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P�RMIT APPLICATION <br /> C17Y aF E`✓ERE7T PERMIT SERVICES <br /> 32U0 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- F,4)i 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMiT# <br /> �roiy ��A�� �S� ,�os�.�cbz <br /> LEGAI LOT N0. BLOCK TRP.CT <br /> DESC. <br /> OWNER � ADDRESS ZIP PHONE <br /> ./ji' '� D � s�9 ry$- y�s� <br /> TENANTNAM� �ou�,.� �fvN I CONTACTFORPERMIT PHONE <br /> �ti�/ L� / <br /> CONT TOR / J _ J � �AD�ESS �Q /f. _//� ZIP CO TR.LICENSE# <br /> ��f r< ��nr»���� ti•s .,s.� , v'o5/s � �S9y� �LTd� 9�ysv <br /> PHONE �;-`q�7 U/FS/J <br /> �3� <br /> PROPOSED USE UF BUILDING 6�1 Building � MechaniCal I I'"1 Addilion HEAT SOURCE <br /> PERMIT �iI---C( Combination Plumbing VORK �J4-;(( Alteration Electric <br /> TYPE �) Demolition Sign IYPE "u New �Gas <br /> L� Sprinkler I U Repair/Maint. Other <br /> CONTRACT PRICE OF WORK /n Q/G�� �Q CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> w' <br /> WORK DESCRIP�ION ' l / � ��� o / � / � / / <br /> 6,e/ �*���.' �+.y r'-c�s/'',t-na^-f J� r+ �c�/ u, l�v�J�y f1ie�a,. L <br /> ,pa�sTP-C� N�c✓1 n��c- %3X/3' �,sf��� �vi�✓ Sla�'-ly�'.nn�i <br /> �.;,�3�� A/6-c✓ /�Gn/ u.M�s <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> � <br /> � WATER CLOSET(TOILET) A/C -A/HANDLING �NITS <br /> � BATHTUB FORCED AIR SYSTEMS <br /> �LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER NIT HEATERS <br /> KITCHcN SINK 8 DISPOSAL }OTHES DRYER <br /> _ DISHN7ASHER RR�JGE HOOD <br /> LAUNDRY�TRAY WA1" R HEATER <br /> CLOTHES l�lASHER h1ET FIREPLACE/STOVE <br /> URINAL FIREP CE INSERT <br /> DRINKING FOU IN GAS FIR PLACE <br /> _ FLOOR DRAIN GAS R,4N <br /> BACKFLOW PREVEN �R GAS PIPING <br /> = SINK(SERVICE/BAR/MOP E�) — EXHAUST FA <br /> OTHER OTHER <br /> I = �. _ _-_� � <br /> I I HEREBY CERI'fIFY THAT I HAVE READ AND EX.4MINED THIS APPLICATION AND KNOVL'THE SAME TO 8E TRUE AND CORRECT. ALL � <br /> I PROVISIONS OF LAbVS AND CRIDINACES GOVERNING THIS TYPE OF WORK�NILL BE COMPIIED WITH WHETHER SPECIFIED HEREIN OR i <br /> iNOT. THE GRANTING OF A PE^nMIT DOES NOT PRESUAfE TO GNE AUTNORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER j <br /> STATE OR LOCAI.LAW REGULA"i ING CONSTRUCTION OR THE PERFORtitANCE OF C��NSTRUCTION. THAT I AM11 AUTHORIZED BY TFIE I <br /> I OWNER OF T IS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION 18 fdADE AND I COAIPLY WITH THE STATE <br /> I CONTRA T . 78.27 LV AN 9620 AC. <br /> � ,� , � o/� � � <br /> iSignature o wnedContr oriAuthonzed,�gent Date I <br /> � `lz I <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />