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--( <br /> i PERIUIIT APPLICAS IOiv Es <br />� Cf'TY OF EVERET� PERM <br /> 3200 4 5D25R-�8R0 E FAX 4 5 257-88598201 <br /> P FMIT A <br /> PARCEL TAX I.D.ii � <br /> I SITE ADD ESS �1 ln�\ �( , (` (�I\('/ ( 1���\� <br /> �11r a(�- I(�� IJR � � TRAC7r U\ <br /> LEGA LOT N0. r BLO K L�L'�� �� L' � //t'rG% <br /> DE3C. � pDDRESS ZIP PHONE <br /> OWNER / �d�' s-h.• I�� /�eZ7Z <br /> , � �-� � l� S��.�/��L S/��2!N G S � '7 / v.✓'JJ PHONE <br /> � �.,i� :..:L' ��� � 1 .J �.i L� �`- �. <br /> CONTACT NAME � y Z�� Ch r <br /> TENANTNAME � <br /> n �,� •_E �a(�'ludLC 3 �5' -54.5, �r ,✓. ;-so j:o :.-n:. <br /> Ir �`/ /� ADDRESS ZIP CONTR.LICENSE tl <br /> ICONTRACTOR C� L�G I �=S 5''�'7 <br /> ' �. �a-,"�;� CY J. /U�LZ�a3 <br /> PHONE <br /> Mechanical Addition HEAT SOURCE <br /> � Building yyORK � Alteration � Electric <br /> pqppOSED USE OF BUILOING pERM1T Combination � Plumbing NeW Gas <br /> 0 � • I TypE � DP:noliUo❑ SigO TYPE Other <br /> c, C �> S�� ikler(n ol heads) <br /> Repair/Maint. <br /> � • � - <br /> CITY OF EVERE'TT LG;:AL SALES TAX CODE IS 3705 <br /> CONTRACT PRICE OF WQRK � <br /> W ORK OESCRIPTION ' <br /> ���1..� � (Is_ �i <br /> i �1 (, <br /> � �t`�i c. � �'. <br /> MECHANICAL <br /> PLUMBING � <br /> NO. Ti PE OF FIXTURE OR ITEM , <br />� NO. 7YFE OF FIXTURE OFi ITEM �C_q/HANDLING UNITS I <br /> I <br /> _ WATER CLOS�T(TOILET) 1_ FORCED AIR SYSTEMS i <br /> J;L BATHTUB _ HEAT PUMP i <br /> _� LAVATORY (WASH 9ASiNi UNIT HEATERS <br /> SHOWER � CLOTHES DRYER i <br /> � KITCHEN SINK&DISPOSAL � RANGE HOOD <br /> DISHWASHER � WATER HEATER ' <br /> � LAUNDRY TRAY _ METAL FIREPLACE/STOVE <br /> i CLOTHES WASHER _ FIREPLACE ID.SERT � <br /> URINAL GAS FIREP��CE 1� � <br /> DRINKWG FaUNTAIN ` <br /> � GAS RANGE ��jU � <br /> FLOUR DRAIN GAS PIPING <br /> — gACKFLOW PREVENTER � EXHAUST FAN � <br /> SINK(SERVICE/BAR/MOP'ETC.) _ OTHER�-- <br /> OTHER�— _ <br /> — i <br /> � <br /> II HEREBY GERITIFY THAT I HAVE READ AND EXAMINED THIS APFLICATION AND KNOW THE SAME TO BE TRUE AND CORREc T. 4LL-^-� � <br /> I' ,,��p7V17 ErGRANTING OF DPEal�1�."IT DO SG OT?RESU 1E TO GPVE AUTHOORITY TO VIOLATE OR CANC�L T EH�RO PSION 0. rFn��,;�Ja <br /> �I STATE OA��HIS PROPERTY L=TFE FO M THECNORKOFORHVHICH PPLIC.'ONFS MADER:.NDI I�CtOtdPL'IT',NITH THE ST%."'^ � <br /> � <br /> �� �WNER OF <br /> I CONTR RS WW 1827 RCl����'%�0'P!AC. I/I�'/7 3 <br /> I � .!i% � � <br /> J /`� Date ,Z, <br /> �� Sianawr� e o�CoNrac:.,r�uthonzed Ag=_nt <br /> —� --------�— <br />