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�• '� <br />T0:14252578857 P.1 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, E\'ERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />SITE ADDRESS <br />2 -7 �i'�( �l<< <br />LEG LOT NO. <br />DESC. <br />OWNE <br />=�t�l°frac4 /���%rh <br />TENANTNAME <br />BLOCK <br />3 t'1 <br />PARCEL TAX I.D. N <br />TRACT <br />��4� 4�cc�2�{' ' <br />CONIACTFORPERMIT <br />,(.1nd� yzr <br />�w��� ��� (�n ^^ `n' ADDRESS <br />�A Y/(JW <br />P►+�E_ . ., �._ , i __ z� 7hu►'+'�dr.l,xe <br />PROPO�ED U!E OF BUILDING <br />�1� <br />Bultdinp <br />PERMR Combinatbn <br />7YPE Demolition <br />Sprinkler <br />CONiRACTPRICEOFWORK '?V�� � <br />WORK DESLRIPTION <br />''ERMIT N <br />PMONE <br />7 20 3� <br />LP CONT0. UCiNfiN <br />�/�7�+%�f�/E�7/ C� <br />p{ Mechanical AdGlbn XEATSOURCE <br />µL1�h Plumbing WORK AlNrallon [� EN�aic <br />U Sipn 1YPE New !Q Gas <br />RepatrlMaint. U OMer <br />CITY OF EVERETT LOCAL SALES T�U( CODE IS 7105 <br />Gyw.t �.a � tiJ �.14% � �� �a � <br />� <br />N0. I TYPE OF FUfTURE OR I?EM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEIBAR/MOP/ETC.) <br />OTHER_ <br />NO._ � TYPE OF FI%TURE OR ITEM <br />AIC — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />�JATER HEATER <br />METAL FIREPlACEISTOVE <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER^ <br />I HEREBY CERITIFY THP.T I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TT1E SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF U1W5 AND ORID�NACES GOVERNING TMIS TPE OF WORK WILL BE COMPIIED WITIi WMETMER SPECIFIED MEREIN OR <br />S�ATE OR LOCAL ILAW REGULATING CONS RUCTIEON OR THE PERFOTRMANCE OF CO S RUCTION.CTMAT i AM AUTMORIZED BY 7�j�E ER <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH TME STATE <br />CONTR(�CTOFiS lA .27 FiCW AND 296.20�. � <br />�/A./�_ n,�..w�i�/ ��OQ� <br />DEBIT � CREDIT CARDS ARE NOT ACCEPTED <br />