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� SITE ADDRESS <br />�, �F�:A��LOT <br />[�ESC ( � <br />t'ERMIT APPLICAI iON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />PARCEL TAX I.D. 11 <br />BLOCK <br />PEFMIT p <br />C��' ._.i. ���� L% <br />.�YDS /'7L�'�-. S/,1.� .1..,,�,��i�.�cz,n LL� 9�v31 �..)S� 9YS•D�J3� i <br />ii � TENANT NAME I CONTACT FOR PF.RMIT' ' PHONC �I <br />� -- —C�-_�LN�a,c�,e 3�� _ 6so-u�'d �� � <br />I CONTRACTOR ADDRESS 21P CONTH. LICEry SE � <br />Lx�12x'`' 1�1��0�} � <br />I PHONE �AF'CE rg �NY S�__— __ __— _ ��S ` (�� �Q H� H I <br />' PROPOSE� USE OF BUILOING ) �wlAing � Mechanicel (((��� Addition HEAT SOURCE <br />! I PERMIT � Combinahon Plumbiny IWORK [) Alleralion � Eiectn� ' <br />! "7 7YPE Dnmolilion Si�n TYPE � New Gas I <br />�, �f�� Sprinkler U RepalriMau�1 Olher <br />� CONTRACT PRICE OF WORN <br />WORK DESCRIPTION <br />' ��� •S-F,�' <br />'�--_ - _ _. _ <br />� • PLUMBING <br />I NC TYPE OF FIA(URE OR IiFM <br />WATER CLOSl7- 1IUil EI I <br />OATHTUf3 <br />IAVATORY (WASH BASIN) <br />I, � � _ SHOWFR <br />i /. KITCHFN SINK R DISPOSAI. <br />'i _ / _ DISHWASHER <br />� _ tAUNDRYTRAY <br />; _ f_ CI.OTHt:S WASHER <br />I _ URWIIL <br />DRINKING FOUNTAIN <br />, _ FLOOR DRAIN <br />f3ACKfLOW PREVENTER <br />__ SINK (S[RVICE!BAR�MOPrP.T(: � <br />I _ OTHFR <br />CITY OF EVERETI LOCAL SALES TAX GODE IS 7105 <br />C[�l <br />MECHANICAL <br />TIPE OF FI7(TURE OR ITEM <br />A7C -� A/HANDLING UNITS <br />_( FORCFD AIR SYSTEMS <br />_ HEAT PUMP <br />UNIT HEA7ERS <br />_( CLOTHfS DRYER <br />f �ANGE HOOD <br />_T W�TFR HFATtR <br />_ _ METAL FIREPLACE/S70VF <br />FIREPLACEINS[RT <br />GAS FIREPLACE <br />GAS RANGE <br />�GAS uIoING <br />EXHAi I ;T FAN <br />= OTHER_ _ — — <br />i <br />� <br />'� ��FRFBV CER�T;FV THAT I HAVE REAU AND E�(AAIINEU THIS APPLICATION AND KNOW THE SAldE TO BE TRUE AND CORRECT ALL I <br />�'�tnVISIONS OF LAW£ ANU ORIDINACES �lOVERNING TNIS TVPE OF WORK WILL AE COMPLIED bVITH WHETHER SPECIFIED 1'EREIN OR � <br />'i� � I THE GRANTING OF A f'ERMIT DOES NUT PRESU�IE TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANV OTHER I <br />S fA �F UR LOCAL LAW RFGU..ATMG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION THAT I qM AUTHOR12ED AY THE I <br />UN�NFR OF.THIS PROPER �Y TO PERFURAI 7HE WORH FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE S7ATE I <br />CONTRA A175 LAW 18.zE, R' AND 29 � WAC i � <br />� ��'�- �'L� _��'�� C� I <br />� Siq ialu! u ll erl onirai:torAulhun: eJ Ai�enl Date , <br />� / DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED 1/Z � <br />-- ------ - -- - -- � <br />