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SEP-8-2095 08:49 FROM:PERI1IT 4257756315 T��:!9?52578857 P.3 <br /> ' - <br /> PERMIT At�PLICATION <br /> CITY OF EVERE7T PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 9C:201 <br /> 425-257-8810— FAX 425-257-8857 C� _�`� S <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT p <br /> t D� ZS C� S 23 C5a O/�b / )�-/�� <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADORE9S (j�LQ(j Z�P PHONE <br /> Clu�ck. Lav�do la7zs Ko�lc, �. �icf'f �� 7� �3a�., <br /> TENANiNqME CONTACTFORP RMIT � PHONE <br /> L'.l2u�lG (.rn-ido 1 i(rl�2d� yi.r 7 Zo �2�6� <br /> � CON C70R AODRESS ZIP � CONTR.UCENSE# <br /> W�s+� �n�� ��n��.�[Q��l.y� �] � ,� I <br /> PHONE �/ !/VK/ //����,k'ei _UJz�INIQY �f�I�.I97I(� <br /> ZO�D ZSZ 7'�l�j g.Y-�'C.C. T <br /> PROPOSED USE OF BUILDING Building bIp(�Mechanical ("� AAdltion HEAT SOURCE <br /> ( PERMIT R Combinatlon U Plumbing WORK [� Nlerallon I D_Electric <br /> (��.^�yJ TYPE g �emolition U Sign 1YPE g NeW e�-Gas <br /> . �J ` '` Spdnkler Repalr/Maint. U Olhef � <br /> CONTftACT PRICE OF WORK. "'7 ��� .— GITY OF EVERETT LOCAL 9ALES TAX CODE IS 7105 <br /> WORNDESCRIPTION ��J � �ar ��/ A ��� C� <br /> J `�i✓_ r� V <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR I7EM <br /> WATER CLOSET(TOILET) A/C-A/HANDLING UNITS <br /> BATHTUB FORC[D AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK&DISPOSAI CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUN�RY TRAY � WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACEISTOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIM GAS RANGE <br /> BACKFLOW PREVENTER GASPIPING <br /> SINK(SERVICc/BAR/MOPIETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFY THAT I MAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS NPE OF WORK WILL DE COAIPLIED WITH WHETHER SPECIFI[D HEREIN OR <br /> NOT. THE GRAMING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TU VIOLATE OR CANCEL THE PROVISION Of ANY OTHER <br /> STATE OR I.00AL LAW REGUL4TING CONSTRUCTION OR THE PERFORAIANCE OF CONS7RUC710N. THAT I AM AU7HORI2ED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORh1 THE WORH FOR WHICH APPLICATION IS MADE AND I C0IAPLY WITH THE STATE <br /> CONT CT�1A�.27 RCW AND 2?6.2��. /y��o�/ <br /> �� <br /> SI at ra o Owner/ContracbqA nzed Agent ato �2� ��s �s, <br /> DEBIT 8 CREDi i CARDS ARE NOT ACCEPTED I <br />