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- P��4V�i r' ���Li�,��i0� <br /> GlTY OF EVERETT PERMIT SERVICES <br /> 32U0 GEDAR STREET. EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 O� ' r�/ ' �� <br /> �� �� �`�_ <br /> SITE ADDRESS PARCEL TAX I.D. :. PERI✓iT= <br /> -( �J04f (��� �([J� � R,�,• T(-�QJ� e� C�o3`t.lo-Uoc��u5�)-U'3 // (� / - <br /> �.l'.r_Fi'u'w L7C�3c� �� GOCi L.. �:f_GT, t� 1 VI.D�� <br /> _._.�� ' LOT NO. '� BLOCI< I TRACT <br /> i <br /> `��_°(,��.=oa�� _ <br /> O'ClNLR ADDRESS ZIP PHONE <br /> (�-�2c��2E �szs Lt.c_ �Zo�a- 3s�A� � S� 3a't�,�� `t�sot� �Fas�t�3 , <br /> TE?JANT NAM1tE I CONTACT FOR PERMIT PHONE L'!L � <br /> � �-..�wS �..es5t� �-12�5 - 1�k'3 -t i c8 <br /> CO'JTRACTOR 11D�RESS ZIP CONTR.LICENSE:I <br /> I-�cl4l2CYl��J�s•a�� Ll_e. �'7U�d-3'���aSE Pjo-1'ha.Sa� RSdt�- /�9fk�Q.�� 3�c� <br /> PHONE <br /> �RGPUSEo USE OF�UILDING �uilding f�M echanical f"1 Addition HEAT SOURCE <br /> _` i,� �� � I PERMIT , Combinalion !�--i�p�lumhing WORK FI--�( �P.peraeion iectnc <br /> `� � 7YPE I , Demolilion �J Sign TYPr� 1�,�'New �as . <br /> U Sprinkler � RepairlMaint Oiher <br /> CCtlTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS]105 <br /> IVCHI<�ESCRIPTION <br /> �e.W '3 tt\�\�e. -�o.ry,n,_A� �cSL+y--'�' 1 Jea,.c�" a.-1 b O-� <br /> PLUMBING � MECHANICAL <br /> NO. I NPE OF FIXTURE OR ITEM I NO. I TYPE OF FIXTURE OR ITEM <br /> 3_� 4VATER CLCSET(TOILGT)!�� NC—A/HANDLING UNITS <br /> t � BATHTUB � _(_ FORCED AIR SYSTEMS <br /> � LAVATORY(WASH BASIN) _ HEAT PUMP <br /> .tJ_��_; SHO'NER ll UNITHEATERS <br /> --L.i KITCHEN SINK 5 DISPOSAL (_ CLOTHES DP.1'ER <br /> _L_; UISHWASHER �_ RANGE HOOD <br /> _ _ i L.AUNCRY TRAY _� WATER HEATER <br /> _ � CLOTHES WASHER _ METAL FIREPLACE/STOVE . <br /> , URINAL FIREPLACE MSEP,T <br /> � DRINKING FJUNTAIN � GAS FIR6PLACE <br /> � r`LOOR URAIN _j_ GAS RP.'!Gc <br /> �i �ACKFLOW PREVENTER 4 GAS PIPING <br /> �INK (SERVICErBAR/A40P/ETC.) �� EXHAUSTF4h! <br /> . OTHER OTHER _____ <br /> I <br /> -- -._3ti'CERITIr'Y THA i 1 HAVE READ AND E;�A�dWED THIS APPLICATION nN0 KNOW THE SFME TO PE 7RUE rND CORRECT. All <br /> � �SiONS OF LAWS AND ORIDIMACES GOVERIJING THIS NPE OF WORK IVILL BE COAIPIIED IVITH WHETHER SPECIFIED HEREW OR <br /> 'IOT.��nE GRANTING OF A PERMIT DOES NOT PRESU�dE TO fNE AUTHORIN TO VIOWTe OR i,ANCEL THE PROVI�10`:�i=.:NY C i HE2 <br /> .;'ATE O4 LCCAL�.:bl'REGULATING CONSTFUCTIO!�OR THE uERFORAdANC�OF CCNSTRUCTION. THAT I 'rAI AUTHOR'�ED BY "yF <br /> '.',�i:c'.�'- T�-�15?rrlP=,R"I'O PERFCRFd THE\YORh( FORIVHICH APPLICATION iS t.!ApE Atdp I COLiPL�.,,.\�ITR'��E ST:.TE <br /> '.OtJTF.A�:-�'i%p�-�. ". _�� !?�]':J :,NC�SG._60 C�!4C. <br /> `�U ,,�,�, .i1��.�n-, (n� ���o`� <br /> ' -.�:�-,\-r� crContrv:m;� df �n. -�d:-.n�:rV Date �y <br /> ����i; _ �^r_ci- =aR�s .a�.� �!cr ;ac�EPT�D <br />