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� <br />PERMIT APPLICATION <br />CITY ('F EVERETT PERMIT SERVICES <br />320U CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-2b7-8857 <br />SITEAD��S ^��,`,\ �` <br />� r, <br />LEGA LOT N0� BI <br />DESC. <br />OWNER <br />C��C'.fi�Ll�� (n1� , <br />TENANT NAME <br />N �P <br />CONTRACTOR <br />PHONE SAw(L <br />PROPOSED USE OF BUILDINO <br />S6 • o f^ o <br />CONTRACT PRICE OF WORK <br />WORK DESCFIPTION <br />��Pa IZz3 <br />6,>S�� �I 9� <br />PLUMBI� <br />NO. I TYPE OF FIXTUHE OR REM <br />PARCEL TAX I.D.1 <br />�\�.i' ,I �. l ,l �C')� �� <br />� <br />�_ I (.... � L7 �' �J e� �� ���' 21P PHONE <br />ADDRESS <br />c C_P L�ny � Sin�iweno, �,��. 4?,,���� <br />I u I u -�� we3L �:,��,i --- <br />WATEFl CLOSEt (TOILET) <br />BATHTI�B <br />LAVATOFlV (WASH BASIN) <br />SHOWER <br />KI7CHEN SINK 8 DISPOSAL <br />DISHW/1SHER <br />LAUNDFYTRAY <br />CLOTHES WASHER <br />URINAI. <br />DFINKING fOUNTAIN <br />Pl OOR �RAIN <br />DACKFLOW PRF.VENTFR <br />SINK (SFRVICE/f3AR�MOP/[TC.) <br />OTHER_.._._ ._. .. - <br />— -- � — - ... .--- � - <br />ICONTACT NAME �lkLS ) <br />�n�G�j2�6bcG '�34- �115 <br />AODRESS <br />[� Bullding Mechenlcel <br />PEAMIT I ) Combinelion � Plumbinp <br />TYPE ❑ Demolilion L� sign <br />D Sp�lnkler (M ol heeds) <br />PHONE <br />j�n� (.c � ,. <br />T�:9- ��i'�4. , ?,io "'.��' <br />• ZIP CONTR. LICENSE II <br />G ��-n G l+f 0 36 ��� <br />��n �v/Lz/o a _ _ <br />HEAT SOUACE <br />Elr[liir. <br />Oas <br />�,a� <br />�Addltbn <br />Alterallon <br />N� N <br />RepairRAelnl. <br />CITV OF EVERETi LOCAI SALES 7nx cwe �s aiva <br />NO. I TVPE OF FlICTURE OR REM <br />NO — NFIANDLINO UNITS <br />FORC[D AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEAT[RS <br />� CLOTFIES DRVER <br />� RANGf: HOOD <br />� WATEH HEATER <br />METAL FIREPL�CE/STOVE <br />FIREPI.ACE INSERT <br />GAS FIRLPLACE <br />�GASR4NG[ <br />�AS Pi'INO <br />._L{ _ [XHAUST FAN <br />OTlii"fl -_------- — <br />1 HER[AV CGRITIPV Tf1AT I NAVF READ AND E%AMINED iH15 APPLICATION AND KNOW THF. SAME TO BE TRUE AND CORiiECI. ALL <br />PROVISIONS Of LAWS ANf) ONDtNACES OOVERNINO THIS TYPE OF WORH WILL BE COIAPUED WITH WFiE"fHER SPECIfIED HEREIN OR <br />� NOT. iH[ Gf1ANTIN(i OF A PFf1MIT DOGS NOT PRESUME TO OIVE AUTHURITV TO VIOLATf! OR CANCEL TME PROVISION OF ANY OTNER <br />STATP (1f1 LOCAI. L4W f1FGUlATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIIED BV iHE <br />OWNER Of 1���5 ��n���TV 1D PFfiFORM THE WORK FOR WHICM APPUCATION IS MADE �IJD I COMPLV WITH THE StATE <br />CONT�FlI�CT�.RSlAW1027RC �N0�6?(IOWAC <br />r . i�_1 � ���''�i� � /,�/03 �la.. <br />