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SITE PDDRESS <br />, _ [.il_- <br />�Fcn� LOT N0 <br />I DESC 2 4 <br />rERMIT APPLICATION � <br />CITY OF EVERETT PERMIT SERVICES i <br />3200 CEDAR STREET, EVERETT, WA 98201 ' <br />425-257-8810 - FAX 425-257-8857 � ' <br />i: �_ ',I r ( C,�li I <br />PARCEL TAX I.D. k 3"�'�— aERMIT a <br />. 3•'�'7 � � <br />�L��<-� G� l OG_�GSS UU-� (� �.-'/C�. -�;�� �� i <br />BLOCN TRACT 1 � <br />--- L�H C•��3R�6�tl5 v��y�ielL�G � <br />%��,s���rc �.�Yr��11���.�c '� �_.y,�.%ti��zr�p,1c,R 9�v3y �JS� �yS-ed3a <br />TENANT NAME CONTAC7 FOR rr.�,.ni f PFIONE <br />— ---------- --��ecc; � H�a��e 3�� �so-u�v �f <br />CONTRACTOR ADORESS 21P CONTR.LICE_l�3��10� <br />tX{�IQr`� Nla I <br />PHONF JAf"'�E �g �MJ� � A GgTN � 9�HS H <br />PROPOSED USE OF BUILDING <br />-----..—d.�"..— - ---- <br />� CONTRACT PRICE OF WORH <br />�uildmg Mechanical <br />PERMiT � Cumbinalion � Plumbing <br />TYPE Demolition U Sign <br />Sprinkler <br />WORK DFSCRIPTION i <br />�fu� S�� <br />PlUM81NG <br />NO. � TVf�E OF FI%TURE OR ITFM <br />� <br />�_ <br />—! <br />WATER CLOSk= i 17UIL[ 7 � <br />BATHTUB <br />tAVATORY (WASH F3ASIN) <br />SfiOWFR <br />KITCHFN S:NH 8 DISPGSAL <br />DISHWl1SHER <br />IAUNDRI'TRAY <br />CLOTfiES WASHFR <br />URINAL <br />DRINKWG FOVNiAIN <br />FLOOR DRAIN <br />f3ACKFt.OW PREV[NTER <br />SINK (SERVICE'�AR/MOPI[TC I <br />OTHER <br />Addition HEAT 30URCE <br />WORK � ARe� ;ion � Eledric <br />TYPE I�ew Gas <br />Renan/Maint Other <br />CITY OF EVERETT LOCAL SALF.S TNf CO�E IS 7105 <br />;F'or/' /�/1,5�� � ,�,�5% <br />MECHANICAL <br />NO. I TYFE nF FIXTURE OP ITEM <br />� <br />� <br />A/C - A/HANDLING UNITS <br />fORCED AIR SVSTEMS <br />HEAT PUMP <br />UNIT HEATf=RS <br />CLOTHES DRVFR <br />RANGF HOOD <br />WATER HEATER <br />ME�fhL FIREPLACE/STOVE <br />FIREPI_ACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HERE[iV C,ERITIFY THAT I HAVE RFAD ANU EhAMINFD THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORIUINACES GOVERNING iHIS TYPE OF WpRK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT THE C.RAN7W6 OF A P[RI.11T DO[S NOT PR[SCA1F TO GIVE AUTHORITY Tp VIOLATE OR CANCEL 7HE PROVISION OF ANv OTHER <br />STATE OR LUCAL LAW REf:ULATING CQNSTRUCiION OR TH[ �ERFORMANCE OF CONSTRUCTION TNAT I AM AUTHORIZEO 8V THE <br />OWNF.R OF 7H15 PR(1PERTY TO PFRFORAI THE WORK FOR WHICH APPLICATION IS MADE AND � CUMPLV WITH THE STATE <br />CONTRACT�RS LAW i8 ;:7.{tL6y AND ?o� �00.WAC / � <br />ac�orNuawrceu Hgem uace �/ <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED z <br />