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� <br />SITEP�^occc � <br />�� �>> ► <br />LEGA LOT NO. <br />DESC. <br />OWNER <br />s uera-T't" }�e�us,N <br />TENAHT NAME <br />PERMIT APPLICATION <br />CITY Of EVERETT PERMIT SERVICES <br />32U0 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />PARCEL TAX I.D. M <br />�//y f- S� Li s ar�� (� <br />BLOCK TRACT <br />� AODRE85 <br />�,.,���rY 3�0� ��.,z <br />CONTACT FOR PERMIT <br />� �4.. L.��tG�l <br />J <br />RFaoi y�,S,-3o3-� � �� <br />�lis'-S�ir-D5 Ny' <br />I C�£y k�1"f'►�}�vS�u(e �uT{OO�?yD3EI0� Co1%j.' /4� 9�10) �orm�.ucen <br />� PMONE i <br />�-1�.5' 50�-�54�. <br />PROPOSED USE OF SUILDING <br />BudCing <br />PERMR B Com�inatlon <br />TYPE Demolition <br />Spnnkler <br />CONTRACT PRICE OF WORK O 0 U <br />WORK OESCRICTION R t-�U � P / RQ WwAa� Px � i T� A G <br />NO. I TYPE OF fll(TURE OR REM <br />I WATER CLOSc? <br />i _ BATHTUB <br />i _ LAVATORY (WASFI BASIN) <br />_ SNOWER <br />KITCHEN SIYK & DISPOSAL <br />� DiSHWASHEA <br />� LAUNDRYTRAY <br />� CLOT^+ES \VASHEft <br />I — <br />, ^ URINAL <br />' _ CRINK'NG FOUIJTAIN <br />_ FLOOR DRAIN <br />B4CKFLOVJPP�YENTER <br />; �I SiNK (SERVICEBAR`pAOP/ETC.) <br />I OTHEF__ <br />�echanicai AdtlCion! ( HEAT <br />Plumbing WORK eratlon <br />Sign TYPE N�w � <br />RepeiNNaint. <br />CITY OF EVERETT LOCAL SALES 7AX CODE IS <br />i�G •�Nf � <br />NO. TYPE OF FlXTURE OII ITEM, <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTE6IS <br />HEAT PUMP <br />UNIT HEATERS <br />,_J_, CLOTHES DRYER <br />� RANGE HOOD <br />,1,__ WATER MEATEA ' <br />METAL FIREPLACE/STOV& <br />FlfiEPIACE INSEfiT <br />GAS FIREPLACE <br />GAS RANGE <br />� GAS PIPINO <br />S EXHAUST FAN <br />__I OTHER <br />Electric <br />1 <br />Olher i <br />10.5 � <br />! HEFEBY CE4ii7FV THAT 1 N4VE READ A\D'cXAMINED THIS APPUCATION AND KI:OW THE SAME TO BE TRUE AND CORRECT. <br />Fr70V;SICiJS CF iAWS 4ND UFiDINACeS GOVeRNINO i HIS TY?E GF WORK WILL BE COMPLIED WITM WHeTHEq SPECIFIED HE IIJ Ofl <br />^�OT. THE GRANTING OF A PERMIT DOES NOT PI;ESUME TO GIVE AUTMORITY TO VIO! ATE OR CANCEL THE PADVISiCN OF A� THEf <br />STATE CR LOCA� :AW REGJL4TING CCPISTRUCTION OR TME PERFO:iMANCE OF CONSTRUCTION. �HAT I AM AUTHORIZED BY HE <br />0'JJ�ER UF T41S FRO?EFTI' TO PERFURM THE WORK FOR WMICH APFLICATION IS �AAOE AND 1 COMPLY WITH THE STATE <br />CON7RAC70R51A1N 1@:.7 RCV: AND 296.200 WAC. - <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />