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r ���VIlT APPLICATi�N <br />CITY OF E�,'ERETT PERMIT SERVICES <br />3200 CED�F STREET, EVERET7, WA QFs2U1 <br />425-257-88111- FAX 425-257-A857 <br />SITE ADORESS <br />� - �s�a�.� .�. � <br />�cG%. LOT N0. BLOCK TRACT <br />� <br />PARCEL T<U( I.D. # PEHn�l7�����-�J� <br />l ��l �I c�o��oc� �.x..�- .�as� <br />r�lm�� `���-V1.Lv1c..� 4-1 C 1703'�-35� AIx�SC i�"i}�Y� RSSGI� �31J -"l�-l�'l� (� <br />TENAN7NAME � CONTACTPORPERMIT PHONE <br />GONTRACTOR A�DRESS 21P CONTR. LICENSE tl <br />���4a,..w.,�Lwti�i�a.v,�-�� litna-3sl��s�SE. t3�t1�. n����- ADA�ti�-w3a�� <br />HONE <br />PROPOSED USE OF BUILDING ���}}}''' Building (7 Mechanical Atl4iUon HEAT SOURCE <br />('' PERMIT [�COmbinaliOn �t-�lumbinr WORK Altcrauon � Electnc <br />.it�,�l;,�y,�.�,�,x TYPE �� Demolition L� Sign TYPE ew Gas <br />:..��_,G LArvt��Y QfS�b�,�ti d Spnnkler RepaiUMaint. Other <br />CONTRACT PRICE OF YlORK <br />WORK DESCRIPTION <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />�tS:.U-�1 t�.i�.l?l� �.l-�.v-ct� �1.� ILS-A3.CL� <br />6 � <br />P,ASi � �i: ?25 <br />NO. I TYPE Of FIXTURE OR ITEM <br />W:.TER CLOSET (TOILE� <br />BATHTUB <br />LAVFTOP.Y �,".ASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WPSHER <br />URINAL <br />DRINhfI1JG FOUNTAIN <br />FLOCR DRAIN <br />BACK.FLOYJ PREVENTER <br />SINK (SERVICE�BAR/IdCPlETC.) <br />OTHER <br />NO. I TYPE OF FIXTURE OR ITEM <br />NC - A/HANDUNG UNITS <br />FOFCED AIR SYSTEAIS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATEk HEATER <br />METAL FIREPLACElSTOVE <br />FIREPII+CE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />^!EREBY CERITiFY TI+AT I HAVE REAO FND EYJi1dINED THIS APPUCATION AND KNOVJ THE SAME TO BE TRUE AND CORRECT. ALL <br />'�OVIS144S OF LhVlS A.ND ORIDINACES GOVERNING 7H15 TVPE OF WORK WILL BE CU6IPLIED WITH WHETHER SPECIFIF.D HEREIN OR <br />�,OT THE GRAriTitvG OF A PERl:' � UUES NOT PRESU�AE TO GIVE FUTHORITY TO VIOWTE OR CANCEL THE PROVISION OF ANY OTHER <br />';TA7G OR LOCi�L Ln`iJ REGULFTING CONSTi3UCTION OR THE PERFOR�dANCE OF CONSTRUCTION. THAT I APd AUTHORIZED 9Y THE <br />,1;!1ER OF?HIS PROPERTY TO PERFORIA THE'NORK FOR `NHICH APPLICATION IS IdADE AND I COM�LY WITH THE STATE <br />:0!�ITR:.CTORS tAV! 1827 RClJ AND 249.200 WFC. <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />��L <br />