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�-�, P�..�MIT APPLICATIC 1 <br />���r CITY OF EVERETT PERMIT SERVICES <br />3<00 CEDAR STREET, EVERETT, LVA 98201 <br />S�5•257-8810 - FAX 425•257-8857 <br />SITE ADORESS �� I4 C �at <br />J JC` h <br />.���a�.: ��TN�. <br />u�tch <br />_i r <br />TRACT <br />PARCEL TAX I.D. N <br />PEPI,IIt K <br />-p3 <br />LIP PHONE <br />�1� %� 45� Sho,,�l��.�e c�if� q816� <br />T[HANT .`/A!dE n CONTACT NAME <br />tC� I"`t(��(�Ss� /G� <br />CONTRACTOR (. �,� � � ( AODRESS <br />� ,� .� �' � <br />1� <br />� PHONE <br />d�..s�t. _ �39 ; <br />ZIP CONTR. LICENSE M <br />(,�. � , , ) <br />PHONF � <br />' /1 �� � � I <br />PROPOSEO USE OP BUILDING ! 5uJding n MfCh�ni��l I Aticlitipn I HEAT $OURCE <br />PERMR Ccmbinalion K plumbin� WORK Alter�iqn E�,>�;�,� <br />Cd ^� �L� TYPE �emoLticn �J Sign T/PE Now R�--( ��g <br />*rK � $PrnklCf 1?eGau.!d9inl L/ Othor <br />COtlTRACT PRICE OF WORK �_ CITY OF EVERETT LOCAL SALES TA% COOE IS J105 <br />WOqK CESCRIPTION <br />=� <Lr �_r� _ :, ,� �/ .�� J�'�'-� <br />`10. I TYPE OF Fl7(TURE OR RElA <br />wA7ER CIOS'cT <br />_ BATHTUB <br />_ LAVASGRY �L'JASH BASINI <br />_ —I SHGWER <br />KITCHE'J Si�lK S DISPOSAL <br />DISI^.\'I�SHER <br />LAUNDRYTqAY <br />_ _ CLOTHES'NASHER <br />_ URINAL <br />_I DRIFJKING FOUNTAIN <br />FLOGP. DP.AIN <br />_�BACKF�OW �PEVENT'cR <br />_ � SR1KiSERViCEBdF�rtdOP�eTC.1 <br />' GiHcq <br />� _—. <br />_ _I <br />NO. � TYPE OF FIXTURE OR ITEM <br />__ AiC - A/HANDLING UF11TS <br />_ FORCED AIR SYSTE6IS <br />_ H[AT PU61P <br />_ UNIT HE�TERS <br />_ CLOTHES DRYER <br />RANGEHOOD <br />WATER HEA?EA <br />M�TAL FIREPLACE'STOVE <br />_ FIREPLACE INSERT <br />GAS FIPEPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAtJ <br />_ OTHEFi <br />••E-E9Y CE�ITIFV'NA71 HAyG REAO AND c':(AId�4E0 iH15 APPUCAiION dND i(�lO�Y THE SA1d[ TO BE TqUE AND COPRECT. ALL <br />'� "7iSf�'1S CF �_a;y5 S'.D GPiDINACES GOVER'�IIJG iH15 T"/PE OF Y�ORI!',VILL BE COt.1PLIE�':JITH WHETN[F SPECIFIED HEREIN OF <br />�.' TME GP:..N i�NG CF A PEPtdl7 DOES N0T PRESUIdE TO GIVE FUTHORITY TO VIOLATE OR CAl10EL THE- PFOVISION OF ANY OTHER <br />���%R �r%�^� �.�'M� °�ULa ��NG CONSTPUCTION OR i HE PERFC'PldAtJCE OF CONSTRUCT10�1 THAT I Ald AUTHOR12ED BY THE <br />'•', ;aM� ji'i5 pF'' EA?� Tp ?EPFCRfA TME'lJORK FCR'NMICH APPLICATION IS tdA�E AND I CC1dFLV'.YITH THE STATE <br />p'�Cq5L�5 ?2,-�PC':/f.ND2S5200'RAC. <br />rn ..�I ��:, <br />/2 <br />