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I PER - 91T APPLIC.4TION' ' <br /> � CITY OF EVERETT PERMIT SERVICES � <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 — FAX 425•257-8857 ' ,� _ i <br /> � Ji - i I <br /> SITE ADDRESS PARCEL TAX I.D,k �P�Rt�tiT e � <br /> `- �.f-� '=<"��� �-117�� �L'i= �G !��/77�f!�t_JD ' �G�—'-�= -t���1 <br /> LEGAf LOT NO. BLOCK TRACT <br /> DESC. <br /> OWN' �jR ADDRESS ZIP PHONE I <br /> �i��c ��r�L i .L�'J��77-d�t�i�, C; Tt�x S�f�� �i `f�-7rh `tZS Z��- �`�'�5 <br /> � <br /> TENENT NAM1fE C°"�'CT NAh1E PHONE i <br /> � � yc=zc l`��(i.%c�i=�4-<i-t;�;�.��l [!r��-F' I c-ti-i� �1�..-�r d z s-d g�-�5� I <br /> C NTRACTOF ADDRES 21P CONTR.LICENSE M <br /> i' <br /> �v�}x.�cc'-I> t�r�� ����ir-�x-�� f i 7,�- IQd J l�-cs� ti..�E �fcn`�Z <br /> PHONE <br /> �,c,�.r�rti:v��cE /�-DVAti�-�i�i'ri�c=i <br /> � <br /> �� PFiOPOSED USE OF BUILUING Building I1 tvtechanical Atltldion HEAT SOURCE <br /> i PE(iMIT Ccmbinalion �_� Plumbin� WORK Alteration (� Electric i <br /> TYPE �Demolition L) Sign 7YPE �New u Gas <br /> I ��.�rU�f��7� �� Sprinkler Repairil.ta�nt. U O�her <br /> ' CONTRACT PRICE OF WORK =f�Z71 L+�.. CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> i WORN OESCRIPTION / <br /> .-�l..` ;fF'/�<< `i'��ii. l:c cT =Y��iZ-7-1 iti /. tciV 6b��'tY�!�a-`"c:_ �-Di�t'rl�:r�; <br /> PLUMBING MECHA�ICAL <br /> NO. TVPE OF FIXTURE OR ITE�d N0. TVPE OF FIICTUR[OR ITEt.7 I <br /> � WATERCLOSET — A/C-NHANDL'NGUNITS I <br /> ��THTUB FORCED AIR SYSTEti1S <br /> __ LMlATOFY (WASH OASIN) HEAT PU61P I <br /> SHOWER . ^ UNIT HEATERS <br /> _ KITCHEN SINK S DISPOSAL �1 I CIOTHES URYER i <br /> DISHWl�SHEP p � � RANGE HOOD <br /> _ Li1UNDHY TRA'f I � n ��� WATER H[ATER '1 � <br /> �� �- <br /> ___ CLOTHES WASHER �i }I� _ M1.tETAL FIPEPLr10E/STOVE ,�1 i-� <br /> URINAL M �1, FIREPIAC[ IIJSERT � I / � <br /> DRINKING FOUNTAIN L�� /� GAS FIREPLACE � ` �� <br /> __ °LOOR DRAIN �I � J _ GAS RANGE l�� <br /> . __ BACKFLOIV PREV[NTER .J/� GAS PIPING <br /> SINK (SERVICEiBAR/h10PiETC.) �� EKHAUST F4iJ <br /> . _ OTHER t,{l � ''� OTHER '`'�PIIJ(�LE�S <br /> / n �/ �I` <br /> . — — l ��1v� �V" I — <br /> � i-,f°RE�V C[RITIF}�THAT I HAVFE READ AND E "AtAIiJED THIS APPLICATICN ANO KiJOIV THE SAh1E TO BE TRl1E AND CORPECT. ALL i <br /> �-1�.;vISIONS OF L:WS?ND ORIDIPJAC[S GOVERNING TH�S TYPE CF l�'OFK WILL 5E COIdPU[D:VITH VJH�Ne�SPECIFIEO HEREI�J OR j <br /> ',��i THE GRAtJTIP1G OF A P[HPAIT DOES NOT PRESUh7E TO GIVE AUTHORIiY TC VIOLATE OF C��JCEL THE FPOVISION OF ANY OTHER <br /> :.i--T[OR LOCAL LALV REGULATING CONSTHUCT104 OR THE PERFOF!.IANCE GF CONSTRUCTIUN. THAT I AA1 AUTHORIZED BY THE <br /> �.;��1EF�OF THIS PFJPERN TO P6FiFORPA THE�VORK FOR WHICH?PFLICATIO^�iS I.tADE ANO I COhiPLY�C'ITH l 1E STATE <br /> C-.,�iJTW�LTORS LAW 1927 RCW AND 296.�OU 6VAG. <br /> L/ 1 <br /> ��` � G. � �O- (f-�C�a i <br /> S�gnature of wnedContractodAuthorized Agenl Date � <br /> '/L I <br />