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81TE ADDRESS <br />� 5 �� l <br />LEOA LOT N0. <br />DESC. I' <br />0 W NER <br />��1 i <br />TENANT NAME � <br />� � j�.�. <br />�cRMIT APPLICATI�N <br />CITY OF EVERETT PERMIT SEF{�VICES <br />3200 CEDAR STFEET, EVERETT, WA 98701 <br />425-257-8810 �- FAX 425-257-8857 <br />�a << <br />+ BLOCK <br />�;.� <br />COMRACTOF _ \ 1 \ � � <br />U � <br />PHONE � . � � / <br />PqOPOBED UBE OF SUILDINf3 <br />!�f t .� <br />�,;��, �,�, � . <br />PARCEL TAX I.D.1 <br />• <br />TRACT / <br />� ` � C. r) ! �UWI� CU�./�+ <br />AODRE88 ZIP PHONE / , - <br />�;2.i iv� �a s� . c-��«,�( �',��1� ;7�� �z��. <br />CONTACTNAME <br />r,,��� ��.r�r�e.� <br />��� ( ADDRE88 <br />I ,..i' ,! � � I/ �, �i li� � �,��� �, . <br />f� l � _. <br />Building Mechenicel <br />PERMI7 COmbinetion Plumbing <br />TYPE Demolillon Sign <br />Sprinklar <br />ZIP <br />PHONE <br />L!li J „��, .JC%J[:�1 <br />COHTR. IICENSE M <br />: � �_.,\C,4'U11�F <br />RAddltlon I HEAT BOURCE <br />Alteretiai r Eleclrlc <br />BNew [� Gee <br />RepairlMelnt. L7 olhar <br />CONTRACT PRICE OF WOFK ': � ,-�. �- � - /�/� I CITY OF EVERETT LOCAL 9ALE9 TAX COOE IB 9106 <br />WOHK DEBCRIPTION /� / <br />/V(��I � � (� � , n, t /,j `/ J � l�%r � i r �•. / . , � c. <br />I � <br />IfJI) " .-,I1.�! ��l ��I(N. <br />�r <br />NO. I TYPE OF fIXTURE OR 1?EM <br />WATER CLOSE-i <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 6 DISPOSAL <br />DISHWASHER <br />IAUNORV 1FiAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVFNTER <br />SINK (SERVICE/BAR/MOPiETC.) <br />OTHER <br />NO. I 7YPE OF FlXTURE OR REM <br />A/C - A/HANDLIN(i UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPIACE/STOVE <br />FIREPLACE INSERT <br />3AS FIREPLACE <br />OAS RANOE <br />OAS PIPINO <br />EXHAUST FAN <br />OTHER <br />I HEREBV CERITIFV THAT I HAVE READ AHD E%AMINED THIS APPLICATION AND KNOW THE SAME'f0 BE TRUE AND CORRECT. ALL <br />PRQVISIONS OF LAWS AtJD ORIDINACES dOVERNIN6 THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT THE 6RANTIN�J OF A PERMIT DOES NOT PRESUME TO QIVE AUTHORITV TO JIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAI LA'N RE(iULATIN6 CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THA71 AM AUTHORIZED BV THE <br />OWNER OF THIS PRpPERTV Tn PERFUFiM THE WONK FOR WHICH APPLICATIO�I IS MAOE AND I COMPLV WITH THE STATE <br />