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�ERMIT APPLICATIUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR :TREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />'SITE AD ESS <br />2032 /dy� S% S �,/ <br />LOT N0. I BLOCK <br />/8s/9 <br />�p <br />TRACI' <br />o/�: <br />3v9 ��� <br />PARCEL TAX I.O. k PF�MiT a <br />JS'1-000-O�-_no �.3�%-!'d-�;, <br />D,L,i.>.� nb. 3_ v�/ P/ <br />RoSe�n��<� P�� 1�����.t C.�.�. 23�z ��6'�. "<<� G y�.+�t�c�%� 9�'•>; ��`/zf)7`/1-sy��7 <br />TENANTNAME CONTACTFOR PERMIT P N <br />I������,z,�r�run� (�a5��g �1��`� <br />Vir , � .rrlM (4�5 77;�-R48'7 <br />CONTRACTOR <br />(1/(r. �.yyM.. Ga-J'f��y'iVs✓ <br />e{� z;,b� <br />PROPOSED USE OF BUILDING <br />S;N��c ,Gl*.• y �Q,,,.L... <br />CONTRACT PRICE OF <br />WORK DE9CHIPTION � � <br />�o�vl fi» r t%'a.J .� A N[.✓ <br />PLUMBIN3 <br />N0. I TYPE OF FI%TURE OR ITEM <br />WATER CLOSET (7nILET) � /� <br />BATHTUB I <br />LAVATORY�WASHBASIN) ��/ <br />SHOWER 1 <br />KITCHEN SINK 8 DISPOSAL <br />DISH6VASHER <br />LAUNDRI" TRAV <br />CLOTF,ES WASHER <br />URINAL <br />DRINKING FOUNT�\IN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BARlMOP1ETC.) <br />OTHER_ <br />ADDRESS J ZIP CONTR. LICEN9E N <br />2 3i z i�6n•�l s•�[ y�".'„',,,.�..p �✓6-Z�6c,+E o�Sen� <br />� 9Y�� 7 <br />Building D Mechanical <br />PERMIT �Combination u Plumbing <br />TYPE Demolilion U Sign <br />Sprinkler <br />Atldltian <br />WORK Alleralion <br />TYPE New <br />Repair/Mainl. <br />HEATSOURCE <br />�ElecVic <br />Gas <br />Olher <br />n IO�av..^. w I CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />/7S'O d� S.M��c li..i j /.Gti... <br />�A� �� ��y� <br />MECHANICAL <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - A/HANDLING UNIi S <br />FORCED AIR SYSTEMS F�AS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRY[R <br />RANGEHOOD <br />WATER HEATER F4f <br />METAL FIREPIACE/STOVE <br />FIREPtACE INSERT 1M� <br />GAS FIREPIACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN /// <br />OTHER <br />'� HFRERV CERITIFV THAT I HAVE READ AND E%AMINED THIS APP�ICATiON AND HNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PRnVi510N5 OF LAWS AND ORIDINACES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WiTH WHETHER SPEGFIED HEREIN OR <br />NOT. THE GRANTING OF A PEF.MIt pOES NOT PRE£UME TU GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />Sl"ATE OR LOCAL lAW REGUUITING (,ONSTRUCTION OR THE PERFORMANCE OF CnNSTRUCTION. THAT I AM AUTHORI2�D BV THE <br />OWNER OF THIS PROPERTV TO PERFOP.M TNE WORlC FOR WHICH APPLICATION IS MAOE AND I COMPLY WITH THE STA7E <br />CONTRACT 5 LAW iB.27 RCW AND 296..00 WAC <br />��4. iltic..� � /r/t /e � <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />