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- ' PE��MIT i4PPLiCATIO,a <br /> C�TY OF EVERETT PER!L11T SERVICES <br /> 3200 CEDAR STREET, EVi i'�- 'T, WA 98201 <br /> 425-257-8810 — FAX 4:'.�i 2:7-R857 <br /> SITE ADDRESS PARCEL TAX I.D.M PERtVtiT,t <br /> a t�Q �.fFM�12 17 �� DO `-1336-ocb-o63-OI CG aD �-o�Z <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADURESS � u�Cl IrFD Z�P PHONE <br /> E���ur,fief/,ruJ�v �a�,�' ya�2 ����¢ a2 9gz�r vzr-3�-36s <br /> TENAIJT NAME CONTACT NAME PHONE <br /> CJwm�v jl,a.H�s yz�= 3ti�7 -363�F <br /> (:C4TF�ACTOR ADDRESS ZIP CONTR. LICENSE M <br /> C'MK2 J cw5c'zi C�n1ST. i �JG n, 0, d�.1� /L'� �$Z�,� OMM;,JGT f/71�t( 9 <br /> Pi"JNi; p �•�(,(K/f"�j LU� <br /> �..�Z �.. .�.���'DO ln <br /> PflOr' _�USE OF BUILDING ,P�Jt BUild�ag r1 MechaniCal Addition � HEAT SOUFCE <br /> 3�I� PERMIT I ) Combinalion bE Plumbing WORK � Allera�ion �Electric <br /> y�� F���y 7ypE H Demolition LJ Si�n 7YPE New Gas <br /> lJ Sprinkler RepairRdainl. Olher <br /> � CON.TRACT PBICE OF WORK G�OFY� 7� �(�.�T CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> CN <br /> WORK DE3CFIPTION ro x � � ' ��''r _ � ' <br /> Rew�a��. r"7nsi.nq t3h��tovwl /c/ib ?M7iB�J.0 <br /> '�Ln x I(o � `�y�— <br /> /��SN,�6� E�-,tT•y lo.rrc,r�� iNiti j,.�o a�D,tovnti �,�-�J ;. <br /> PLUMBING MECHANICAL <br /> Np, TYPE OF FIXTURE OR REM NO. TYPE OF FI%TURE OR ITEM <br /> ! ! K N/ATEF CLOSET A�C—A/HANDLING UNITS <br /> f j�_ BATHTUB _ FORCED AIR SYSTEMS <br /> Z�c_ LAVATORY (WASH BASINj HEAT PUMP <br /> � '±S SHOWER � UNITHE.4TERS <br /> KITCHEN SINI<8 CISPOSAL CLOTHES DRYER <br /> DISHWASHER RANuE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTNES WASHER METALFiREPLACE.'STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN � GAS FIREPLACE <br /> FLOOR DRAIN GAS R,9NGE <br /> � BACKFLOW PflEVENTER GA& PIPING <br /> SINK(SERVICJBAR/MOP/ETC.) � [XHAUST FAN <br /> OTHER OTHER <br /> j � <br /> � I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS AFPLICATION ANO KNOW THE SAh1E TO BE TFUE�\ND CORRECT. ALL i <br /> P(iOVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WOflK WILL BE COAIPLIED WITH V�'HETHER SPECIFIED HEREIN OR <br /> � NOT. THE GRANTING O�A PERMIT DOES NOT Pi7E5UME TO GIVE AUTHORITY TO VIOLAiE CR CANCEL THE Pr70VISION OF ANY OTHER <br /> STATE OR LOCAI LAW REGU NG COWSTRUCTION OR THE PERFORASAAIC=OF CONSTRUCTION. TH?T I 4M AUTHORIZED BY THE <br /> UWNER OF T PgOP�RN l' ERFORM THE WORR FOR WHICN APPLICATION IS�dACE AND I COMPLY VJITH THE STATE <br /> CONTRACT W1827 AND296200 WAC. / <br /> �'^�— Jv/y //� e�v.);1 <br /> Signalure o wner/ContractodAuthonzed Agent Date `/� <br />