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� " _a� �r -- <br /> PERiMlT APPLICATION <br /> CIYI( OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810-FAX 42�r257-8857 <br /> • SREADDRESS PARCELTAXI.D.# PERMIT1t <br /> �3; , k0'-l. -U�7 <br /> c_ <br /> �,���.��,-,-.... ,�, <br /> LECaA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS LP PHONE <br /> G-L_ro Su/ Z�o�ucoPL,.f �3 .J�y . ,�YfZ <br /> �..� ,rc 37�� 2 <br /> li�/✓N�>TTC%N1 �-�c:✓._-l.Ji�i�7�/•l� '-7 > +:c.vv� PHONE <br /> TENANT NAME I CONTACT FOR PERMIT <br /> ADDRESS.� P CONTR.LICENSE R <br /> CONTRACTOPo '��r.g�cr �r� ��'t� 77�`P �� �J/N�J=-ri,tH.�.-S7L <br /> �.•w�c✓. -.� I�� `)f,l �,/ 7-.�-,-, -PoovcF <br /> PHONE 3G C, � L�•: , •!yp>� <br /> PROPo5EDU5EOFBUIL�INO Building D Mechanical Addition HEA75oURCE <br /> PERMIT � Combination U Plumbing WORK � AReration n Eleciric <br /> TYPE Demofition U 5�9� 1YPE New H Gas <br /> S'�"`"�`'� /a'- `-"'� Sprinkler RepairlMaint. UOther <br /> CONTRACT PRICE OF WORK 7�-'' S�) �j CIN OF EVERE7T LOCAL SALES TAX CODE i5 3105 <br /> -.n,` �7,.<c.T��_. c 7-�Z.iJ 4�2�l5���`i . <br /> WORK DESCRIPTION /N,- _.,..�L. ,_ ilr�•c t,�: �= - <br /> ' PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTUQE OR fTEM <br /> WATER CLOSET _ A/C–AMANDLING UNITS <br /> BATHTUB _ FORCED AIR SYSTEMS <br /> LAVATORY(VVASH BASIN) _ HEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> � KITCHEN SINK&DISPOSAL _ CLOINES DRYER <br /> DISHWASHER _ RANGE NOOD <br /> LAUNDRYTRAY _ WATER HEATER <br /> CLOTHES WASHER _ METAL FIREPLACEISTOVE <br /> URINAL _ FIREPLACE INSERT <br /> DRINK�NG FOUNTAIN _ GAS FIREPLACE <br /> FLOOR DRAIN _ GAS RANGE <br /> BACKFLOW PREVENTER _ GAS PIPING <br /> SINK(SERVICElBAR/MOPIETC.) _ EXHAUSTFAN <br /> � OTHER _ OTHER <br /> I � f <br /> p HEFEBYCERITIFY TNA?'I HAVE READ P.ND EXAMINEDTHIS APPLICATION AND KNOW THE:M7E TO BE TRUE AND CORRECT. ALL <br /> I PRJV'SIONSOFLF.VJSANOORIDINACESGOVERNINGTHISNPEOFNORKWiLLBECOA4PLIEDVNTHNMETHERSPECIFIEDH�REINOR <br /> ;� NOT. �HE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> crpTE OR LOCAL LA'NAEGI.'ATING CONSTRUCTION OR THE PERFORMANCE OFCONSTRUCTION. T4AT 1 AM AUTHORRED BY THE <br /> pP.NF20FTHISPROPERT �'OPERFORMTHEWORKfORWHICHAPPLICATIOYISMADEANDICOMPLYWITHTHESTATE <br /> � t:ONTF2nCTORSLAW�817ftc�NAND296.2QJWFC. � <br /> �� `--',/ '7/- �, –�%/ <br /> r Signaturaof�i merl,ontradorlHu�ponzeAA ent a� 1/� <br /> � � DEBIT& CREOIT CARDS ARE NOT ACCEPTED <br /> i _ — <br />