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sir ao�aess <br />h�!' is z� <br />,_ <br />LOT N0. <br />�_��� LL" <br />G�:NER <br />P�RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 �- FAX 425-257-8857 <br />I5-r" SilC'it�-' �tl.' PARCEL'iA%I.D.# <br />TRACT <br />/��cGus,-H L•�ee <br />�",��T �,�,.-,t����,�,,�rs,s�c. /�o(��,r�s79..1�n� <br />i F1�ANT NAME ' CONTACT FOR PERMIT <br />I <br />CONTRACTOR ADDRESS <br />! •�'� r �'0 G nX /.5-7% � SNurfo� � SN, �H <br />PHONE <br />s`il_� ) 3.� 3 �yvot� <br />PROPOSED USE OF BUILDING <br />/�.1.: h�'tisc (Jn-'SriC <br />�s rr;1 <br />Building Mechanical <br />PERMiT � Cnmbination � Plumbing <br />TYPE Dem0l�lion Sign <br />Sprinkler <br />CO��TRAC � PRICF OF WORK �H GS �G 00 <br />1',ORK �LSCRIPTION <br />;��y ��F .1 <br />N�i TYPB OF FIXTURE OR ITEM <br />i <br />.3 i `:.FlTER CLOSEI (TOILET) <br />"1 '� (�',1HTU8 <br />.3 ' i.:•VATORI' (1NASH BASIN) <br />� �t�.��!OWER <br />riTCNEN SINK 8 DISPOSAL <br />� I DISHVJASHER <br />I.AUNURV TF2AY <br />� I CI.OTHES lNASHfFR <br />- I uawn� <br />— � DRINKING FOUNTAIN <br />/ i FLOOR DRAIN <br />1 � �i,CKFLON' PREVENTE-R <br />I SINK (SERVICEIBAR/MOPIETC.) <br />%��/�>;��� <br />, <br />NN � i S `f I lO <br />l�,�t��� . x <br />f'E�249T r. <br />C� '� I -� ' (� � ,� <br />ur rnvn <br />(yz, 3s�-��euo <br />wi i� �; cJA q k"—� � <br />FHONE <br />ZIP CONTR. LICENSE 4 <br />`�d'L�I / c.��rrnl� * v 85-•» 3 <br />CKP ii�ic/c:�s <br />�AOdition <br />At�erelion <br />�+ew <br />Repa�nldaml <br />HEATSOURCE <br />Eie;v _ <br />Gas <br />Omcr <br />CIN OF EVERETT LOCAL SALES TA%CODE IS 7105 <br />MECHANICAL <br />NO. I TYPE OF FIXTURE OR ITCM <br />` A�C—A/HANDLINGUNITS <br />T FORCED AIR S1'STEGIS <br />HEAT PUMP <br />UNIT HEATERS <br />_L CLOTHES DRYGR <br />�_ RANGE HOOD <br />_L WAT[R HEATFR <br />_ METAL PIR[PL4C6STOVF <br />FIREPIACE INSER f <br />1 GAS FIREPLACF <br />/ GASRANGE <br />GAS PIPING <br />� EXHAUSTFAN <br />�'��•E�v CERITIFV THAT I HAVE REAU AND Eti4A11NED THIS APPLICATION ANO KNOW THE SA�dE TO B[ TRUE h1JJ CORRECT h�i <br />��t�. ��'i510N5 OF IAWS AND ORiDiNACES GOVFHNING TMIS iYPE OF 1NORK �l'ILL bE CO�dPLIE� 1NITH l'l'HETHER SPECIFIED HEREi': C'�!+ <br />.' Tr+E GFANTi'JG UF A PERM1IIT DOES NOT PRESU!d[ TO GIVE AUTHORITY TO VIOL4TL OR CANCEL THE PROVISiON OF ANv O i r-E �•. <br />,,.-, �)a lOC/•� L417 �iEGUL4TING CONSTRUCTION OR THE PEftFORA1AtiCE OF CONSTRUCTION THAT I Ald AUTHORIZED Bti' Trc. <br />r <br />�_ ., r.E G ��� T�� 5�'r�OP�FT1 i0 PERFORM iHE �'lO�2K PO�i 11'r7iCN APPLiGAT.ON!5 R1ADE AND I COMPLY WITH THE STATE <br />.. �.O�iS i_FR' •�B "7 RCW ANU 29G 200 AVAC <br />/ <br />�, .�._ ,� � , ���3� e j <br />�.�una�urr of O� nedContractor�Authonzcd Aaenl Dafe ��� <br />DEf31T 8 CREDIT CARDS ARE NOT ACCEPTED <br />