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`;�.. � <br />�'� <br />�` <br /> � Ji+N-G-c�06 11:41 FRO^I:PERMIT 4257�56315 iG:'_42�c578857 P. 1 <br /> � <br /> �_�'� t�ERMIT APPLIC/�TION � <br />'�'�; CITY OF EVERETT PERMIT SERVICES <br />� '��? 3200 CEDAR STREET, EVERETi', WA 98201 <br /> 425-257-8810- FAX 425-257-8857 r ��z � 6 i <br /> SITE AD�RESS PARCEL TAX I.D.# PERMIT ti I <br />; -w; G' _z0 �oll �r Oo37��cbZGn.S-Oo I �M � °% - 1 �- � <br /> n,���; LEG LOiNO. BLOGK TRACT I <br />�`�2 DESC. <br />�� 0 NER AD�RESS ZIP PHONE <br />.��.�. �et9h� E^3ruc.c.�yma� �JSzo �all� %✓ 9� �y" �zr3y��9 <br /> F TENANT NAtdE CONTACT POR PERMIT PHONc ` . <br />� ' �S'�i m-e.� � ,(..�i2d� y'is 2�5 8�l s�' '`'" <br /> �� <br /> ,, <br /> r ' F '� CONTRACTOR ADDRESS ZIP LONTR.LICENSE# ' <br />�' WAJ'�-f �l't��t,j �-MCQ�J�y� !A�� _ y �} G'�!}s�II�J'g�/c�g <br />.:.�. .:.,.:� PHO���O ��i y7LU C/✓w/ //�n�h� ��' W G��c! �7 q <br /> r�,. v'�- <br />� �!-: PROPOSED USE OF BUILDING I � Building �Mechanlcal nAddlGon HEAT 50URCE <br /> PERMIT COmbIna110n PlUmbing (WORK �j PlleraGon �Electr.c <br />� .;M � {� IYPE Demolition Sign 1YPE C1 New Gas <br />�.�'"�' � "� Sprinkler U RepaidMainL O:ner <br />����' CONTRACT PRICE OF WORK // S/ 5" �— CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 I� <br /> '��.. WORKDESGRIPTION �� 111 „ � � �� 1.�L . �� f �r{��C�, / � � ,4 <br /> �.l � IC � Y��LJ � �� ���� � ,y �I <br /> x v ti <br /> �r� i3-,-��. �.f z� 5J � � r Co,�(��t� -� �.�r�.�s1�£�- , � F <br />`=���==`� PLUMBING MECHANICAL I <br /> iti.`>'� <br />�`•;`��;*.� NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> ;�� ' � WATER CLOSET(fO1LET) AIC—A/HANDLING UNITS <br /> I BATHTUB FORCED AIR SYSTEMS <br />�� .�� _ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER UNIT HEATERS <br />`"� � �' KITCHEN SINK 8 DISPOSAI CLOTHES DRYER <br />'�tis _ DISHWASHER RANGE HOOD <br />���'=��fr; LAUNDRYTRAY � WATERHEA?ER <br /> �'�''-:;-��� — ME7AL FIREPLACE/STOVE <br /> �._���.� _ CL07HESWASHER — FIREPlACEINSERT <br /> '`"r' URINAL <br />�`�'� _ ORINKING FOUNTAIN _ GAS FIREPLACE <br /> ... FLOOR DRAIN _ GAS RANGE I <br /> `�z�`� BACKFLOW PREVEIJTER GAS PIPING <br />: �'t= SINK(SERVICEIBAR/MOPIETC,) _ EXHAUST FAN � <br />�'' ^�"� — OTHER <br />' ° OTHER — <br />°a.�:� <br />'±..��4 — — _ <br /> ti��.' � <br /> `� I HEREBY CERITIFY THAT I HAVE R[AD AN�E%AMINED THIS APPLICATION AND KNOW THE;A61E TO BE TRUE A,lD CORRECT. ALl <br /> �--S;i,_�.; PROVISIC�NS OF LALVS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILI BE COMPUE^WITN'NHETHEC2 SPECIFIcD H'cREIN OR <br /> NOT. THE G7ANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE?ROVIS�ON OF ANY OTHcR <br />'�� il STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE PERPORA1ANCE OF CONSTRUCTIOY. TW+,T i AM AUThORIZEO 9Y THE � <br /> ` �,I OWNER OF TtIIS PROPERTY TO PERFORfA THE WORK FOR WHICH APPLICATION IS MAD'e AND 1 COMPLY N'ITH THE STATe ��=e�- <br /> CON CTORS LA 27 RCW AN�29620D / � � , <br /> "`;`� �l/1l�4�/�OVYl S�G«� ' ( �P-� iCp� v' ,;: <br /> siQ�a�re o OwnerlCoNractor/A nzed Apent Date �� ��1. �1 I <br />°+i�- <br />,^-,,,' ; DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> �� � `1 ^U <br />��;� ,�b� <br />����� w� <br /> ��� F.0 �.y�r� ' 'fil p,y�.'+ a ' �1` � F � b%� p�� � <br /> L' .E .�i.: .. . s f{ <br /> -yL ,�„' .lY 1 Y pµIS.RYLr. � .. <br /> _ ' x"� ��'sV�iu�—� —'� _ ,e — ,a�yf�.,' ��� � �w�� _ <br />