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� ERMIT APPLICAT"�.JN <br /> CITY OF EVERETT PERMIT SEI3VICES <br /> 3200 CEDAR STREET, EVERETT, WA 9�3201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADORESS PARCEL TAR I.D.+M PER611T• I <br /> ;�a �t�� c i ;�� .� - ��r� �� Ca3oa. - <br /> tc'ua lOTNO. BIOCK TRACT <br /> DESC <br /> OIVNER AO�RcS� LP VMONE <br /> �/!�l� �i1`c�7ff '�ri�J�,1 , �a-� 9 '. 1 � l7 �v <br /> TENANTNAME CONTACTNAME PHONE <br /> f-�r� ��G/�ifr,�,c� ��5 z Sz- z�pL� <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE t <br /> i (yi�) �yL —t�i3� F�a,� <br /> vr+oHe �CC�,C� <br /> � <br /> � PaOVOSED USE OF BUILDING wltl�ng In� �dochanical dtlitbn HEA7 SOURCE i <br /> PERht(7 Combination � Plumbing WORK �jlemtron EloctrK I <br /> - TYPE Demolition Sic n TVPE ��-j( Now � ��{ `'as <br /> I � �� ' Sprinklor , LJ Repeir/Iduint lJ Other I <br /> ICONTRACT PRICE OF WORK /�D�,�� CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION —7 <br /> y ���r�� �2;�� �F f1�DiroP✓ �N /'�'� <br /> PLUMBING MECHANICAL <br /> NO. I TVPE OF FlY.TURE OR ITEM NO. TYPE OF FlXTURE OR fTEM I� <br />' �� WFTER CLOSET _ FVC-FVH.4NDLING UNITS '! <br /> � _ BA7HTU8 _ FORCED AIR SYSTEMS ,_Ov�•�( � I <br /> � LAVATORY(YJASH BASI�d) _ HEAT PUMP �� <br /> _� S�OvrER _ UNIT HEATERS <br /> � _.J_ KITCHcN SINK 3 DISPOSAL CLOTHES DRYER ' <br /> � �ISHWFSHER Z qANGE HOOD <br /> ' � I.AUNDAv TRAY WATER HEATER <br /> C:LOTHES WASHER METAL FIREPLAI;E/STOVE <br /> �'R��'��! FIFEPLACE INSERT <br /> I _ DRIPlK!P:G FOUNTAIN � GAS FIREPLACE I <br /> _ FI.GOR DRAIN GAS RANGE <br /> I BACKFLON!PRE4EN7ER GAS PIPING <br /> I _ SINK(SERVICEBAFi/ldOF/ETC.1 � EXHA�ST FAN <br /> � _ OTHER __ � _ OTHER <br /> � — — �— <br /> � — — -- — �-(� <br /> I HEREBv l;FFITIF/THAT�HAVc HEFD APAJ C�)�JdINED THI$APPf.ICATION AIJD KIJOW THE SAME YO BF T(iUE AND COflRECT. ALL <br /> PROVISIONS OF L:�'fl5!•ND ORIDdirGES CiG�E:�NING THIS T/PE OF VlORK WILL BE COIdPI.IED WITH WHF.7HER SPEC�PIED HEREIN OR I <br /> YOT iME GRAt�71NG OF A PEPA11 i DOES NOT?RESUI.IE TO GIVc AUTHCRITY TO VIOLATE OR CANCEL THE PP.OViSIqN OF ANY OTHEIi <br /> S i ATE GR LOC:.L LAW'riECiUIl+'fIN6 CCNSTPUCTIOIJ OR THt PGRFORMANCe O'r CONSTRUCTION THAi I ANr AUTHORIZED BY THE <br /> O'NNEP.OF THIS PPOPEFT'/TC PEPFOfUd T!iE NORK FOR 7/NICH nPPI'.CATION IS fAADE AND I COMPC!WITH THE.`iTATE <br /> � CO"ITRAC'ORS L::! iB 27 AC�U AND 2f5 20!i VIAG. / <br /> ��7 i � �� .� � � � �� <br /> � �gnaturo ot pwnr.nCo�oc'Authnnze�l Agenl ale _J ` I I � <br /> DEBIT & CRFDIT CARD ARE NOT ACCEPTEf) �Z I <br /> _ __ - - — ------ — -------- ---� <br /> i <br />