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i <br />P RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEFETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />- yU�S n7 k,' � <br />LEGA LOT � <br />OESC. �J � �� <br />OWNER <br />�Ir� �f mfs ll�. / e, <br />TENANT NAME <br />D c,� ne�^ <br />CONTRACTOR %�{,�S O/'�%L <br />S2Y��'C� ,'I'y�. q <br />PHONEL�'�5-33%� �/ 3� <br />PROPOS 0 US� OF BUILDLtJQ�n � <br />�g d� t� n 7a �'� <br />�'n�ry Co�e,^ <br />COMTRACT PRICE OF WORK S <br />ppRCEL TAl( �.D. +1 <br />�A� <br />ICONTACTNAME <br />PERMIT N <br />C��i�a -va3 <br />PHONE <br />��SY / � <br />AODHESS 7 5`� g -7'� �f'Y,� ur l.Vl� 11�. u�o�+r . <br />S� a ho m�sl�� c,�a� 44a�o �S HOT: <br />�I�I�Iopopopttt��� Building Mechenical <br />PERMIT � Cambination R Plumbing <br />7YPE Oemolition � Sign <br />Sprinkler <br />TYPE <br />�Additio� <br />Alteralion <br />New <br />lieoeirlMaint. <br />HEATSOURCE <br />Electric <br />Gas <br />OMer <br />CITtl OF EVERETT LOCAL SALES inx �wc �a o�w <br />WORK DESCHIPTION $Q��OM OLL'�j�' 3 6 x 6 s� ��� <br />�'v� � O-`i� 2 <br />�ooQ.. �.��y - P�°o;A,.ny scY�c,►-�L 'Roa� <br />NO. I TYPE OF FlXTURE OR REM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOPIETC.) <br />OTHER <br />CL'� <br />�,n 6mt� ar. n. <br />�X►� <br />TYPE OF FlXTURE OR fTEM <br />A!C - A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CIOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. A�!. <br />Pi;OVISI0N5 OF U1WS AND ORIUINACES GOVERNING THIS TYPE OF WOFK WILL BE COMPLIED WITH WMETHER SPECIFIED HEREIN OR <br />STOATE OR LOCAL ILAW REGULATING CONS RUCTION OR THE PERPORMAN E OF CONSTR CT ON. CTMAT I AM UTHIORIZEO BV THE EF <br />OW R OF THIS PROPERIY TO PERFORM THE WORK FOR WHICH APPLICATION IS MA�E AND I COMPLY WITN THE STATE <br />CO RACTORS LAW 1827 RCW AND 296.200 WAC. <br />n,,, n�;1}�Pr (� �%�0 enOSL iala� l C�L <br />� <br />