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AUG-22-20�5 10:34 FROhI: <br />T0:14252578857 P.1 <br />PERMIT APPLI �ATIO <br />CITY OF EVERETT PERMIT SERVI ES <br />3200 CEDAR STREET, EVERETT.'✓VA 98201 <br />425-257-8810 — FAX 425-257-BB57 I <br />SITE ADDRESS � PARCEL TAX I.D. # <br />(�a 1 �awt b4,� }�e I bosy y7o !< <br />LEGA LOTNO. BLOCK TRACi <br />,)ih�. Cr�� <br />TENANT NAME <br />�- • <br />c..��-�� fja-.e_. <br />. I CONTACTFORPERM <br />I ,t��d� <br />oou����1 �'�(.j �IG21 <br />PHo?-N-Evlv 2-Bzr �,/��-- 7�x� 7; <br />PROPOSED USE OF BUILDING <br />S�fL- <br />PERMIT <br />TYPE <br />GONTRACT PRICE OF WORK `��'� � — <br />nooaess <br />C <br />� <br />yi,r 7 <br />�9- k�e''¢�C `J� <br />� <br />Building Mechanlcal <br />Combinalion Plumbinp <br />Demalitlon ' Slgn - <br />Sprinklcr <br />CIN OF <br />PERMIT p <br />^yl U�7& <br />��- 3 v�3s� <br />PHONE. <br />�� <br />IP CONTR. LICENSE N <br />�- <br />� <br />AOtlIUan I MEAT SOURCE <br />Alleratlon E�ednc <br />New Gas <br />F.epalntdalnt. 01ner <br />AL SALES TA7( CO�E IS 3105 <br />WORK DESCRIPTION ` /� � l <br />�0�'I �/ .GL � / � l <br />...,(v�f�l � r�, �-rreP�tiee c�4.I;i; p�P �`� <br />PLUMBING <br />N0. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISI�WASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKiNG FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICFJBAR/MOP/ETC.) <br />OTHER <br />NO. � TYPE OF FIXTU�{E OR ITEM <br />A/C—A/HANO GUNITS <br />FORCED AIR STEMS <br />HEAT PUMP ' <br />UNIT HEATER � <br />CLOTHES DR �R <br />RANGE HOOD I �! <br />INATER HEAT� <br />METAL F�REP �CElSTOV <br />FIREPLACE IN RT <br />GAS FIREPL4d <br />GAS RANGE II� <br />GAS PIPING j. <br />EXHAUST FANIiI <br />I HEREBY CERITIFY THAT I HAVE READ ANO EXAMINE� THIS APPLICA710N AND KNOW THE SAME T��BE TRUE AND CORRECT. ALL <br />PROVISIOhS OF L4WS HND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMP�IED WIP � WHETHER SPECIFIED HEREIN OR <br />NOT. Ti1E GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CAI� EL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OP CONSTRUCT�ON.� �iHAT I AM11 AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY 7J PERPORM THE WORK FOR WHICH AFPUCATION IS MADE AND I COMPLY WITH THE STATE <br />COIJT CTORS LA 27 RCW AND 295.20°� <br />�lilt�'4 vn c� c/ U ��2Z10S� I II <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTE <br />