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� PE�IUIIT APPLICATION� <br /> � CITY OF EVERETT PERMIT SER�JICES �v � � ' `J�'' <br /> ���� 3200 CEDAR STREE i, EVERETT, WA 982�i1 � �� �(� _ ����� , <br /> 425-257-8810 - FAX 425-257-8857 <br /> � i� - ��.� �, ' <br /> � .,�i E ADDRESS PARCEL TAR I.D, � pEaMIT� �I <br /> ' l�oo l�C'v;r,�Y Siec2-�T zgD �fyG��cx��oz� C'��Dr� - �S1 I <br /> � LEGA� LOT^!0. BLOCK TRACT I <br /> DESC. <br /> OWNEA AODRE55 � • 'P PHOtJE j <br /> i��4p� 3��C1'lu�'tt�.Yi�Y.,��� i <br /> ���,� �i��:���, ���Arlrr��4��r� i �_(' �U�.(.w�1i�,, Wi4 �f. °� I <br /> � TENANT NAME � � CONTACT NA�1E � pH �� —/J 9.1�'� i, <br /> GG i <br /> �_`� 11;�_I�( T� �1 1 �`��i'�1''1 �'��`I�( ( (� :�'�_�� �f��S - .=t =;�f�`-� � <br /> CONTRACI'OR AODRE55 ZIP CONTfl. UCENSE d ' <br /> � � r �-�; ;��, ,, � ''�'� '�����-���i��_�v� % ��� �:�� ��=�=1 f���- r _ � �i <br /> ' 7—� '� <br /> � <br /> � PHONE J��'l �'I"���� °`������ l.J I /1 I._l� ��� I ����� ����'�' ��� 1 � � <br /> � <br /> � PFOPOSEO USE OF BUILOING Building Q MeChaniCal Addition HEAT SOURCE I <br /> I�I PERMIT R Combinalion I ) Plumbing WORK � Alteration � Elecvic � <br /> � TYPE D Demolilion d iign TfPE New Gas 'I <br /> U Sprinkler Reoainb7aint Giher �I <br /> � CONTRACT PRICE�JF WOFiK CITY OF E4ERETT LOCAL SALES TAX CODE IS 3105 I <br /> � WORK DESCAIPTION I <br /> 'i PLUMBING MECHANICAL � <br /> �, NO. I TYPE OF PIXTUFiE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> �, _ WATERCLOSET A,'C—A/HANDLINGUNITS <br /> � BATHTUB FORCED AIR S'f5TE�1S <br /> LAVArOR'( (V✓ASH BASIN) HEAT PU�dP <br /> SHOWER UNIT HEATERS �� <br /> _ KITCHE�1 SINK 3 DISPOSAL CLOTHES DRYER <br /> CISHWASHEfl RANGE HOOD i <br /> LAUNDRY TRAY WATER HEATER � <br /> CLOTHES WASHER _ METAL FIREPLP,CEJSTOVE I <br /> URINAL FIREPL4CE INSERT '� <br /> DRINKING FOUNTAIN GAS FIREPLACE � <br /> FLOOR DRAIN GAS RANGE <br /> _I BACKFLOW PREVE�TER GAS PIPING <br /> ___ � SINK (SERVICE�BAR/MOP/ETC.) E:(HAUST rAN I <br /> __ OTHER _ OTHER i <br /> —i — — — i <br /> —I — I <br /> I � I <br /> i HFFEBY CERITIF'f'HAT I HAVE FEAD AND EXAI.IINED THIS APPLICATION AN�KMOW THE SAME TO BE TRUE ANO COFREGT. ALL I <br /> PROVISIONS OF�,A':VS AND OFIDINACES GOVERNING THIS i rPE OF WGPK VJILL 6�COMPUE�'NITH WHETHER SPECIFIErJ HEREIN OR i <br /> .`JOT. THE GRANTING OF A PER�dIT DOES N07 PR[SUME TO GIVE AUTHORIN TO`/IOL4TE OF CANCEL THE PRGVISICN OF dNY OTHEF � <br /> S'dTE OR LCCAL LANI REGUL,4TIFiG CONSTRUCTION OR THE PERFORPAANCE OF CONSTFUCTION. THAT I AM AUTHORIZED BY THE • <br /> OIVNER OF THIS PqOPERTY TO PERPOFM1I THE'NCRK FOR WHICH APPUC:.TION IS P.tAOE AN�I COh7PC(WITH THE STATE <br /> �9HCTORS LAW '8.27 RGW ANO 296.200 WAC. <br /> I <br /> �ignawm oi C�vneuGon;ractonAu�honzed Agent Daie � <br /> �� I <br />