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C �' <br /> PERMIT A�PLICAT`ION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-8857 <br /> SITE ADDRESS�Lfc �t/ny PARCEL TAX I.D.# PF RMIT�1 I <br /> /io3 i7� ue. SE f�.e,-e�f,(.�. 9b'd° L� oyai-vc� <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> Sa�'ewuv Inc ��2� 12.�I�'` Avc NE Bel� vur_, ti^1A `f8005 ��}'1-S� e3"1-2252 <br /> TENANT N E CONTACT FOR PERMIT PHONE <br /> [�oednc �rnnla�r�.rrr�,� un'o;a �v�,5 �el��{�rt� (�i10�2�� —yyL7 <br /> CONT— R ��TO�R vI^�'� IN�' ��I1p��1�lAI� l.rG�l �d• J�31D Z�P CONTRLICENSEi <br /> / n, N�TCroJJ C�p 3ar�p3 �lA�l-� °�q��k <br /> PHONE l��V :,-�q-y42� / "! Gy/0�/QS <br /> PROPOSED USE OF 8V��DING ,L,L,L...,,,������6�6�6y wlding �Mechanical AddiNon HEAT SOURCE <br /> PERMIT �ombination Plumbing IWORK �Alterallon la'�lectric <br /> TVPE DemOIItIOn Slgn TYPE New ❑ Gas <br /> Sprinkler RepairlM1tainl. D Other <br /> CONTRACT PRICE OF WORK L}� � O 00 . OO CITY OF EVERETT LOCAL'SALES TAX COUE IS 3106 <br /> � "_ <br /> WORK DESCRIPTION . <br /> 'Lac:��n� EMplayee� Gc��a �nio� ins��le 5k�cw�.y. ML4�1 s�ds ,GY�. 6a.� ay—i� <br /> caljqs � ��ec�t;�.e� iNUAG� M� I(wo-((L <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE 6R ITEM N0. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET AIC—AIHANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> _ ;AVATORY(WASH BASIN) HEAT PUMP <br /> SHOVJER i1NIT HEATERS <br /> KITCHEN SINK&DISPOSAL CLOTHES DRYER <br /> DISHWASHER NGE HOOD <br /> LAUNDRY TRAY TER HEATER <br /> CLOTHES WASHER M AL FIREPLACE/STOVE <br /> URINAL FIR LACEINSERT <br /> DRINKING FOUNTAIN GAS EPLACE <br /> FLOdR DRAIN GAS RA E <br /> BACKFLOW PREVENTER GAS PIPI <br /> _ SINK(SERVICE/BAR/MUP/tTC.) � EXHAUST F <br /> OTHER OTHER <br /> I HEREBY CERITIF\'THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> O IS PROPF TO PERFORM THE WORK FOR WfiICH APPLICATION IS MADE AND I COMPLY 1MTH THE STATE <br /> TRACT S LA 78. RCW AND 296.200 WAC. <br /> l�•30•03 <br /> Sig a re of Own /C n ctod ithorized Agenl Date <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED �/L <br /> goWO(- ool <br />