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P''=RMiT A�PPLICATI^N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAft STREET, EVERETT, �tiA 98201 <br />425-257-8810 - FAiC 4��-257-8857 <br />SITE ADDRESS <br />�ooa � <br />LEGAL LOT N0. BLOCK <br />CcSC. <br />OWNER <br />TENANTNAME <br />C��v,fll <br />CGNTRACTOR <br />��o1r, -Ye�n C-ler�� c. <br />PHON£ <br />Pf20PO5ED USE OF 9UILDING <br />l���i��1Q� <br />CONTRACT PRICE OF <br />�VORK DESCRIPTION <br />PARCEL TAX I.D. # <br />TRACT <br />CONTACT FOR PERMIT <br />�,�R��-r, a�e . 5 <br />Fecle�l ttil�( �A. <br />Buiiding r' Llechanical <br />PERtdIT R Combinati_n � p!umbing <br />TYPE � �emoliticn Eign <br />Sprinkler <br />PcRld1T # r? <br />�� � � j �J <br />PHONE <br />a�� jj4 CONTR. LICENSE w <br />C'U> <br />���7NTE�G���-� <br />Addition HEATSCURCE <br />WORK � Alteraticn j � E!ectnc <br />TYPE New n Ga, <br />I Repairitdaine D ome� <br />CIN OF EVERETT LGCAL SALES TAX COOE IS 3105 <br />\r'P��c;�\i �� 3'x�0' �to��n Co.b'�nek w�l�whtl� \eN-e.�r�. \r�l-o��1 one, ?,'xrdo' <br />c�.\v.m . (� anel 5 � t�r • <br />� <br />NO. ' TYPE OF FI%TURE OR ITEI�1 <br />VJATER CLOSET (TOILF.T) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCNEN SINK & DISPOSAL <br />DISHINASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />UFIPJAL <br />DRINKING FOUNTAIN <br />F�OCR GRAIN <br />BACKFLOW PRE\'ENTER <br />SINK �SER�'ICE/L�AR'L1CR�ETC.) <br />OTHER <br />N0. � NPE OF FIXTURE OR ITEh1 <br />A/C - A�HANDLING UNITS <br />FORCED AIR SYSTFAIS <br />HEATPUMP <br />UNIT HEATERS <br />CLQTHES DRYER <br />RANGEHOOD <br />SNATcR I�E.4TER <br />METAL FIREPLACEiSTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS f'v1�GE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />i�ERE9Y C'cRITIFV THAT I HAVc REAC AND E�AtINED THIS :.PPLICA � ION:.PID KN01'J THE SAPAE TO BE TRUc AND CORRECT. ALL <br />�^OVISIONS OF I.AN'S 'rND ORIDIKACcS GOVcRNIhG THIS 7YPE OF \1'OFK lVill BE COM?�iED INITH INHETHER SPECIFIED NEREIN OR <br />�.C7. TFE GRFNTING OF A PERtd1T DCES NOT PRE5UA7E i O GIVE:.UTI-:ORIN TO VIOWTE OR CANCEL THE PROVISION OF ANY OTHER <br />S'.;TE OR LOCAL L:l'J REGUL4TING CONSTRUCTION OR THE PERFORAIANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />,: •4NeR OP 7HIS PROPERTY TO PcRFORM1I THE INORK FOR ViNICH APPUCATION IS MAOE AND I COMPLY 1ViTH THE STATc <br />''.':,'J7RACTORS (1+1N ttl.27 R 1^✓AND 2962Q WFC. <br />1' � _ <br />�� ro•c5 <br />:'yna ire of 0 nContractonAutnonzed Agent Date �/ � <br />U <br />DEBIT 8 CREDIT CARDS ARE NOT /+CCEPTED <br />