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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETI , WA 98201 , <br />425.257-8810 — FAX 425.257-8857 I II <br />SITE ADDRESS L co q.S T <br />- Il ►- - _ <br />LEGA LOT NO. BLOCK -- <br />DESC. <br />O[W� NER <br />GIj420- usIL?6� r <br />TENANT NAME <br />I^wil <br />CONTRACT <br />- CLf-c Cica�I�G <br />PHONE <br />PROPOSED USE OF BUILDING <br />PERMIT <br />TYPE <br />5 T P,_----- <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />NO. I TYPE OF FIATURE OR ITEM <br />9 <br />WATER CLOSET (TOILET) <br />_ BATHTUB <br />LAVATORY (WASH 0/,SIN) <br />SHOWER <br />_ KITCHEN SINK & DISPOSAL <br />_ DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />_ URINAL <br />_ DRINKING FOUNTAIN <br />FLOOR DRAIN <br />_ BACKFLOW PREVENTER <br />_ SINK (SERVICE/BAFUMOPiEiC.) <br />OTHER___ <br />V <br />PARCEL TAX I.D. • <br />0i <br />TRACT <br />CONTACT 1NAME <br />L_L'� �( <br />ADDRESS <br />3 c!- vb y <br />lnA'bCT <br />Building r1le-hanical <br />CombinationDemolitionIgn <br />Sprinkler (e of hands) <br />PERMIT I <br />�t15-303-t►al <br />PHONE <br />- ,a, 3 <br />ZeP CONTR. UCENSE • <br />Acd,ticn <br />IK ;nratio^ <br />'c New <br />Repairll•.1ant. <br />HEAT SOURCE <br />E!eCnc <br />as <br />Other <br />CITY OF EVERETT LOCAL SALES TAX gUUIZ IJ :nua <br />NO. I TYPE OF FIXTURE OR REM <br />A!C - A/HANDLING UNI I s <br />FORCED AIR SYSTEMS <br />_ HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />—L_ RANGE HOOD <br />_1 WATER HEATER <br />_ METAL FIREPLACEISTOVE <br />_ FIREPLACE. INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER___. _.— <br />I HEREBY GERITIFY THAT I HAVE READ AND EXAMINE^. THIS APPLICATION AND KNOW THE SAME TO BE TRUE A,NO CORRECT. ALL <br />PRO'JISIONS OF IAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />GIVE THAT iHOAUTHORITYIOTER <br />OI. THE 'NGOFAPRDOES NOT CSTRUCTON. I AM AUORIZED SY E <br />STATE CR LOCALREGULATING OR THE PERFORANGE OF C <br />OWNER OF THIS P90PERIY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />�..�� I A.Ai , 0 17 acW AND 290.20b WAC. <br />