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PC:RIVIIT APPLICATI.. N <br />CITY OF EVERETT PERMIT SERVICES <br />32U0 CEDAR STREET, EVEFETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE AD�HESS�/�� /��,� <br />LOT NO. / <br />/%�s�h.i�. /.,s�/ <br />TENANTNAME <br />CONTRACTOR / � / �j/ /' <br />Gj.)IJJI�(/ IY�J/%447,'�.L.C' • <br />eunue � � <br />I"'.i(T'..�-»' J 71 <br />PROPOSEO U9E OF BUILDINO <br />i <br />�"'s� �� <br />CONTRACT PpICE OF WORK <br />WONK DE9CRIPTION <br />PARCEI. TAX I.D. • <br />JT3Sy-d�- <br />TRACT � <br />� ( � -ls �-�=' <br />CONTACTNAME <br />I � ' � <br />l_�,. �< �.. <br />A�ORESS - <br />L�ia7..�/. l�, r ! c% <br />L-�Irn, �tn. <br />Building Mechanical <br />PERMIT Cambinelion �lumbing <br />riPE Demolilion Sign <br />Sp�inkler <br />PERMIT � <br />CO�S-G LS <br />y��6 - `��S-�/bS-c <br />PMONE <br />� c�-15�-'i �Z � <br />LP <br />'� YC�J� <br />CONTR. UCEN3E I <br />�-�, �c�3�/8v1 j <br />�Additiun HEAT SOURCE <br />Alleralbn EleCtriC <br />��ew Oae <br />Repair/Mein1. Olher <br />OCAL SALE9 TA7( CODE 19 J106 <br />��%�ccJ �,.� ,�a� 22oS �� <br />NO. I TYPE OF FI%TURE OR ITEM <br />� WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK d DISPUSAL <br />DISHWASHER <br />LAUNDRY TFAY <br />L CLOTHESYlAfHER <br />URINAL <br />DRINKING F OUNTAIN <br />FLOUn DRAIN <br />BACKFLOW PREVENTER <br />� SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />_I — <br />NO. � TVPE Oi FlXTURE ON ITEM <br />A/G – A/HANDLIN6 UNITS <br />FORCED AIR SYSTEMS <br />HEATPUMP <br />UNIT HEATEFlS <br />CLOTHES DRYER <br />r;ANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSEIiT <br />QAS FIREPLACE <br />OAS RAN(iE <br />GAS PIPINO <br />EXHAUST FAN <br />OTHER <br />1 HEREBV CERITIFY'HAT I HP.VE READ AND EXAMINFD TMIS APPUCATION AND KNOW THE SAME TO 8E TRUE ANO CONRECT ALl <br />PiiOVISIONS OF LqWS AND ORIDINACES OOVERNING THIS TYPE OP WQRN JVILL BE COMPl1E0 WITH WHETHER SPECIFIEC MEREIN OH <br />NGT. THE GRAPi71NG OF A PERMIT DOES NOT PRESUME TO QIVE AUTHORITV TO VIOLATE OR faNCEL THE PHOVISION OF ANV OTHER <br />STATE Oi7 LOCAL LAW RF,�'iULATING CONSTRUC710N Ofi TME PERFOHMANCE OF CONSTRUCi ION. TNAT I AM AUTHJRI2ED BY THE <br />OWNER OF iH15 PRO�qTV TO PERFORM HK FOR WHICM APPLtCATION IS MADE AND' COMPLY WITM THE STATE <br />CONTRACTOJ�IS L/aN/Tb 27�RC�W AN . <br />�".- '� .S-���y <br />% - -� - Z- <br />71 <br />