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� PE�.�iMIT APPLICATI�f�,J <br />�� CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98207 <br />425-257-8810 - FAX 425-257-8857 <br />SITE <br />LOT NO. <br />DESC <br />TENANT NAh1E <br />--�— <br />CO:+TfiACTOR �'t��` <br />PARCEL TAX I.D. k <br />�( /1 L�-� <br />BLOCK TRACT <br />ADDRESS <br />,/ 2 ? � 5 �/�/%z � ,,, �� �U-v�,C � <br />CONTACT NAME �� <br />`�x,2 � )�, l�,N s �a � � a � <br />C� PE.t L' Ctt�S� <br />PHONE <br />��2 S'/ 2 5' 7 r�J / 7 G <br />2z�s nc• �� 5�- <br />PERMIT b <br />x aa Q�- o0 <br />rnunc u1 f <br />/ <br />9�2v3 1s`� ���L <br />PHONE <br />r�� <br />ZIP CONTR. LICENSE M <br />SbZpS /11iU_ CGC63zLT <br />PROPOSED USE OF BUILDING Buildi�y �echanical Adtlition HEAT SOURCE <br />PERMIT R Combinulion Iumbing WORK R Allcmtion ny�ectric <br />� TYPE [� Demolition Sign 7YPE D New t�Gas <br />�1'�^��� [� Spnnkler U Repair/tdaint. LJ Olher <br />CONTRACT PRICE OF WORK ��,r , I/ C� �j CITY OF EVEREl7 LOCAL SALES TAX COOE IS 3105 <br />WORK DESCRIPTION <br />�Q-e n (u-u/ � tov � Wa�G� Cc/�i=�t <br />�N S i"iYtL /i�L✓ %/c�t` I <br />NO. I TYPE OF FIXTURE OR ITEh1 <br />� <br />WATER CLOSET <br />BATHTUH <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />�AUNDRY TRAY <br />CLOTHES WASHER <br />URINAI <br />DRINKING �OU�:�.41N <br />FLOOR DFiAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE.�BAWMOP/ETC.) <br />OTNCR <br />NO. I TYPE OF FIXTURE OR ITEM <br />NC — NHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATEA <br />METAL FIREPLACE/STOVE <br />FIREPtACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN� <br />OTHER_ j1��c'Fi�+4 <br />�— <br />I NEREBY CERITIFY'HAT I HAVE REi.D AND E�CA�IINED 7HIS APPLICATICN dND KNOIV THE SAME TO BE TRUE AND CORRECT. ALL <br />?ROVISIONS OF L1lVS �1N� OFIDINACES GOVERNING i HIS T'i PE OF WORK WILL 6E COAfFUED �VITH IVHETHER SPECIFIED HEREIN OR <br />PIOT. 7HE GRANTING OF A PERMIT DOES NOT PFESUh1E TO GIVE AUTHORITY TC VIOWTE OR CANCEL THE PROVISION OF ANY CTHER <br />STATE OR LOCAL L1W REGULATING CONSTRUCTION OR THE PERFORh1ANCE OF CONSTFUCTION. THAT I AM AUTHOR2ED BV THE <br />CWNER OF THIS PFOPERN TO PERFORh1 THE WORK FOR WHICH APPUCATIGN IS h1ADE AND I COh1PLY WITH THE STATE <br />CONTRAC OFS L1W 182i R W AND 2962W VYAC. <br />/� i �/�' <br />A �.l!'G�1 /!'��l � �'�/'-1�6 '�///)�(l Z <br />