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12:31 FROM:PERI9IT <br />42577563:5 TC:14252578857 �.1 <br />P�RMIT APPLICATLON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, UJA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />�2. I z 3 +-lo y �r -e, <br />LEGAL LOTNO. BLOCK <br />DESC <br />RACT <br />PARCEL TAX I.D. # <br />1.�t9�� f L Sr-�elmah 21 z3 �laz,f-�`ke tv <br />TENANT AME CO/NTA'CT ORPERMIT <br />�i� CL r (..Q, ,�F /(2f� �lUtuer�i7r � /�/1 C�4_ y'LS <br />CONTRACTOR � <br />w F}sN � juzr�� •�'7CoJ <br />PHO��, �Ly�� � 7 <br />PROPOSED USE OF BUILDING I <br />PERMIT <br />NPE <br />CONTRACT PRICE OF WORK 1 <br />t ' <br />ADDRESS <br />� ��c �� <br />L <br />�Building �ii Mechanical <br />Combinallon <br />Demolition <br />Sprinkter <br />Sign <br />PEftld1T C <br />�:� <br />�Cf1' `J�2 0 / � <br />vNONE <br />���- ��� f <br />��; <br />�/S - s <br />�'O/3 <br />ZIP CONTR. LICENSE # <br />C.�17'`iJ'fJ'��.19�i cg <br />iy � <br />rL�f� Addi6on HEATSOURCE <br />JVORK �) AlleraGon n Eleclnc <br />iYFE �� Nnw ��f Gas <br />I � FieDairi�.lalnt. LJ Olher <br />CITV OF EVERETT� LOCAL SALLG TAX CODE IS NOS <br />WOftKDESCRIPTION . <br />122Pf�c rv�� Z C`�q-.s (.v�.-�r <br />� <br />� Pp.�,� a v� � L�.v� r <br />NO. I TVPE OF FI%TURE OR ITEN <br />WA7ER CLOSET (TOILET) <br />BATHTLJB <br />LAVATOFY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNORYTRAY <br />C�OTHES N�ASHER <br />URINAL <br />DRINKING FOUNTAIN <br />fLOOR DRAIN <br />BACKfLOW PREVENTER <br />SINK (SERVICE/BAR/MOPlETC.) <br />OTHER <br />Y(��� ��/ <br />CJ �t r � , <br />MECHANICAL <br />NO. � T'PE OF F�XTURE OR ITEM <br />A/C — WHANCIING JNITS <br />FORCED AIR SYSTEMS <br />HEAT PUP.4P <br />UNIT HEATERS <br />CLOTHES ORYER <br />RANGEHGOD <br />WATER NEATER <br />METAL f-IREFLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />G.45 RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />1 HEREBY CERITIFY THAT I HAVE REaO AND C-,`(Ah11NED 7HIS FPPLICATION rVdO KNOW TNE SAfdE TO fiE TRUE AND CORRECT. ALL <br />P30V�SIONS OF t,1WS AND ORIO�NACES GOVERNING Ti'IS TYPE OF �VORK ��9LL BE COMPLIED l4'ITH WHETHcR SPECIFIED HEREIP! OP, <br />NOT. THE GHnNTiNG Oh A PERMIT DOES NOT PRESL�dE TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISIOtJ OF ANY OTHER <br />STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE PFRPORRIANCF OF f.ONSTRUC710N THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPUCATION iS MADE .�.ND I COfdPLY WITH THE STi.TE <br />CON�T�R3 CTORS LA 27 RCN AND 29610°�`� .� <br />%/7�i1, t'✓� .aiv, ua . ( / l�7_ %6 (o <br />„�..,. .,y...,. __._ _ 'J <br />DEBIT & CR[DIT CARDS ARE NOT ACCEPYED _ _ <br />