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--- f u�„; y� _ . <br /> P�RMIT APPLICATION `'�"�" `53.� `_ <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 9II201 C� <br /> 425-257-8810 – FAX 425-257-8857 � ` 25 ��� <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT a <br /> w z 7 � ,,� ��� o�Ia—U,��� <br /> __ . LO NO. BLOCK TRACT <br /> _��sc C (� o�Gus,—rl �•`oc�os <br /> OIVN R DDRESS Z�P �,,Nl��3s� -c)d0 0 <br /> L. /VI� � t L�iq / L /I C.1�-S � -rnl L . Pc.� IJ Ji1'�J��� , .J�C1�4w1/J f�{ Gl.�f� ��'-� l <br /> TENANT. NAME CONTACTFORPERMIT PHONE <br /> CONTFACTOR ADDRESS ZIP CONTR. IICENSF� <br />, �. •�T /'o G ox �.S��y � SNur�o.� r sK, u1N �.��9/ c.,�rr�v,i �, vd5-�, 3 <br />� PHONE ��� ����LpIL=rS <br /> ��LS-� 3.i 3 - "vou <br /> PROPOSED USE OF BUILDING (� Buildinq I� MeChaniCal P.tldilion HEAT SOURCE <br /> / PERMIT �j Combinatian �_� Plumbin9 wORK � Ntereuon I� c��ecmc <br /> /��Z,: J-p;4 s� �sn1 S�7'��i'r`Z TYPE Demolition �J Sign 1YPE New 5�` Gas <br /> S r�`� B Sprinkler Repain��famt. � Ca a <br /> CONTRACT PRICE OF WORK � �5��pp CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1YORK DESCRIPTION <br /> _�� F �'� .�� s � c z ��- �3 � <br /> PLUMBING MECHANICAL <br /> NO. : TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEh1 <br /> i V�iATER CLOSET (TOILET) � A/C-A/HANDLING UNITS <br /> 2 i BATHTUB f FORCED AIR SYSTEMS <br />' .3 LAVATORY (WF.SH BASIN) HEAT PUMP <br /> SHOW ER UNIT HEATERS <br /> � KITCHEN SIMK& DISPOSAI � CLOTHES DRYER <br /> J_j UISHWASHER _(_ RANGE i100D <br /> LAUNDRY TRaY 1_ WATER HEATER <br /> _r CLOTHES WF.SHER METAL FIRFPLACE;STOVE <br /> URINAL FIREPLACE If1SERT <br /> - DRINKING FJUNTAIN 7 GAS FIREPLACE <br /> _LI rL00R DRAIN / GAS RANGE <br /> / 9.4CKFLOh' PREVENTER GAS PIPING <br /> __ SINK (SERJICE/BAR/MOPIETC.) EXHAUST FAN <br /> GTHER OTHER <br /> ---i — <br /> ^ER��E9V CERITIFY TMAT I HAVE REA�AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 9E TRUE ANO CORREC' :,__ <br /> i rRC'✓ISiONS OF L'yWS:.ND ORIDWACES GOVcRNING THIS TYPE Or'4VORK WILL BE COMPUED WITH WHETHER SPEC�F:ED nERE'. =_. <br /> h:Ci i n� �RAN i ING OF A PERMI i DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCE! THE PROVISION OF:.K� '"-_�� <br /> 5 i:.i� OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF COIVSTRUCTION THAT I Atd AUTHO?IZE'7 3�- �_ <br /> G'.�'Nc"R OF TMIS PRCPERTY TO PERFORh1 THE lh'ORK POR�A'MICH APPLICATION IS 1:1:.UE AND I CO.'.1PLY IVITH THE ST„T'c <br /> CON'" 'C'ORS LAOV 78.27 RCW AND 296.?OO V�'AC <br /> �"�. / � /L�3J o j <br /> S�cnature e� OwnedContractor/Authorized Agent Date �/Z <br /> DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />