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OCT-7-c^0a5 09:21 FROM:PEP.MIT 4257756315 TD:14252578857 P.1 <br /> PEaMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> lo ` 7--� `�J <br /> SITE ADDRESS PARCEL TA%I.D.q PERMIT N <br /> �los �'2�-hur.t�/�vL c� Ilo �.Yx.�3� �' � p - <br /> LEG LOTNO. BLOGK TRACi <br /> DESC. <br /> OWNER � A�OR 8 ZIP PMONE <br /> Da k V'Q M�c�� ��os ��!GK r�4uc q��� �rz s���q� <br /> TENAH7�NAME GONTACTFOR PERMI7 PNONE <br /> �'��-e� � ��d� yLs 7 z� �� <br /> CO���� ��� (+� �^�n' ADORESS 21P CONTR.LICEHSE N <br /> ��I V/CLJ /J� � A� � v <br /> PMO�IE_� �Z '7LU � � 9. k� W��N I7 w,rf�<I��7I(� <br /> !.U(0 <br /> PROPOSEO USE OF BUILOING Building �((�4echanical AdANon HEAT SOURCE <br /> �� PERMIT � COmbinaiion �-� Plumbing WORK �AIto2llon �Electric <br /> iYPE Demolitlon �j Slgn iYPE New 6a's <br /> Spnnkler RepalrlMaint Ol�er <br /> CONTRACT PRICE OF WORK �(f b'7 , �. CITY OF EVERETT LOCAL SALES TA7(CODE IS 3105 <br /> ( Ci <br /> WORK DESCRIPTION ^ O �s � • �L__ � L� <br /> --l�.r� ll�v� � 5'�.! `�crn t���P Q�ii�ns., /zi !� v�'' <br /> �a-k� die�.�kr � `�l 9'�f ��pi•t 5 <br /> PLUMBING MECi�ANICAL <br /> NO. TVPE OF FIXN0.E OR I7EM NO. TVPE OF FIXNP�OR ITEM <br /> _ WATER CLOSET(f01LET) A/C-NHANDIING UNITS <br /> _ BATHTUB � FORCED AIR SYSTEMS <br /> _ IAVATORY(WASH BASIN) HEAT PUA'f' <br /> SHOW ER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DIShWASHER RANGE HOOD <br /> _ LAUNDRY TRAY � WATER HEATER <br /> CLOTHES WASHER METAL FIREPtACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPIACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAWMOP/ETC.) EXHAUST FI.N <br /> OTl1ER OTIIER <br /> I HEREBV CERITIFV THAT I HAVE READ AND EkAMINED TIiIS APPUCATION AND KNOW TNE SAME 70 BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE Or K'ORK WILI BE COMPLIED WITH WHETMER SPECIFIED HEREIN OR <br /> NOT. TMF.GRANTING OF A FERMIT DOES N07 PRESUME TO GIVE AUTMORITV TU VIOLA7E Oft CANCEL THE PROVISION QF ANY OTMER <br /> STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR TME PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BV TME <br /> OWNER OF THIS PROPER7Y TO PERPORId THE WORK FOR WHICH PPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CDNT CTORS V. ,27 RCLY AND 206 200 / <br /> ���ud4 4.0�� f 6 �l _63— y'Ls' a-�s �s� <br /> Si at re of O�niractodA rized Agent ete <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />