREGT, GVERETT, Wq gg201 <br />425-257-8810 — F/�( 425-257-gg57 <br />SITF qDoDR,E/S�S <br />J.C... 1 <br />LEGAL LOT NO. <br />DESC. <br />OWNER <br />��oa►� �tZ.ePE <br />TENANT NlU�1L <br />S��N'T <br />CONTRACTOR <br />�iEA-rK Notz-r►�v��es-r <br />PI10NE <br />BLOCK <br />la 23 - 3 tDo <br />Paoeoseo use or- oui�oiNc <br />O�\ �7 <br />CONTRqCT PRICE Of WORK <br />.rurcn utSCRIPTION <br />PARCEL TAX I.D. # <br />TRACT <br />ICONTACTNAME <br />7�.\ R �1TF nr <br />7'L� Sowr�.9tr-cM <br />S�e,ar, <br />Building Mechanical <br />PERMIT B Combinafion Plu�ilbing <br />n"PE U Demolilion i�n <br />�, Sprinklur <br />P110NE <br />co� �23 _ 3lao <br />LP CONTR UCENS[A <br />�l'T"rc,�, w,4. �t8 � og <br />�f4TH N.i. �lc�.� �'E <br />— Addition I HGTSOURCE <br />WQRK Alteralion j� [Icclric <br />nPE New � Gas <br />Repair/Maint. OUier <br />CITY OF EVERETT LOCAL SqLES TAX CODE IS 7105 <br />_Z';!s—r,A,�s._.,�.—Cto�► cp �Q� 1NTERNqwY <br />W�,ti. S1b� N S —I'�I A-7' P—� r'k-O '` S P 2..� N i�� <br />N'�• I TYPE OF FIKTURE GR ITEM <br />IBATHTUB <br />LAVATORY (WASH BASIN) <br />SliOWER <br />KITCHEN SINK & DISPOSAL <br />DISIiWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRqIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/A10P/ETC.) <br />OTHER <br />�� <br />� LL.0 /�� N �4TE0 <br />NO. I TypE OF FUCfURE OR REM <br />I A/C–A/HANDI,ING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT tiFATERS � <br />CLOTIIES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />G�S PIPING <br />EXH�UST AN <br />OTHER� o i1 C <br />��` z_— <br />HERE�Y CERITIFY THAT I IiqVE R[AOlWU EXAAqIN[D Tfi1S APpLICATION AND KNOIY THE SAME TO OE TRUEl�ND CORRECT. ALL <br />'ROVISIONS OF LAyyS AND Of�iUINqC[5 GOVERNING THIS TYPE OF WORK N'ILL DE COMPLIEp WITH WHE7HER SPECIFIED HEREIN OR <br />JOT. TH[ GFil�NTING OFl� p[RAtIT DO[S NOT PRfSUAtE TO GI�E AUTHORITY TC VIOIAT[ OR C�NCEL TfiE PROVISION OFl�NY OTH[li <br />ITAT[ OR LOCAL LAVJ REGUUTING CONSTRUCTIUN OR TI IE P[RFORh1qNCE OF CONSTRUCTION. THAT I Aht qUTHORIZED 6Y THE <br />i>V✓NC-R OF TH�S PROP[RTl' TO PGRFORM THE WORK FOR WHICH MpUCAT:ON IS h1ApE AND I COAIP�Y WITH TlIG STl�TG <br />NTFjV�CT; RS L.AW 7p.27/{�CtYl�ND 29G.200 WqC. <br />� / <br />