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q25775631.5 T0:14�52578H57 P•4 <br />JRN-6-20ab 11:42 FROM:PERMIT _. <br />FERIVIIT �4PPLICATION <br />GI'TY OF EVERETT PERM17 SERVICES <br />3200 CEDAR STREET, EVERETT� �NA 98�0? <br />425-257-8810 - FAX 425-257-8857 <br />SITE AO �55 n'�-i ^ �a <br />� � ' 1r��iiL� <br />LEGAI LO7N0. BLOCK <br />DESC. <br />OWNER <br />�'Yl0/Vlr� �v�d �C <br />TENANT NAMC� <br />PARCEL TAX I.O. # <br />TRACT <br />ICONTACT PUR PERM1IIT <br />�ip � � �'i.r <br />CONTRA/yCI'cO�R � ��/�� /� ADDRESS <br />PHw r1U � �l��N W' •7V'� <br />` 7�tX� jflavvi k�e <br />Zola z-s L y7cr� -- — - �n.� <br />PROPOSED t1SE OF BUILDING I n Euilding <br />✓✓�� PERfdIT ���� Combination <br />/�Ti /c TYPE �_� Demolillon <br />�._1 T / '—� L� Sprinkl=r <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />��% <br />Y <br />�Mechanical <br />Plumbing <br />Sign <br />Plvi �i� l � <br />a � o� <br />PN <br />2�5 g�s� <br />ZIP CONTR. LICENSE il <br />E�/�J'if/�f9�/ c�;' <br />�Addition I HEATSOURCE <br />Alteraticn D ElecUic <br />New �' Gas <br />RepaidMalnl U Other <br />CITV OF EVERETT LOCAL�S�LES lA1• cuue ia a�va <br />9�s �� h��-�- 7�-���� <br />N0. I TYPE OF FIXTLIRE OR ITEM <br />WATER CLOSET (TOILE7) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />!?.UNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTA�N <br />FLOOR ORAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BARIMOP/ETC.) <br />OTHER <br />NO. I TYPE OF FI%TURE OR ITEh7 <br />A/C - AIHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUP�AP <br />UNIT �1EATERS <br />CLUTHES DRYER <br />RANGc HOOD <br />� VYATER HE4TER <br />METAL FIREPIACEfSTOVF <br />FIREpLA�E ItJSERT <br />GAS FIREPU+CE <br />GAS RANGG <br />GAS PI?ING <br />EXHAUSTFAK <br />OTHER — <br />i <br />I HEREBY CERITIFI THAT I HAVE REAO AND EXAMINED THIS APPLICATION AND KNOW THE SAMe TO BE TRUE AtJD CORRECT. AlL <br />PROVISIOPIS Of LAWS AND ORIDINACES GOVERNING THIS TYFE OF WORK WILL BE CUMPLIED �^�ITH WHETHcR SPECIFIED HcREIN GR <br />NOT. THE CRANTING OF A PERMIT DOES IdOT PREPUME TO GIVE AUTHORIN TO VIOLATE OR Ci.NC[LTHE PROVISION OF ANV Oi HER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTIOIV OR THE PERFORMANTE'OFc �n�nF allo l0 OI PLY W TH THE STA7E D BY THE <br />DEBIT & CREDIT CARDS ARE NOT F.CCEPTED <br />��vl-�"'j� <br />