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, <br />' r'ERMIT APPLICAI iON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET. EVFRETT, WA 98201 <br />425-257-8810 - FAX 425-257-BB57 <br />; SITE ADDRESS <br />I <br />� i.ec�ni. �orr <br />�DFSC_ �{ <br />OWNER � <br />I �L-_,S rl/� <br />�\ ,/ <br />d"L'v ' <br />BLOCK <br />PARCEL TAX I.D. p 3✓�� <br />...i. .. ,�. „ �UL <br />L <br />C''L� <br />FERMiT a <br />L (, �/� - <br />� TENANT NAME CONTACT FOR PERMIT" ' PHON` <br />I� —�tE'��-��//ai�r���C ,��� �vSU-u (�'� �� <br />CONTRACTOR ADDRESS ZIP CONTR.LICE_I���11 � i <br />cXpia,�'s li� le <br />IPHONE JAI'�E �S �,�IAJ WL� r��TI-1 �/� 0 N" 11 ' <br />PROPOSED USE OF BUILDING � E�uilding MAchanical Addltlon HEAi SOURCE � <br />PERMIT Combination Plumbing WORK R�,( Allerauon Q Eleclnc <br />TVPf � Demolilion � Sign TYPE 6 New 6 Gas ,I <br />I � ��` Spnnkler RepatrlMaint Olhar � <br />�i CONTHACT PRICE OF WORK <br />IWORH OESCRIPiION A �j „ i �L' <br />/ V L.�/ll 7 <br />� – - _ _ _ _ _ <br />PLUMBING <br />I N0. � TVF�E OF FIXTURE OR ITFM <br />i - -- <br />. WATER CLOSf-7 (TUILE7) <br />�ATH1UFi <br />�LAVATORY (WASH BASIN) <br />SHOW[R <br />� KITCH[N SINK 8 DISPOSAL <br />I _ f_ DISHW�SH[R <br />IAUNDRYTRAY <br />. � CLOTIIES WASHER <br />I _ __ URIN�I. <br />� _ DRINKMGFOUNiAIN <br />� __ FLOOR DRAIN <br />I __ B�CKFI.OW PRFV[NT[R <br />SINK (S[RVICL/f�AR/M110P/[TC.) <br />j _ OTHER_ <br />I-- — -- ---- <br />CITY OF EVERETT LOCAL SALE8 TA% CODE IS 3105 <br />��RS�c,� ,���� <br />NO. I TYFE OF FIXTURE OR ITEM <br />A/C - AlHANDLING UNIT3 <br />_/ FORCED AIR SYSTEMS <br />_ HEAT PUMP <br />UNIT HEATERS <br />� CLOTHES CRY[R <br />/ RANGE HOOD <br />� WATER HEATER <br />_ METAL FIREPLACE/STOVE <br />FIREPLACEINSERT <br />�GAS FIREPLACE <br />GASRANGE <br />,,� GAS PIPING <br />� EXHAUSTFAN <br />OTHER <br />i HER[�V CERITIFV THAT I HAVE READ ANO [kAMINEU THIS APf'LICATION AND KNOW THE SAME TO BE TRUE AND CORRECT AlL <br />PROVISIONS OF lAWS AND ORII)INACFS IiOVERNW(i THIS TYPE OF WORK WIL� BE COMPLIE� WI?H WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A P[RAfI* DOES NOT PRESUAfE TO GNE AUTHORITV TO VIOLATE OR CANCEL THE PROVi510N OF 4NV OTHER <br />S7ATE OR LUCAL ��W REGULATING CONSTRUCTIpN OR THE PERFORMANCE OF CONSTRUCTION. fHAT I AM AUTHORIZED BV THE <br />OWNFR OF i HIS PRUPERTV TO PERFQRM1I THE WORK FOR WNICH PPPLICATION IS �dA�E AND I COMPL� WITH THE STATE <br />CONTRACT�S LAW ifl .7 R�W.ANU 296 2U0 VyAC / , <br />0 <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />I/ <br />Z <br />