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- ' <br /> PERMIT APPLICATIO��1 <br /> � CITY OF EVERETT PERMIT SERVICES <br /> � 3200 CEDAR STREET, EVERETT, WA 98201 <br /> ' 425-257-b810— FAX 425-257-B857 <br /> PERM_ �T u � �O <br /> �--- PARCEL TAX I.D.# 1,��7� <br /> 61TE ADDRESS (�t'�l\Q I ��\O� � ��aL'�'� <br /> ����`:3-�- ��G ��. �� �.U-�ov <br /> - BLOCK TRACT L T%A'..�. <br /> LEGA LOTNO. � � Q��.,J ��Qa2 � <br /> 1» <br /> DESG. ,� Z�p PHONE <br /> ADDRESS ` ' <br /> OWNER SFiGl�1::SW S/ .J:J'/UD L�� �aZ7Z : <br /> ^ ` �'1 I L ���-��°��' PHONE <br /> L ,;,..,�u? �rt�: , ! ..�c� ( 9�:� FR l L�``' ', <br /> CONTACTNAME <br /> TENANTNAME I n/G`E t � ?) �cr 'Sf? S, 42✓- > 3v .i>J-�`I2Li <br /> �� lakn3 _ � <br /> ^ '/�j Z�p CONTR.LICENSE N � <br /> �� AODRESS I <br /> � CONTRACTOR LO �DC ��3 7"�� <br /> i f�-'_ , jk-,..�y L'�?. /UJLL�O3 <br /> PHONE <br /> Mechanical Addition HEAT SOURCE � <br /> Building n Elecuic � <br /> I pROPOSED USE OF BUILDING pERM1T Combination � S'9n bing W�RK A4eration � Gas— � <br /> TYPE New <br /> J , �O �w, . TypE DPmolition U RepaidMaint. Other <br /> ti/ S rinkler(a ol heaCs� 'I <br /> I ��,� <br /> CITY OF EYERETT LOCAL SALES 7AX CO�E IS 310 <br /> CONTRACT PRICE OF WORK I <br /> IWOflKDESCRIPTION <br /> ���a� � (�� <br /> � � <br /> I C.�iSIL� �� � <br /> MECHANICAL <br /> ---�— PLUMBING <br /> NO. TYPE OF FIXTURE OR ITEM <br /> NO. TYPE CF FIXTURE OR REM <br /> q��_q/HANDLING UNITS <br /> �_ WATER CLOS�T(TOILET) � FORCED AIR SYSTEMS <br /> y_� BP.THTUB _ HEAT PUMP <br /> i � V;�JA70?Y(WASH BASiN) i�NIT HEATEflS <br /> SHOWER y CLOTHES DRYER I ; <br /> �� � KITCHEN SINK 8 DISPOSAL � RANGE HOOD � <br /> � 1 DISHWASHER i WATER HEATEF � <br /> I _ LA+JNDRY TRAY _ METAL FIREPIACElSTOVE ^ i <br /> I _i— CLOTHES WASHER = FIREPLACE INSERT r-�` I <br /> URINAL GAS FIREPIACE �1/V <br /> DRINKING FOUNTAIN GAS RANGE � <br /> I FLOOR DRAIN � GAS PIPING � <br /> I - BACKFLOW PREVENTER = EXHHUST FAN <br /> SINK (SERVICFJBAR/MOP/ETC.) '� OTHER�— <br /> OTHER�— <br /> I __ ' — , <br /> i <br /> I <br /> I __ I <br /> �I 1 HEFEBY CERITIFY THAT I HAVE READ AND cXAl.11llFG 71�5�P�LI:::-'-''•i AtdD KNOW THE SA�AE TO BE TRUE AND COfiRECT. ALL <br /> pAOVISIONS OF LA'NS AND ORIDINACES GOVc?DiItIG TI-.Ic-yc_;F YICRK:'JILL�E COMPLIED W�TH WHETHFfl SPECIFIED HEREIN OR <br /> -..:�p�^I''O VIOL4TE OF CANCEL THE?ROVISION OF ANY OTHER <br /> NOT. THE GRANTING OF A PER�dl7 DOES f4C i�FC=ULIF -� -��'r�i�t��,�Gc OF CONSTRUCTION. THAT i AM AUTHOAIZED BY THE <br /> II STA7E OF LOCAL LAW RHGULATING GOP75TP'JCTIOr����"'=:.° ._ I <br /> I OVJNE�OP THIS PROPERTY TO PERPORM THE'iIOFK P'-" ���"�""'��`""'T�G�I IS MADE AND I COMPLY WITH THE STATE <br /> � CONTR' R$IAW1827RC'Vi�O`NAC. , . <br /> ��� � � -/� 3 <br /> � uate <br /> � Signawre of Ov+neriContractovAuthonzed Agenc �� — I <br />