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h1RP.-21-2e06 07:04 FP.O^1:PERMIT 425775u315 T=:14252578857 <br />PtRMIi APP'LICATION <br />CIYY OF EVERETT FERMIT SERVICES <br />3200 C[DAR STREET, EVERETT, WA 9820� <br />425-257-8810 — FAX 425-257-8857 <br />SITE ADD�iESS <br />%7v � i <br />LE�AL LOT NO. <br />DESC. <br />OWilEF2 <br />%`�zc �S �u ��t <br />TENANThAME <br />PARCEL TAX I.D. # PERIAT iF <br />v� l.'b�f 3 �Pz-3cd�o� �.,� Y . _ <br />BLOCK TRACT <br />ADDRESS ZIP PMONE <br />3� � f lac� ��� �ue�?{�f2r�' / zsZ <br />CONT CT FOR PERMIT �HONE <br />,(�ri2d� yz-r 27�- S �t5'� <br />co� KrJ,o� �'i'�/�l.l �'P-M� nnoRess <br />PHOZ-P� Z'B L 7 �Q,i ?� ��9' '�`P, <br />PROPOSEU U9E OF 8111LOING <br />S� <br />CONTRACT PRICE OF WORK <br />Building <br />PERMIT � Combination <br />rYPE Demolilion <br />5pnnkler <br />Sign <br />P.1 <br />ZIP CONTR. LICENSE N <br />Gcrfi`sfl/�f97/ c3g <br />j AEditlon <br />��h'ORK �lerallon <br />ITYPE New <br />RepaldM¢ <br />I1EAT SOURCE <br />Electric <br />Gas <br />olhcr <br />CITY OF EVERETT LOCAL SALES TAX COOt IS 77ob <br />WORK OESCRIPTION <br />C�-`� L��.,� �.e�� �/��ac.��� <br />N0. I TYPE OF FIXTURE OR ITEM <br />WF,TER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISIiWASHER <br />LAUNDRYTRAY <br />CLOTNES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOVJPREVENTER <br />SINK (SERVICE/BAR�MOPIETCJ <br />OTHER <br />NO. I NPE 4F FIXTURE OR ITEM <br />A/C—A�HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUh".P <br />UNIT H'eATERS <br />CLOTHES DR`!ER <br />RANGE HOOD <br />WATER NEATER <br />h1ETAL FIREPLACE/STOVE <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS R4NGE <br />GAS PIPWG <br />EXHAUSTFAN <br />OTHER <br />I HEREBV CERITIFY THAT I HFVE READ AND EXAh11NED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRcCT. FL� <br />PROVISIONS OF lAWS AND ORIOINACES GOVERNING 7HIS 7YPE OF WORK WIIL BE CO�APUED W I7H VJHETHER SPECIFIE� HEf3E�N OR <br />NOT. THE 6RAN7ING OF A PERtdIT DOES NOT PRESUME TO GIVE AUTHORIN TO VIOUITE OR CANCEL iHE PROVISION OF P,NY OTHER <br />S7AlE OR LOCAL LAVJ RtGULATING CUNSTRUGTION OR THE PERFORtAANCE OF CONSTFUCTION. THAT I AId AUTHORIZED BY THE <br />OVJNER OF THIS PROPERTV TO PERFORP.1 THE WORK FOR l^1HICH APPIICATION IS MADc,•WO I COMPLV WITH THE STFTE <br />CON�/AfR�LA, 271 nnilC�1/�/� �l�l�Q� <br />dzed Agenl ua[e � <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED _� <br />