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' ' � PERMIT APPLICATI0�1 <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />SITE ADDRESS <br />L07, � WA�I'��'� J TRf%'r <br />DESC. IN llt (� q y qc.. S{� <br />OWNER <br />S NNbN wC�M�� <br />TENANT NAME <br />� 4 <br />cornancroa �ALBACH <br />PHONE 1�1.�7 �/S� 2132 HIGI <br />PROPOSED USE OF BUILDING <br />n�s�,��,��E <br />pERMIT <br />TYPE <br />pARCEL TAX I.D. N <br />� <br />ADDRESS <br />yo v i G�Ac,wr s T, <br />CONTACT NAME <br />Sf��UN <br />D AVE. <br />Building DMechanical <br />Combination �] Plumbing <br />Demolition U Sign <br />Sprinkler <br />CITY OF EVERETT �OCAL SALES TA7( CODE IS 3105 <br />PERMIT N <br />PHONE <br />25z-aS3o <br />—� <br />CONTR. LICENSE II <br />NA 45�+ � ,fr Z3ooff <br />Addition HEAT SOURCE <br />WORK Alteratio� � Electric <br />TYPE New Gas <br />Repeir/Maint. Other_ <br />CONTRA F WORK �.30�0�0 — /' <br />WORK DESCRIPTION G JrS r/t✓ c 7 � t� k�$ <br />NO. I TMPE OF FlXTURE OR ITEM <br />1 WATER CLOSET <br />BATHTUB <br />� LAVATORY (WASH BASIN) <br />j_ SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />IAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEIBAR/MOP/ETC.) <br />OTHEF.�---- <br />t3Ed/��"'/Q�T�+R�iD�, �onlr��r <br />N0. I TMPE OF FlXTURE OR ITEM <br />A/C — A/HANDIING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIAEPLACE <br />GAS RANGE <br />GAS PIPING <br />� EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. AlL <br />PROVISIONS OF l.1WS AND ORIDINACES GOVERNING THIS NPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />gTOi1TE OR LOCAL IIl+W REGULATING OONS RUCTION OR TOHE PERFORMANCE OF COP STR CTION.0 HAT I AM AOUTH�ORI ED BY HE ER <br />�CONTFA�CTORS LAW P8 2 RCW AND 9fi 200 Wq�ORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />���� ti.L�-Qy � <br />�-� - _..., �,.e.,� Date <br />