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�. ERMIT APPLIGAT~JN '�" �` Z7Zs � <br /> GITY AF EVERETT PERMIT SERVICES i <br /> 3700 CEDAR STREET, EVERETT, WA 982�1 <br /> 425-257-8810- �AX 425•257-8857 � <br /> ��� � P �, � � a - -,, <br /> SITE ADDRESS PARCEL 7AX I.D.• pEaMiT r <br /> �xN rb�`= Sr, S� c�e �= rqzsos-4-or� -u�s Co� ia -��g- <br /> LEGA LOT NO. BLOCM. TRACT <br /> DESC. � _ <br /> 51}^,�T S�a�4�iJis�O�l �. IZ6 Z_- S -D l <br /> OWNER ADDNESS ZIP pHONE <br /> �f��_� 4��c��on tz� <br /> �3ric..� �kxas «Cavsr: .�+�. � -�.,�,wa�n , t-�v� g gz9z 3(�o-Gs2-f9,�S- <br /> TENANT NA E CON7ACT IJ�1ME PHONE <br /> � I �T„� r �✓T3. �..,� �z s-3.�I-/9 93 <br /> __ T,.,,. +-�s r+��/�s/t�) 4 z�- �5 v-13�3 <br /> CONTRACTOR ADORE99 ZIP CONTR.LICENSE� <br /> L, F��,� �„,�, � ��- �c 4�z� t.�K��n2a. cart�-+c�yykT- <br /> PMONE �� ��7 �-�.� <br /> 3C.f>—�rS 7-�/�7� S C��1V�1-�O'aTD� [�„ �[�t 7z <br /> PROP09EU USE OF BUILDING Building MoChanlcnl Addihon NEAT SOURCE <br /> PERMIT Combination �R./ Plumbing WORK aiiareuon E cinc <br /> S � TYPE De�noNlion U Slgn TYpE � New � p°� I <br /> � Spdnkle� FepeiuMein�. Olher <br /> ICONTRACT PRICE OF WORN � �S,�� CRV OF EVERETT LOCAL 9ALE8 TA%CODE 18 J106 — I <br /> WORN�E9CRIPTION <br /> f ll�-.� S�te �-tn�sth c.�n e-�J <br /> PLUMBING MECHANICAL <br /> NO. TYPE^F FI)ITUHE OF REM NO. TVPE OF FlXTURE OR REM <br /> � WATER CLOSET � A/C -FVHANDLING UNITS <br /> z BATHTUB FORCED AIR SVSTEMS <br /> � � �AVATORY (WASH BASIN) � HEf T PUMP <br /> _L K TCHEN SINK 8 DISPUSAL UNIT HEATERS <br /> J_ DISHWASHER —� CLOTHES DRYER <br /> �._ RANGE HOOD <br /> , � LAUNDRY TRAV �_ WATER HEATER <br /> I �' CLOfHES WASHER � METALFIREPLACE/STOVE <br /> I � URINAL � FIREPLACE INSERT I <br /> � "�- DRINKING FOUNTAIN GAS PIiiEPLACE <br /> FLOOR DRAIN GF S RANQE � <br /> , ^� BACKFLOW PREVENTER G.�S PIPING � <br /> � SINK (uEHVICE�BAR/MOP�ETC.) r!xHAUST FAN <br /> � OTHER �_ _ OTHER <br /> I hEFEBV CERITIF� 'HAT� HAVE REAU AND F.XAMINED iHIS APPLICATION AND KNOW TH[SAME TO BE TFUE AN�CORRECT ALL I <br /> PROVISIONS OF L4`.NS A,VD ORIDIIVACES GOVEPNING iHIS TVPE GF W07K WILL 8E COMPUED WITH WHETFiER SPECIFIED HERE!N OR I <br /> NOT THE aR�.N"fING OF A PERMIi�pF.S NOT PRESUME TO Gib'E AUTHORITY TO VIOLATE OR CANCEL THE PROViSiON OF ANV OTIIEF ! <br /> 5;ATE OR LOCAL LAW REGULATING GONSTRUCTION OR THE PERFORMANCE OF CONSTRVCTION THAi I AM AUTHORIZED BV ThE � <br /> OV'NER OF TfiIS PROPERTY TO PERFORM 7HF IVORK FOR WNICH APPLICATION IS MAOE AN01 COMP.V Y/ITH THE S1AT! <br /> COiITqACTO�ISLA �CWAND2�9 ,2p6-W�C. I <br /> � ��� !-`' /�2-/G -C�..Z � <br /> � ure ci wner/ onlractau u�hpnzed geM a�g �/Z ,; <br /> _ � <br />