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� � <br /> P�RMIT APPL.ICATIC�N � <br /> I CITY OF EVEPETT �ERMIT SERVICES 'I <br /> 320� CEDAR STREET, EVFRETT, WA 98201 <br /> 7 425-257-8810— FAX 4'e.5-257-8857 � <br /> �J <br /> SI7E ADDRESS `r� � PARCEL TAX I.D.� FERMI7� <br /> I IG� �• �C J10 7� ODS� <br /> LGAL LOT N0. BLOCK TRAC i - <br /> DESC.�--� <br /> OWNER ADDRE55 ZIP PHONE <br /> TENANT N�VdE CONTACT FOR PERMIT PHONE <br /> ��j��p��� �C-tiU�� �115 P �"�l�'l. I �Iv� C�,sc� 20(� �� �3� � <br /> CONTRACTOR C�j (�l.S�!" SITI'�I ADDRESS ZIP CONTR.LICENSE� �. <br /> > Zf�u� r'�tP-Pm�wny� S�n�DC55Z���z� <br /> PHONE �� J`�J �7JJ �J��-�..� lAl�� , 7O�TI �Ci /�G /�3 <br /> PROPOSED USE OF BUILDING Building 6d, A1eChanica; ACdilion HEAT SOURCE <br /> PERMIT R Combination � -� Plumbing WORK � Alteration [� Eleclric <br /> ��i I ! ':� � ' TYPc D Demolition LJ Sion IYPE New D Gas <br /> . � I � ' � U Sprinkler RepaidMainL U Other <br /> CONTrZACT PRICE OF WORK � I G/� �J CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> V c <br /> WORKL'ESCRIPTION IIJ�1� �f (,i��i'hl '�'L. 31��� �`�,�1�� (�i'`�� U�LI J�I I I[��>S6 SyS�^S <br /> IZ <br /> -t-0 PP,I- P iP�� hl,�oD . ;N S��tL Mn^��1 DucT S'�P f P.�?Si�� Sys1�'n- � "1 E �n� W�7�i <br /> Na�) sy s�r^S <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO.. I TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(701LET) A/C–AlHANDLING UNIT3 <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK&DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER AAETAL FIREPLACE/STOVE <br /> URINAL �IREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGc <br /> _ BACKFLOW PREVENTER GAS PIPING I <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> _ GTHER _ � OTHER_ HUOTI� �UPP�'�%�51Jr' . <br /> i • , — ' ' <br /> � � -ERE9Y CERITIrI'THFT I HAVE RE,aD AND EX4MINED THIS APPLICATIOIV AND KNOVJ TH=S:,AtE TO 5c T?UE r.IJ�CORRGCT. ALL <br /> �=0t9SiON5 Or LAwS AND ORIDINACES GOVeRNING TH1S,il'FE QF N'ORK'•'JILL 9E C061PLIE�VVITH W4�THER SPEGFIED HEREIN OP, <br /> '� ^JOT. THE GRANTING OF:,PERtr11T DCcS NOT PRESUME TO GNc AUTHORITI'TO VIOLATc 6R C."�.NCO1 7H�rRO�/ISION Or HP;}'OTHER <br /> � 5'.4TE CR LOCAL L4W R�GULATING CONSTRUCTION On THE PERF;iriMA"!C=0�CONSiRUCT;ON. TH:.T I AIv1 ACTHORIZED EY THE I <br /> � 'JNE�OF THIS PRO?E�Tf TO PcP,PORM THE 1�7RK POR�ViiICn:.PPUCATION IS N.ADc Ah� I COM?LY WITH,Tn-STATc . I <br /> � :NTP.,4 RS`�1N\i&.?7�CW:+IJ7 25�.200 WAC. � . j <br /> �� � J�'�� � � I'� �� _ <br /> �, �iytic(utc �f�J�v11CIICOIIII'dCl'JfffillNOfIZ�dA�2fli Dat� � • � <br /> ' DEBIT & CP.EDIT CARJS AP,E NOT ACCE?TED <br />