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� PF'RMIT APPLII�ATION <br />CITY OF EVERETT PERM�T SERVICES <br />' 3200 CF..DAR STREET, EVERET� , 1NA 98201 <br />425457-8810 - FAX �25-257-985? <br />� 5(fEP�^oc�a <br />�� <br />LEuF LDT N0. <br />I <br />� DESC.Q -- <br />� ,< < � �--- <br />_ _—T—_ K . <br />I 8L02 <br />� u e re.�i-- 4�vus w (� <br />TENAtfi NAME <br />� PARCEL TAX I.D. N <br />� �i sq a-oo �_ <br />TRACT <br />rY '� 10� C'o��iL� <br />� GONTACT FOq PERMIT <br />SAm.� 3 ���- L./gKCuuS <br />GONTRACTO•R..�. LL�^� /� AODR[S$ <br />�LUP�l1 �ivVS�U(� �"TUTaOQITy 3�0�' CU��� <br />PHONE <br />�-1a.5 - St�fr -��54a. <br />' aROPOSEO USE OF BUIL�IKG <br />9uilding <br />PEP.MiT � CO^Ibit+atl0�� <br />iYPE �r-1 Demoli�ion <br />i --�4� ---�--- `JSpnnkle'— <br />I �OI�f�RACT PRICE OF WORK n O O, O U <br />IWORK OESCRIPTION R�Jp �(` I RQ YY�oOts+� Pu �S Tl hG <br />NO. TYPE OF FIXTURE OR ITEM <br />I — vVA7F.RCLOSET ----- <br />i _ BAThTUB <br />� _ LAVA70RY (WASH BASIN� <br />SHOWER <br />^ KITCHEh' SINV<R DISPOSAL <br />�. C+SHI:�aS!�ER <br />i ! LAU�lGRY �RA'i <br />� CLCTHES N'ASHEF <br />� URINAL <br />� DHIM1KING FOJNTAIN <br />FLOOR DRAfN <br />9ACKFLOW PREVENTER <br />_ SINK (SERVICE/6ARiMOP�ETC.) <br />I OTHER __� <br />--I --- _----- <br />I � <br />�t8�.o� �f�,s-3o3-ii <br />PMONE <br />� � SI'.�� � �i J �% i� <br />A ZIP CONTR. <br />�T � �i�G71 , <br />�chanical i Adtlltion, HEAT <br />PP�mbing WORK �aratlon � <br />Sign 7YPE Ne•,v <br />RepelrrUaint. <br />�CITY OF EVERE'R LpCAL SALES TA% CO�E IS <br />i�: •CiSLKf �L <br />N0. I TYPE OF FUCTURE OR ITEM� <br />`� A/C – A�'HANDLING UNITS <br />_� FORCED AIR SYSTEMS <br />HEATPUMF <br />UNff HEATEFS � <br />� CL�THES DRYER <br />�_. FANGE HOOD <br />L_ WA7ER HEATER <br />METAL FIREPLACElSTOVE <br />FIREPLACE INSER7 <br />GAS FIREPlACE <br />GAS RANGE <br />� GAS P�P�NG <br />5 �XHAI.'S7 rAN <br />_--I O i HEF----_ <br />Eler,'rir <br />uas <br />OS <br />� hEFEB" CERITIFY TNAT I HAVe nE4D AND EIAMINED THIS APPLICATIO^� 4ND Y.NOIV THE S.4ME TO BE TP.uF qND CORFECT L <br />��GVSIONS OF L1'NS AND ORIU�`IACES GGVcaMNG'N�S TYaE OF WOP.K'�YILL BE COMPLIEO N11TH WHETHeR SPECIFlED HE IN OR I <br />•�OT. r1-iE GqP.NTIN:a G� A PERNIT COES NUT PF'cSU!dE TQ GIVE AUTHUaiTY TG VIOIATE OR CANCEL TME PROVISION QF Ah THER <br />STA � E OF �CCA: IAV/ REGULe71NCi CON3TqUC'i ION OP THE �ERFORMFNCE OF CONSTPUCTICh THAT I A�d 4UTHORIZED 5Y FE <br />C1VNEn OF THfS PROPtP1V TO PEn ORM 7H't N'CRK PGP WHICH APPUCA i ION �S MADE ANO � COMPLY WI i H TNE STATE li <br />i.qNT�ACTORS LA'd� t 9 27 RCW :.ND 1]o.OP :IAC. � 'i <br />DEpiT & CREDIT CRRDS AF.E NOT ACCEPTED <br />