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PERMIT APP�ICATlON <br />CITY OF EVERETT PERMIT SERVIGES <br />3200 CEDAR STRE[T, EVERETT, WA 98201 <br />425-257-8910 - FAX 42Fi-257-8857 <br />SITE ADDRESS <br />_ � ��i ( � � , <br />� 1 �i � (., <br />LE6Al LOT NO. .^.!.00K <br />DESC. 1 J � <br />Cu�n Cec�K, ( N c._,� <br />TENANTNAME <br />N �A <br />CONTRACTOR <br />PMONE s Aw(� <br />PROPOSED USE OF 9UILOING <br />SQ r O � o <br />CONTRACT PRICE OF WORK <br />WORK DESCRIpTION <br />p��� i z z� <br />eAs,� � � 9 v <br />o� � �� <br />N0. I TYPE OF FI%TURE OR REM <br />PpRCEL TAX I.D. II <br />,, <br />l��i, � <br />Esr�rss <br />. <br />1410 S�,,vcn SPr�,��,sWnr , Sr��aoo, 1,JA. 9vz9L <br />CONfACTNAME /4u\ <br />� � <br />On�Ge�es�� ��sv-st� <br />ADURE89 <br />�__ WAT[R CLOSEI (IOILL I � <br />Z__ DATHTUE3 <br />� IAVATORY (Wl,SH f3ASIN) <br />SHOW[R <br />_T_ KITCHFN SINK R CISPOSAL <br />_J_ OISHWASH[Fi <br />LAUNDRV TRAV <br />_�_ CLOTHFS WASfi[H <br />_ URINAL <br />DRINKWG FOUNIAIN <br />_ fLOOR DRAIN <br />___ f3ACKFLOW PflEVE1JTf:R <br />___ SINK (SERVICFIE�AR.�MOf"f.1�C.) <br />— OIHFR------ . <br />PEI7MI7 <br />TVPE <br />�PullAing Mechenical <br />wmbinnlion � Plumbing <br />Demolilion �) Sign <br />FM PHONE G�1` <br />s, 33a-sy3a , 330 -�VZo <br />LP CONTR. LICENSE I <br />Go��cl�Eo36�G , <br />��n �v Lz.�O 3 <br />Addltion HEAT SOURCF <br />Allxretbn Elnclrk; <br />New Oee <br />Sprinklor IN ol heeds) I Rope!NMeInL I pthe� . <br />CITV O� E1'�RE7T LOCAL SALES TAX COUE IS 7105 I <br />�—_—_ , <br />MECHANICAL <br />NO. I TVPE OF fl7CTUpE OR REM <br />A/G - A�MANDLING UNITS <br />_ _%_ FORCED AIR SYSTEMS <br />___ HEAiPUMP <br />_ UNITIIE.ATERS <br />/ CLOTHfCS DRYER <br />� RANGEHOOD <br />_L W�TEF HEATER <br />METALFIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GASFiAN�E <br />6AS PIF'RJG <br />_= I EXHAUST FAN <br />OTHER___ <br />— I - - - — <br />I IIf.RGOY f.CRI11fY TIInT I IIAVf fn n� i AHi� 1 XAGIINED 7Hq; AI'f`LICATIU�J ANII hPIOW TH! f'�M�, TO HF. 7(iUF Nlf� rnfin[(1T M L <br />PROVISIONS Of LAWS q!Jfl Of11DIHACES COVI7HNINCi 7111S 7YPf Of WORN WILL PF. COM�`I IGD WI1H WHfllu"' SPf t;tfq-U �II tlf'IN ��ii <br />NpT THF (:RAN71N , f1C A �i"f1A11i bC1[ S NC1T Pf1GSUMF 10 (iW[ AUiHf1RITV TO VIOI.ATC �1f1 CANCEI lllC i'finl'I^.III'v pl' nNY ��1�N n <br />S7ATf OR I.00AI l AW flfOUl ATIN , Of)NSIIIUC flnN OR THf Pf_RfpRM41JCF Of CONSTtp I,^, f10N iHAI I Ald Al17HnnITfD BV fHf <br />OWNEH THIS ^ROP[HTV 10 f�FRFORM 1HE WORK fOR 1NHI(:H APpUCAl10N IS fJADf �"f` I CnldPl_V WITN iHE S7ATF <br />CGNT Ci RS lAW 1P?7llr,� AND 2962M1 WAC <br />/j /, /' <br />..J't /`A- .-. ✓ f 1 �/ 1e �0} � <br />Signnture o OwnndConlr�rtn�ultwnred ��rnl a1e �j <br />� <br />