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,-�� �C;- ;-e�': �- 1 1: 15 FFC�'9: FEF'f9IT <br />ADDRESS <br />LOT NO. <br />C <br />q257756�15 T0:142`[S�BB57 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERE'iT, WA 98201 <br />425•257-8810 - FP.X 425-257-8857 <br />pP F�CEL TAX I.D. # <br />V(l� � ��0 aDYBDGY�0�3c3U <br />B'�OCK �TRACT <br />Cu,ro 1 -�zo�arl� - ��Z� <br />TENANT NAA1G <br />�I�^^�— <br />CO�l�cJ`� �I�/�� �JCXJ <br />�,.�.." z-�cv 7 <br />z-S z �%7w � <br />PROPOSGD USE Of- O�NG <br />�r <br />CONTRACT PRICE OF WORK <br />WOftK �ESCRIPTION <br />�[�r 1-� �l r n� <br />NO. I T!P[ OF FIXTURE OR ITEh1 <br />Gc�.QJ�VU1Gv � <br />CONTACT FOR PERtdIT <br />,Lr�, d� <br />ADDRESS <br />P.1 <br />�, �—OG <br />PERtdIT # � <br />�., <br />It'� 1ro,� - , <br />q��3 �2�- z�� � �3 / <br />PHONE <br />yZS 2��- �3�w5� <br />� ZIP CONTR. LICENSE N <br />Building <br />PERId17 R Cambinalion <br />TVPE D Demolition <br />U Sprinkier <br />2 r �— <br />Gc�/5zf�t�E=.19�� crg <br />M17echanic�l [� AddlUon <br />Plumbino IWORK L'Q Alleraqon <br />Sign TYPE New <br />RepaidtdalN. <br />HEATSOURce <br />'ledric <br />Gas <br />Olher <br />GITY OF EVEHETT LOGn� sn�ca ���^ ���"'�� <br />,u.� yaf � �►Q�e <br />CQU�avo b�'S <br />WAT[R CLOSET (TOILET) <br />BATHT;JB <br />tAVAT(1RV (WASW BASIN) <br />SHOW EI2 <br />KITGHEN SINF: & DISPOSAL <br />DISHWASHER <br />LAUNDRY�iRAY <br />CLOTIIES N'ASHER <br />URINAL <br />DRINKING FCUNTAIN <br />FLOOR �RAIN <br />BACKFLObV PREVENTER <br />SINK (SERVICE'BAR/MOP/ETC.) <br />OTHER <br />�i�� ��-�y��,P;�y <br />NO. I TYPE OF FIXTURE OR ITEI.1 <br />AIC - A/H�NDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNI7 HEATERS <br />CLGTHES DRYER <br />RANGENOOD <br />WATcR I�iEATER <br />MflTAL PIRGPIACEfSTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RA`1GE <br />GAS PIPING <br />EXHAUST FAPJ <br />OTHER <br />— I I <br />I HEREBY CERITIFY THAT I HAVE RFJ�O ANU E)(AAtINEU TNIS APPLICATION AWD KNOW THE SAMC TO DE TRUE ANO CCRRECT. ALL <br />PROVISIOIJS OF LAWS AND ORIDINACES GOVERNING THIS 1YPE OF \VORK 1NILL BE COt.1PLIED WITH WHETHER SPECIFIED HEREIN OR <br />STOAT OR LOCAL IIALVOR6GULAfING CONS RUCR ON OR TOF ERFORMONCE OF CONSIR OR �NNC HAT I A�1 AUTHORI ED BV TOHE CR <br />Ol"JNER UF THIS PROPERTV TO PERFORh7 THE WORK FUR WHICH APPLICATION IS h7ACE FNO I COh1PLY �l'ITH THE STATE <br />CGNTR CTURS IAv1� 27 RC�Y FNU 296 20 SY�� //' � <br />l \,� V �v <br />�/n. de �-►"J1ni�s�1,C! �- <br />DEBIT & CREDIT CARDS ARF NOT ACCFP7ED <br />