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�--�— � � � <br />PERMIT APPLICATION <br />"ITY OF EVERET7 F'ERMIT S�ERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8i357 <br />SITE <br />LOTNO I BLOCK I TRACT <br />DESC <br />PARCEL TAX I.D. # <br />L�: � <br />nAs �c ; z�ly <br />(R�w �ss-� �� <br />PERMIT u <br />�03JZ <br />�_� /,,.,i %u�cJcii2�� /Nf �D iSvX /•5 �9� .��:cl`�n�iJFj�j`�.'�[ 7.) � J`J-/060 <br />TENANT NAME CONTACT FOR PERMiT PHONE <br />_ _ i(NrC" %✓/C/.'iLile...l �(zJ' 3� 7-/0��` <br />CONTRACTOR ADDRESS ZIP .^.OHTR. LICENSE N <br />S�F�, f- il f� w.v �rC <br />PHONE <br />PROPOSED USE OF BUILDING <br />.s -r �� <br />CONTRACT PRICE OF WORK <br />WORI< DISCRIPTION <br />/ <br />i' <br />Ci�i.Il�li Y` 1`� n'j jr <br />BUilding MCChaniCal p P.adition HEAT SOURCE <br />PERMtT �. �mbinalion Plumbing WORK Alteration Eiecm: <br />TYPE �'Jemolition Sign TYYE � New � Gas <br />u Sprinkler ReOa�r�Ma�nt. I� Ot7e� <br />� CIT" f1c cVERETT LOCAL SALES TA% CODE IS 7105 <br />vo i <br />� <br />i ✓•. � ,r� i.i �c � � � (,-Ll� .� i`/� <br />PLUMBING <br />NO. i T�PE OF FIXTURE OR ITEM <br />�_ WA`ER CLOSET (TOiLET) <br />� 6ATHTUB/���'ew'nZ <br />S Ii�VATORV (�VASH �ASIN) <br />S�iOWER <br />= KI7CHEN SINK 8 DISPO5AL <br />� DISHWASHER <br />— LAUNDRY TRAY <br />r_I CLOTHES WASHER <br />__� 'JRINAL <br />� __� DRINKiNG FOUNTAIN <br />_� _IFLOOR DRAIN <br />BACKFLOW FRE'JENTER <br />—� ,;INK ISERViCE�BARiMOPIETC.) <br />OTHER <br />NO. i TYPE OF FUCTURE OR ITEM <br />0 <br />e <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />R,4NGE HOOD <br />WATER HEATER <br />METAL FIREPLACEiSTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />E%HAUSTFAN <br />OTHER <br />�EREBV CERITIFV THAT I HAVE READ A�I� EhPA11NED THIS APPLICATION AND KN01V'. hE Snl1E TO BE TRUE AND CORRECT ALL <br />�'�.C\'IS�ONS OF LAWS AND ORIDIN4CES GOVERNiNG THIS TYPE OF N'ORK WiLL OE COMPLIED NITH �VMETMER SPECIFiED NEREIN CR <br />'.vT TnE GRANTiNG OF A PERAIIT DOES NOT PRESUME TO GIVE AUTHORITY TO \'IOLATE OR CA�CEL TME PROViSiON Of ANV OTHER <br />�'ATE C�R LOCAL J+W REGULATiNG CONSTRUCTION OR ?NE PERfORh1ANCE OF CONSTRUCTION TMAT I A61 AUTHORIZED 0� TME <br />.:,�aER OF , niS �ROPEfITV TO PERFORM THE 1VORK FOR �YMICH AapLiCATION iS MAOE AND I COMPLV WITM'h�E STATE <br />.::;��TRACTORS LAV/ 18 .7 RC'.V AND 296.:00 WAC <br />S ynature <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />