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DEC-21-20C�5 08:29 FROM:PERMIT 4257756315 T0:14252578857 P.1 <br /> r <br /> �RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE'rf,WA 98201 <br /> 425-257-8810—FAX 425-257-8657 <br /> SITE ADDRESS PARCE�L T�+x I.D.# PERMIT# <br /> p �ca� � fx�S'Fr�fYGb/o��) .�/2-90 <br /> lEG LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADURESS 21P PHONE _ <br /> ����1 �-��-C�l� 30� �S�.�r� Z� <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> �SLcG�- �C-r�2d� yzs 27s 8�s.� <br /> CON CTOR �J /� � �Q�� AODRESS ZIP CONTR.tI ENSE:f <br /> PH(.l)�J'�'I ZYI�l.I V _' •�!�1 ,�,,� C:(J/�ff/I�.J� 7I CZg <br /> 2010 ?BL ��x, Z� 7`h g'. k�" '���`��'/9 <br /> PROPOSED USE OF BUILDING (� Bullding �Mechanicai I �ddition I f EAT SOURCE <br /> PERMIT ���1 Combination f-STIumbing WORK Alteratlon �ElecNc <br /> TYPE j_� Demolilion V Sign IYPE New Gas <br /> LJ Sptinkler epalrlMalnt. Other <br /> CONiRA I PRICE F WORK �['� — CIN OF EVERETT LOCAL SALES TAIC CO E IS 3105 <br /> WORK DESICRIPTI N �� �� �� � ^�� `� <br /> (�e /J NU' <br /> I ��_�., <br /> i <br /> ' PLUMBING MECHANICAL <br /> NO. I1iYPE O FIXTURE OR ITEM NO. TVPE OF FIXTURE OR ITEM <br /> _ WATER GL SET(fOILEn _ WC—AlHANDLINv UNITS <br /> BATHTUB FORCED AiR SYSTEMS <br /> _ LAV{+TOR (WASH BASIN) _ HEAT PUPlP <br /> _ SHQWER __ UNIT HEATERS <br /> KITGHEN NK 8 DISPOSAL CLOTHES DRYER <br /> DISFiWAS ER RANGE HOOD <br /> LAU DRYtRAY Z WATERHE.4TER <br /> CLQ�THES WASHER METAL FIREPIACFJS70VE <br /> URINAL � FIREPIACE INSERT <br /> ORINKING FOUNTAIN � GAS FIREPLACE <br /> FLOOR DRAIN _ GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAWMOPlETC.) � _ EXHAUST FAN <br /> OTFIER OTHER <br /> I <br /> I HEREBY CIERITIFY iHAT I HAVE READ AND EXAAIINED THIS APPUCATION AND KNOW THE SAM1tE TO Tf�(�'c A RRECT. ALL <br /> PROVIStONS OF LAWS AND ORIDINACES GOVERNING THIS T'PE OP WORK WILL BE COMPL N�H� �EipfBR E IED HEREIN OR <br /> NOT. THE GMNTING OF A P[RMIT DOES NOT PRESUME TO GIVE AU7HORITV TO VIO E�CRNCE I THE PRO I OF ANV OTHER <br /> STATE OR IOCAL LAW REGUTATING CONSTRUCTION OR THE PERFORAIANCE OF CONS U ION. THF�T M�1P,�jU IZED BY THE <br /> OWNER OF THIS PftOPERTY TO PERFURM 7HE WORK fOR WHICH APPLICATION IS MAD D I pA�l'(NJrtE7TH Tc <br /> CONTR CTORS LA .27 ACW AND 7.96.20 O��' <br /> li�r�4 �� � a! 6 ��a�Uic <br /> �� e <br /> SI at re o Owner CanUaclorlA t rited Agenl Dale � C�(P n19 S�rV\� 5 <br /> DEBIT& CREDIT CARDS ARt NOT ACCEPTED <br />