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---- — — P��I�IT APPLICATIC'�. �� $ � s��- I <br /> � CITY QF EVERETT PERMIT SERVIC�.S i <br /> � 3200 CEDAR STREET, EVERETT, WA 98201 � <br /> 425-257-8810 - FP.X 425-257-8857 I <br /> i� <br /> � <br /> SITE ADDRESS PARCEL TAX I.D.� PERMIT� <br /> (-'1 ����i I 1„��,1 ., �' �� F����,.t� Yc� oo� o/ 9�'c� �'�� _ <br /> � LEGA LOTNO. 6LOCK TRACI' <br /> I DESC. C, w�:-� I�: <br /> OWNER AO�RESS �'' ZIP PHONE <br /> �.'1—(Zt, T.,� 14VLi� n;E (__�����c�� I�: ���<<<� r• �ri l.�•�:a ._,I�. `l �c 'i�3 I <br /> �� TENANT NA�dE CONTACT NPME PHONE i <br /> I�aV(v r�� � �J�n �� )��.< < c"_. a�J? _`/,'J��c - J:J iG <br /> CCN7flACTOR (� �� �` �� i (7���_,`�`�-;`AODRESS ZIP CON i R. LICENSE A I <br /> I <br /> PHONE – <br /> .�.:� � -`i ,� f, - J Jiu :7'7�'1 •�,'�t�� rj.� /- (.._c ��_��-� r 6�-1d 4 �A7ie i r���' i" � � <br /> PROPOSED USE�OF BUILDING Building n MeChaniCal Additicn HEAT SOl1RCE <br /> iPERMIT � Combination H Plumhing WORK � Alteratior � Electric � <br /> TYPE Demoli�i0n LJ Sign TYPE New Gas I <br /> I Sprinkler FepaintAainL Other i <br /> CONTRACT PRICE OF WORK �� CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> ..�I C� t'i o, <br /> WORK OESCFIPT�ON ( I <br /> � d�<. .1� 't0." Y'I�w CB� Iii.� .a o W��_��Y' . I <br /> F-��c '_.�7�cnILC<.� �. <br /> I PLUMBING MECHANICAL <br /> I NO. TYPE OF FIXTUFE OF ITEM NO. TVPE O('FIXTURE OR ITEPd <br /> � = WATER CLOSET A/C–A/HANDLING UNITS i <br /> BATH�UB FORCED AIR SYSTE�1S <br /> �, _ LAVATORY(WASH BASIN; HEAT °Ub1P <br /> I SHOWER UNITHEATERS I <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATEF <br /> I _ CLOTHES WASHER METAL FIRcPLt�CE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOA DRAIN GAS RANGE <br /> ; BACKFLOW PREVENTER GAS PIPING <br /> SINK (SERVICE/BAR/MOPlETC.) EXHAUST FAN <br /> OTHER_ OTHER <br /> — - _ /;1�- 1J„nit� s frb l !� <br /> — I <br /> • � <br /> I HEREBV CERITIFY'HAT I HAVE READ AND EXAt.11NED THIS APPLICATICN AND KNOW THE SAME TO BE TRUE AN�CORRECT. PLL I <br /> FROVISIONS OF LAWS AND ORIDINACES GCVERNIN6 THIS iYPE OF`NGFK WILL BE COMPLIED'NITH WHEiHEP SPECIFIED HFAEIN OR <br /> PlOT. TH[GPANTING OF A PEFMIT DOES NOT PRESl1M1fE TO GIVE AUTHORITY TO VIOLATE OR CANCEL TriE PROVISION OF.�NY OTHER <br /> crqTE OR LCCA� LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTPUCTIGN. THAT I Ah1 AUTHURIZcD BY THE I <br /> !ER OF �HIS PFOPERN TO PERFORM THE'lJOFK FOF`.NHICH APPUCATION IS h1A0E AND I CO�dPLY WITH THE STP7E � <br /> TRACTORS LAW 1B27 RC6V AND 296.200 WAC. I <br /> �t r 2.�,. _ ii��<< ._ .�I � ��rus- � � <br /> Signature of Own dContractoriAuthorized Agen1 Dale � <br />