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SITE ADDRESS <br />--����:' LOT NO. <br />-ESC , <br />� cRMIT APPLICATIUN <br />CITY OF EVERETT PERMlT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />() �'l - c1 �`' <br />BLOCK � TRACT <br />TAX I.D. # <br />0� v v2 U��c�v <br />� <br />��.lJ ��'�,� - l � <br />RMIT s <br />G���'�/ <br />(/�� n 1� .+.+vn�aa -{n ZIP PHONE <br />rlc�a-l(2_.�J�Y�`J�1.S�<j'�.-�-�- ��U�cl�'�dy�l)`2.�� Vp.'�V..e_�Q(�c6��� <br />TENANT NAh1E �^IaS'7�{>j' �7 <br />� CONT! <br />CO TRACTQR <br />�cSta�2'r�`N��.�Seb LLc.._ <br />PHONE I <br />PROPOSED USE OF BUILDING <br />5 � r��\� �=� h,.,.,u,� <br />.,..n, nH� i rK�Gt UF WORK <br />+v�+rcn utSCRIPTION <br />.CT FOR PERMIT <br />�-`-��J �-�SSI <br />PHONE <br />�a-J'`l"13-1�1� <br />ADDRESS ZIP CONTR. LICENSE x <br />�"lo3a -3 ����5� �o�-�YEso�a- t�OfdrRr �o3a� <br />�Bu;lding jjj���---ttt dechanical <br />PERtd1T Combination j�-Plumbing <br />T�pE Demolition p Sign <br />_ Sprinkler <br />AtlCrtion I HEAT SOURCE <br />WORK Alteration Eiennc <br />TYPE �y 5 <br />RepairiMmnt Ot�er <br />CITY OF EVERETT LOCAL SALES TA;";O�E IS 1105 <br />C c��� �-1 t`Ci l o^c� ���� S�cv�u_ 5�-(�� � I" _Jv.�--�� 1�,�, <br />0 <br />NO. I TY^E OF FIXTURE OR ITEh1 <br />J i 41'H I CR CLO;; "eT (TOILeT) <br />� ;BATHTUB <br />_�'� LAVATORY (vVqSH BASIN) <br />__I ISHOWER <br />KITCHEN SINK 3 DISPOSAL <br />_ i i DISN1^,�qSHER <br />. _� LAUNDRV TRAY <br />__I _� CLOTHES V�'ASHER <br />_� URINAL <br />' DRINKIP;� FOUNTAIN <br />� rL00R DRAiN <br />_�BACKFLOW PREVENTER <br />_' SINK (SERVICE'�AWMOP/ETC.) <br />_i OTNER <br />N0. I TYPE OF FIXTURE OR ITEM <br />_ %v�-N✓rtnrvULINGUNITS <br />1 FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />� CLOTHES DRYER <br />� RANGEHOOD <br />� WATER HEAl'ER <br />METAL FIREPLACEBTOVE <br />FIREPLACE INSER' <br />� GAS FIREPLACE <br />� GAS RANGE <br />�� CAS PIPING <br />EXHAUST FAN <br />i OTHER 1) k„�`�� � <br />. <br />- .. . " l�i G. ! �`��' � <br />°'?'_'='tc3r CE'n��_IrV '�-qi i nFVE READ AND E?WAIINEG iHIS APPLICATION AND KtdON' TI-iE SnME TO 8E TRUc'.4N9 CGP.RECT. ALL <br />'� S�CNS Cr I_AIyS:.ND ORIDINAC�S GOVERNING THIS 7YPE OF l4'ORK W�LL BE COMPLIED WITH lNHE7HcR SPECIF!ED nERE!N OR <br />_ ^�c Gi�ANTWG C�F A PERh11T ppcS NOT PRESU�dH TO G�VE AUTHORITY TO VIOUiTE OR C:.NCEL THE ?RO`.�ISIGN OF :��:1' p?..,�g <br />- E OR LOCAL ;..:W q�GUL%.TWG CONSTRUCTION OR THE PERFORMANCE GF CONSTRUCTION. 'H,•vT i A�,� ,q�TnGn:�ED 8v -r� <br />-"�_'� ^-°'^iS PROPERTti 7p Pe.RFORAI THE lh'ORK FOR 6VHICH APPLICATION IS ,\1qpE qND I COA1pLy ;4�i; h r��� g7.-� <br />- ^ ?AC'CRS :,;�"; t8 ?7 RC'�V AND <^96200 WAC - <br />ti, � <br />�+` �-- �� L.� � �� <br />_,:ra:c� _�—`.,,�.-_ .—:�,-- w[hon �� 4i �OF� <br />- � -. -,_ -�: �_ �ea rgvi� Date <br />DFBIT & CREDIT CARDS ARE NOT ACCEPTED (/Z <br />