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0 <br />li <br />� � � P�.3MIT APPLICATIC _ J <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257•8810 - FAX 425-257-8857 <br />SITE ADDRESS PARCEL TAX I.O. � PER�di <br />2�,30 !+/ffMi'/.'C A✓� cy�� � C�OGy�y96 330r8oi ;c �'o �/ _�%� <br />LEGA LOT NO. BLOCK iRACT <br />G'/TY oF L-vf-�EiT <br />TENANT tJA�.tE <br />�(,�a l/ SiieP� (�l �1s. 5 f h F�r. <br />CONTRACTOfl <br />Ad✓nqcPd f�E Q!o �C'C�+cn <br />PHONE`, <br />7Z.5) �id�.�� .5�3 � <br />3Z00 G'L-J,9R ST.Ctt� <br />I CONT/CT NAfdE <br />v�/lu�hc/I /�i ���� <br />AD�R[SS <br />�' O. Qox isy i <br />WCCd,�v�ile, wA <br />EvfR�i 9J1Z0I y15)"157-�sy7 <br />PHONE <br />�115�YB3-Sbs7 <br />ZIP CONTR. UCEIJSE a <br />tiy�JL Ad'✓An/fPJ9`i6E. <br />PROPOSE� USE OF BUILDING I Building 6lechanical AdC�i�cn HEAT SOURCE <br />PERMIT Combinalion R�.�( Plumbing 1YOPK Alieraucn Electnc <br />�`�C� TYP[ Demolition �,J Sign TVPE New � Gas <br />Sprinkler � F.c,=���+,a,;�; U Gther <br />CONTRACT PFICE OF WORK ��'C,OO qTY t 3VERETT LOCAL SALES TAX CODE IS 3105 <br />1'JORK DESCFIPTIOt� <br />�P/o�c��r�, j S'F✓�nK�ei heud5 P��' ivf�A i3 L:J� /�crai� .Sys�m• <br />NO. I TYPE OF FIRTURG OR IT[bi <br />WATER CLOSET <br />6ATH7UE3 <br />LAV�TORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 3 DISPOSAL <br />DISHWASHER <br />IAUNDRY T(iAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DAAIN <br />BACKFLOW PREV[NTER <br />SINK (SERVICEiBAR/MOP/ETC.) <br />OTNER <br />_I <br />NO. I TYPE OF FIXTURE OR ITE41 <br />A/C — A/HANDLING UNITS <br />FOFCED AIR SYST[615 <br />H[AT PU��1P <br />UP+IT HEATERS <br />CLOTHES DRYEF <br />FANGEHOOD <br />�VATER HEATER <br />METAL FIREPLACE/STCVE <br />FIPEPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />��r,=F.E�V CERITIFY ?HAT I HAVE READ AIJ� EXPIdINED THIS APPLICATION AN� K��06V THE SA61E TO Bc TRU'c FND CORRECT. ALL <br />.-..lS10iJS CF Li+�,�Sl�IJD OF.IUINACES GOVERYING THIS TlPE CF IVOFK �VILL B[ COLiPLIGC'NITH :'lHETHcR SPECIFIED HEP[I�J OR <br />.' THE GFANTIMG OF P. PEPI.!!? �p[5 NOT PR[SUAfE TO GIVE AUTHORITY TO VIOLlTE OR CANC�L THG ?P.OVISION OF ANY OTHER <br />. L�T� OP LOCAI LAVV REGULATRJG CONSTFUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I Pt.1 AUTHOFIZED BY THE <br />� i:. LcR OF THIS PFOPEFiN TO PERFORLI THF WORK FOR N'HICH APPLICATION IS P.tADE AND I COh7FCf l'JI i n i HE STATE <br />.,_ r; i iiACTORS LAW 18.27 RCW AND 296200 VJAG. <br />F <br />r.C��1a�lhan �l'J,-c,/I O'Y- v7• v5' <br />,��.nnature�O�vnedContractoUAulhonzed Aaenl Dale <br />