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�i�C-26-cL05 09:56 FROM:PERMIT 425775b315 T0:4252578857 F.? <br />SITE ADORE55 <br />� �oG l�t.� <br />LEG LOT NO. <br />OESC. <br />f <br />PERMIT APPLICs4TION <br />CITY 06" EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 — f .4X 425-257-8857 <br />�L PARCEL TAX I.D.1f <br />1S�/1'1 �T 'L�OSC��Cx�lC <br />BLOCK TRACT <br />Gv�! f� L�4 Mad c s� s'f �rr.�..�/� 9��3 <br />/a- ' `a `�- OJ <br />TENANT AME CONTACTFORPERMIT PHONE <br />���Yt�.Q� I ,C.-�i2d� y'2s 275 84�5� <br />CON CTOR � ADDRESS ZIP CONTR. LICENSE # <br />W��'�-1 ��'�+"�jL% �P�1C�J u�/5�sf�/�.l'9�ic�g <br />PHOr�I� �(J7i �/�i � �ttT� �Y'YC�C�� W'-�C�%! 1____... <br />PP.CPOSED USE OF BUILOING <br />��Z <br />CONTRACT PRICE OF WORK <br />Building Mechanical <br />PERMIT R Cambination Plllmbing <br />NPE gDomoliUon Slgn <br />Sprfnkler <br />2� � <br />TYPE <br />Addition <br />aleraroo <br />New <br />RepaldMalnt. <br />HEATSOURCE <br />(� ElecUic <br />�i%' G39 <br />L3 o�ner <br />CITY OF EVERETT LOCAL SALES TAX CO�E IS 31a5 <br />WOHK DESCRIPTION <br />�ff-J �Rt�2 �P�4 �2 /�Y��-� ^1C�j Ozx.� �� <br />N0. � TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TR4Y <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAWMOP�ETC.) <br />OTHER <br />NC I TYPE OF FIXTURE OR ITEM <br />A/C — AIHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT tiEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER NEATER <br />METAL FIREPLACE/STOVE <br />FIREPLAC[ INSERT <br />GAS P!REFLACE <br />GAS R4NGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED 7HIS APPIICATION AND KNOW THE SAM <br />PROVISIONS OF LAWS AKJ ORIDINACES GOVERNI^J:� THIS TYPE OF WORK WILL BE COMPLIED <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUh1E TO GIVE AUTHORIN TO VIOL4TE OfLI <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFOFMANCE OF CONSTRUCTI <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I <br />CONT CTORS IA 27 RCW AND 296.20 �`� /`��p— <br />�/�I � /d�_ rn.,n .� � i .� �— /. �/ W <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />dqI•1 AM AUT; <br />L4 WITH TIi�` <br />,io0,\ <br />��� `y�� <br />f. ALL <br />IEREIN OR <br />�NY OTHER <br />BY THE <br />