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. . t <br /> �'Ei�MiT pPPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 42E-257-8857 �� , U/ _ .� / <br /> cs lo <br /> SIiE AD�RESS ' PAR�'EL TAX I.D..Y i�tihf�f= � <br /> � .S��o`�--�(�,^.��-4.41�.C1 ri~�C�—£=�%U3�1d0 •L�o�+`c>5�_usl�—L._J— <br /> '�_Ei;A�I LOTNO. w•�` I BLOCI( I TRACT <br /> ,esc.; 3 SQ .o?-03_l ---- <br /> OWNER � ` AD�RESS ZIP PHONE <br /> 1-1-�G.\(Z �'(1,���.�5 eS �.LL ��I O�.J 2�- 3 S�`la U l' S C 30`�tA�L- ��501� �{�olS�� <br /> TENANT NA7r1E CONTACT FOR PERMIT PHONE <br /> , _�1.) �..�S�S�'� l.�a-rJ - 1�3'�� �g , <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE� <br /> I�c�'c�l2Cdl.-4c-�(JQZts�o� L�e- L'i0�2.-35�F}UeSE 6oih� �t5o�a- aD��cz�w3�« <br /> PHONE <br /> PROPOSED USE OF BUILOING �3uilding 1Cch��niCal � AddiGon I HEAT SOURCE <br /> �� � PERM{T �=YCombination lumbing WORK AlPeration (� Eledric <br /> S��� � TYpE I� Dc�moliiion Sign TYPE w rLGas <br /> ,J��.�R�•+�� I u cprinkler Repair�Pdaint U Other <br /> CONTRACT PRICE OF WOI.K CITY OF EVERETT LOCAL SALES iAX CODE IS 7105 <br /> 5`lORfC JESCRIPTION <br /> . � <br /> �E-l.J '31n4�`¢.. .�pJlw�l� -�..11Y�[Q.1�x-: \".rd-A�C� 'oi-�8--� <br /> v <br /> PLUMBING MECHANICAL <br /> N0. I NPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ 3 I �NATER CLOSET(TOILET) A!C � JhiANDIING UNITS <br /> _� BATHTUB �_ FORCED AIR SYSTEMS <br /> � IAVATORY(WASH BASIN) _ HEAT PUMP <br /> SliOWER UNIT HEATERS <br /> � KITCHEN SINK 3 DISPOSAL � CLOTHES DRl'ER � <br /> _L DISHWASHER RANGE HOOU i <br /> LAUNDRYTRAY J_ WATERHEATER � <br /> � CLOTHES WASHER _ METAL FIREPLACE'STOVE '. <br /> URINAL FIREPIACE INSERT <br /> DRINI<WG FOl'NTAIN � GAS F�RL'PLr+i E i <br /> FLOOR DRAIN _(_ GAS RANGE � <br /> BACKFLOW PREVENTER � GAS PIPWG ; <br /> SINK(SERVICEiBARIMOP/ETC.) �_ �.`<4,4UST FAN i <br /> _ OTHER � __� OTHER _ <br /> 4OREBF C'cRITIFY THAT I HAVE READ ANO E::AIAINED i HIS APPLICATION AND KNOl4'THE SAh-0E TO BE TRUE r.IJD CGRRcCT. AU.. <br /> =RGVISIONS OF LAWS AN�ORIDINACES GOVERNING THIS NPE OF 4VORK IVILL BE COAiPL'ED 171TH WHeTHER SPECIrIED HEFE:N;�:�,�. <br /> ;OT. 'HE GRHNTING OF A PERh11 i DOES VOT PRESUME TO 61VE AUT:IORITY'?O VIOL:'E OR t:.=�JC^i. -HE PRCVISIO^:iiF.�W�' OThE=: <br /> 'ATE nF�OCAL L.�W REGUL4T�NG CONSTRUCTION OR THE°ERF0.�1.4NCc OF CO\'S'�uC'IC'� '.. - .- ;,:lJ�';-,r.;��,--�-� ;�,: -�- <br /> ..�._. '='�'�SP'<OPERT'r-0:'EP.FOP.I.ITF.E'.h'ORI<FC'R1VHiCHAPPLICnI'IONIS'.1ACL �:Nilli;::'.'.::' � •:iT1--1-cST;.?E <br /> . - ,.- _..,. ' B�T ''C:, �.., �9u_::�01.AC. <br /> ���� _: �„rtr..�„rn. , , „ <br /> ��✓-�.. �A� �1_ ' 1n� ��s�o� n� <br /> __ � — . ; - ��. ..�. ,,�,�,: - - na�, ��� <br /> �G�IT -� CI:EC1- �,';RDS :�RE i�10- ,aCCcP i_D <br />