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PERMIT APPLICATION <br />CITY OF EVERETT PERMAIT SERVICES <br />320U GEDAR STREET, EVERETT, WA 98201 <br />425•257-8810 — F/1X 425•257•8857 <br />SITE ADORESS <br />q0�7 10�1�" PI_ 5� <br />LEGA LOTNO. � BIOCK <br />DESC. <br />7RACT <br />t�rbc��� �L�c� qo�- L <br />PARCEL TAX I.�. N <br />� I SC <br />PeaMir r <br />r'f <br />VHONE (_/J7 r _ <br />-L " J <br />4�'r2� 35Tq�So <br />TENANTNAM! <br />GONTAGiFORVERMIT PHONE <br />C�rr� asm���' L'�n��ce �K(149/�.✓ zoc� z82Y7a� <br />CONTItACTOR' , 1� fLQ <br />(�l J <br />PHONE ,��� ZQZ <br />V <br />PROP09ED U9E OF BVILOING <br />CONTRACT PAICE OF WORK <br />AUDRESS ZIP CONTR. UCENBE Y <br />_ ��,��-��-�yr�� R�i4� <br />C) (.�JAI K I� S 9'94�4� <br />BuliAing Mecl <br />PERMIT Comhinetion Plurt <br />TypE Demolilion Sipn <br />Sprinkler <br />G `�o —� <br />Addition MEAS SOURCE <br />WORK �Ileratlon �EbdAc <br />M[ New Gan <br />ReDaldMalnl OIMr <br />CITY OF EViRfiTY LOCAL BALEB TAK CODE 18 710! <br />W ORK DESCRIPTION <br />�-(vt3��-(� -f-t��n�C� t�ry�' 31Zh�4V'�`l� <br />PLUMBING <br />NO. I TYPE OF FIXTIRE OR ITEM <br />WATER GLOSET (TUILET) <br />AATHTUA <br />U1VAiORY �IVASH BASIN) <br />SHOWER <br />KITCHEN SINK 6 DISPOSAI <br />D�SHWASH[R <br />LAUNURY iRAV <br />CLOTHES WASHER <br />URINAI <br />ORINKING FOUNTAIN <br />FLOOR ORJUN <br />BACKFLOW PREVENTER <br />� � SINK(SERVICPJBAR/MCPIETC• <br />OTHER_ ____- <br />NO. I�E OF FI%TURE OR ITEM <br />A/C — AIMANOLINci Um i a <br />= FORCED AIR SVSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTNES DRYER <br />RANGEH000 <br />WATER HEATER <br />METAL FIREPIACE/STOVE <br />FIREPIACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />� GAS PIPING <br />EXHAUSTFAN <br />OT�1ER <br />1 HFtiEBV CEH�TIFY iNAT i iU�VE flEAD ANU E7(AMINEO 71'��5 AYPUCATION AND KNOW THE SAME 10 BE TAUE �U1D CO��EGI nu <br />PROVISION$ OF LAWS AND OR�DINACES GOVERNING THIS n'PE OF WORK WILL BE COMPLIEO WITM WHETHER SPECIFIEO NEREIN OR <br />NOT THE ORANTIN�i OF A PERMiT DOES NUT PRE9UME TO aNE AULH�R�TY TO VIOIATE OR CANCEL TME PaUVIS10N OF ANY OTHER <br />STATE OR LOCAL LAW REGUTATING CO�S�RUCiION OR TME PERFORMANCE OF CONSTRUC710N. THAT I AM AUTHORiZED BV THE <br />OWNER OF TNIS PFWERTY TO PERFOFM THE `NO4K FOR WMICM APPLICATION IS MADE AND � COMPLY WITH TNE STATE <br />MNt CTORS I 1B 27 FCW AND 79r 1GO Wl�C �( / O� <br />� . ,/��� /_ �......� . . ��YI� // f�ti 1 � <br />//�:�If.ti7�� <br />�' � <br />DHBIT & CREDIT CARDS ARE NOT ACCEPTEO <br />d :�,a�,>>�s-r�:�_� <br />:u�a� rr��r E�-et `x*' <br />