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C � <br /> � PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-8857 <br /> pAFtCEL TAX I.D.A I PERMR M <br /> sire�ooRess XC�3�G-oa� <br /> zono t9e:,�,+-fi n,,� <br /> LEGA LOT NO. BLOCK TMCT <br /> DESC. ap p�1pNE <br /> OWNER ADDRE9S If jy.. ZS J'3'`��`� <br /> C�� ��. E��r�t�— 3u�o C�,.,r �wr�i�f, w�F 8'z�i <br /> TENANTNAME <br /> CONTACT FOR PERMIT P�E <br /> 5 ,�� 1-• � !�?reo,,,, 11/�c�rn�'I- Z53-796-�8A6 � <br /> J� <br /> CONTRACTOR ADORESS ZIP CONTR.I.ICENSE• i <br /> l7,2/ �.n�X f�✓r� N 6'�..-.�'�.6dAt 7F�Ci32 <br /> lfarme,.,�e,r� CL Le� tfE'��nl)C t, 4�9�S:,'J <br /> ZCLCE.i7S—`)7�J <br /> pROPOSED USE OF BUILDIN6 � Building Mechankel �4�^ ���E�� <br /> cL + PERMR Combinafwn PIUrtIWIp WORK R Alteratbn � <br /> s,'rl�r��.�f OJ U �c� TYPE Demolilion �Slgn TM� B Re�palrlMdnt. �� <br /> l /14� Sprinkler <br /> /" <br /> CONTRACT PRICE OF WORK /L.� !'n�'J� — CITY OF EVERETT LOCAL SA�EB TA7t CODE IS�106 <br /> WORKDESCR1P710Nr�iS�I� �kt.��v��•�•�t 4.��I cr7�vf �h Si tvnfTP,� / � �� " C. <br /> a -� � 4'F-y9 . Ac� �7 e�-y7 ..,� a <br /> «��. ��r,.L ur �'• � , a,,,,,.,,A�, <br /> ����� ,na,h ��.� r�.�.� .tis �.,a.�.� 6Ht ,�� ,- � <br /> PLUMBING MECHANICAI. <br /> NO. TYPE OF Fl%TURE OR ITEM NO. TYPE OF F17ITURE OIl REM <br /> � WATER CLOSET � NC-A/HANDLING UNITS <br /> BATHTUB _ FORCED AIR SYSTEMS <br /> � LAVATORY(WASH BASIN) ,_ HEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> — RANGEHOOD <br /> DISHWASHER — yyATER HEATER <br /> LAUNDRY TRAY — METAL FIREPLACEISTOVE <br /> CLOTHES WASHER — FIREPLACEINSERT <br /> URINAL — �,qS FIREPLACE <br /> DRINKING FOUNTAIN — C,qS�WGE <br /> FLOOR DRAIN = GAS PIPING <br /> BACKFLOW PREVENTER � �ryp�UST FAN <br /> SINK(SERVICE/BARIMOPIETC.) OTHER <br /> OTHER — <br /> I HEREBY CERITIFY THAT I HAVE READ AND E%AMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL I <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO WITH WHETHER SPECIFIED HEREIN OR <br /> S�ATE OR�ALILAW REGULATINGDCONS RUCTION OR THE PERFORMAN E OF CIONSTR CTION.CTW�T AM.UTHORIZED BY THE ER <br /> CONTR4CTORS LAW 78.27 RCW AND 296 200 WACORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITI I THE STATE <br /> '� -�G <br /> �.�� iC�-a.= 3 <br /> 'Signatureo edContraclor/ utMnzedAgent ate �/L <br /> � <br /> DEBIT 3 CREDIT CARDS ARE NOT ACCEPTED <br />