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P�cRMIT APPLICATIt,(�,� j <br /> d CITY QF EVERETf pERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE7T, y�q gg2�� �25 25� $810 <br /> SITE ADDRESS EUb�j�— > p <br /> II�l.z�f „Zf/Y� � . /� �L �< 2� PARCEL TAX I.D.# <br /> LEGAI LOl'Np. �//G �t � a 7 PERMIT k I <br /> �ESC. �� BLOCK q 7�-OOO�G3! "'Of) <br /> raacr �p �j�_ � <br /> OWNER <br /> uadr � A��RESS <br /> Q ant Corporation � HHONE <br /> TENANTNAME � P•�• I3ox 130; Bellewe, lyq gg009 � �425� 626-83y3 <br /> ICONTACTNAME I �4zsX 455-2900 <br /> Aatrina Toole j PHONE <br /> CONTRACTOR � �425) G��-8373 <br /> � ADDRESS <br /> "Sarne as pi,�ier' � � CqIJTR. UCENSE p <br /> PHONE <br /> 425 4 - <br /> PROPOSED USE OF BUILDING QU�DRC*ZZ10r <br /> PERMIT Building Mechanical ( <br /> Single P�ni1y Residence Combination � Addition <br /> rYPE Demolilion P1Ombing yypRK R HEqT SOUqCE <br /> Sign TYPE .�� Alte.ation <br /> Sprinkler �{n�New E�M�'�� <br /> CONTRACT PRICE UF WORK Gas <br /> --�_� U Repair/htaint, <br /> ��Tl'OF EVERETT ��her <br /> WORK DESCRIPTIQN ��CAL SALES T <br /> Single Pa�ni1 A7CCODEIS3105 <br /> y Residence <br /> Oua— dr-- a`1'1an <br /> rwMtlING �5_,1_ rj i. <br /> NO. TYPE OF FIXTUflE Ofl ITEM MEC�CAL / � C�I��' <br /> � WATER CLOSET N�' TYPE OF FlXTURE Oq 17EM <br /> � BATHTUB <br /> � LAVATORy�yyqSH BASIN) a�-�ANDLING UNITS <br /> SHOWER � F�RCED AIR SYSTEMS <br /> � KITCHEN SINK& DISPOSAL � yEAT PUMP <br /> � DIShIWqSHER Z CLOTHES DRYER <br /> LAUNDRY TRAY � RANGE HOOD <br /> -L CLOTHES WASHER <br /> _ URINAL --� WATER HEqTER <br /> � DRINKING FOUNTAIN � �"��AL FIREPLqC�STOVE <br /> _ FLOOR DR,q�N FIREPLqCE INSERT <br /> _. BACKGLOW pREVENiEq GAS FIREPLqCE <br /> SINK(SERVICE/BAR/MOP/ETC.) GAS RANGE <br /> � 07HER�eSc��� 3 GAS PIpING <br /> -rt EXHAUST FAN <br /> � OTHER <br /> — -- <br /> I HEREBY CERITIFY THAT I HqVE REqp qNp�yMINED TH�g qppLICATION AND KNOW THE SAlAE TO BE TRUE qND CORRECT. <br /> PROVISIONS OF LqyyS AND ORIDINACES GOVERNING THIS TYpE OF WORK WILL BE COMPLIED Vy�7H yyH�HER SPECIFIED HEREIN OR <br /> N07. iHE GRqN7ING OF q pERMIT DOES NOT PRESUME TO GIVE AU7NORITY TO VIOLq <br /> OWN ROOF T�HIS PROPERTY O P�ERFORM THE W RKOFOqFWHICH PPUCAiION IS MADERUCTION. ALL <br /> CONTRACTOflS Lq'ry 7g.p7 RCW qND z361pp WA� �Ofl CqNCEL THE PROyISiON OFANY OTHER <br /> AND I COMPI,y�yITH Tr{E S�ATE D BY THE <br /> i <br /> � �/ / :r ' <br /> Signalur of Q neNConlraclodAulh nzed qg�f uadaapt <br /> !�/�� <br /> Date' i �—� <br /> �TL <br />� <br />