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- PEi�tMIT APPLICATIOiV <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />SITE ADDRESS (, L <br />0 /�' C � <br />LEGAL LOT NO. <br />DESC. <br />OWNER <br />i_= �aey-i �O-'.�-��� <br />TENANT NAME <br />�. �j � 2c� `f <br />Jc��� <br />CONTRACTOR � f�,� <br />�,�•C 55AIn <br />PHONE <br />PROPOSED USE OF BUILDING <br />Dw1'�- <br />CONTRACT PRICE OF WORK <br />WORK CESCRIPTION <br />����� <br />PARCEL TAX I.D. R r, <br />�5 ��� p�, o O/� Ooc <br />_T ' Cl�1�- � � JY.rti-� �.3 / <br />a S 2�( c <br />�-1/� 1/ ��-'l�.%�� <br />a�TS� < SSp�' <br />7 <br />A�� Sj�� 2� Y9 <br />�r�-�( �U� 9 a <br />�c ..�-��ay <br />,� -LI �'_ - � � =l <br />pERMIT x <br />� J �D� - 60L <br />`� <br />!23,Oj ,.,, <br />e %.Ll 3y7 <br />S-9�D <br />PHONE <br />y�.l" 3 y3 S 936 <br />CONTR. LICENSE # <br />J �'SSO�10 <br />` �Building echanical Addition HEATSOURCE <br />j� Electric <br />PERMIT D Combination �lumbing WORK R Alteration �G�s <br />TypE Gemolition Sign TYPE B RepaidMainc Other <br />B Sprirkler <br />��� �� — CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />�, ; ,���i <br />NO. I NPE OF FIXTURE OR ITEA7 <br />WATER CLOSET <br />BATHTUB <br />r LAVATORY (WASH BASIN) <br />� SHOWER <br />�, KITCHEN SINK 8 DISPOShL <br />� DISHWASHER <br />IAUNDRY TRAY <br />6 CLOTHES W�SHER <br />UAINAL <br />� DRINKING FOUNTAIN <br />FLOOR DFiAIN <br />gACKFLOW PREVENLER <br />SINK (SERVIC6'BAR/titOP/ETC.) <br />OTHER�-- <br />�� <br />� T ,� <br />.. <br />/� �- ��.x <br />NO. � TYPE OF FIXTURE OR ITEM <br />A/C - A/HANDLING UNITS <br />� FORCED AIR SYSTEMS <br />H[AT PUMP <br />UNIT HEATERS <br />� CLOTHES DRYER <br />� RANGEHOOD <br />� WATER HEATER <br />METAI. FIREPLACEISTOVE <br />FIREPIACE INSERT <br />� GAS FIREPLACE <br />GAS RANGE <br />�GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HGRIEBY CERITIFV THAT I HAVE RF?.D AND EXAM�NED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PF70VISIONS OF LA�VS ANO ORIDINACES GOVERNING THIS NPE OF WORK'NILL BE GOAIPLIED WITH 6YHE7HEF; SPECIFIED HEREIN OR <br />$T�ATE OR LOCALII.AW jt � UTATING C�ONS RUCTION OR TOHE PERFORho NCE OF CO STRUOCT ONNCTHAT I Ah1�O TMORIZED BY O E EP <br />pWNER OF THIS PFOP6A�0 PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COh1PLY WITH THE STATE <br />mr.c[aaCT095 LAW 1�r7 R W AND 2G6.200 WAC. <br />