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� �`ERMIT APPLICAII'�N �" # Z22� <br /> CITY OF EVERETT PERMIT SERVICES I <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 FAX 4?� 257-8857 <br /> lf�3o Qu ," ��� _ ,)�7 <br /> � <br /> � SITL DDRESS PPRCEL TAR I.D.N PERMIT� � <br /> �k o�*�- s�-. s� � � �y s - -�os GDaia-�r , <br /> LEQA LOTNO. BLOCK TAACT <br /> oesc. 5' — Sde-�rr Sc. ���it��r►-1 Il�o , I Zv7— B —o/ <br /> OWNER ADDRE43 ZIP PHONE <br /> L�F`�.-srycF ���+.a5 #��+.�sT.�.T.��, y�s9r��waa•n�wa � 57�''t9L 3c.o--4,S2-/9�S" <br /> TENANT NA E CCPIT.4CT NAME PHONE <br /> -r..r. �.,,�.,� ...� y��.-�s�r- �9s3 <br /> �— T,.�.� �� Sh�r (.S�R� yzs- �sY_�393 <br /> CONTRACTOR ADORES9 2IP CONTR.LICENSE I <br /> LirE����r hla.VL�SJ C�sr.���r. �{1Z� LP�ca,.00,enlZo LIFZSt12C�`f'fK'j <br /> PHONE <br /> 3Vc�- (v�z- (9�� 'iTY�..+w«v-o lJW 8T92 <br /> PROPOSED USC PF BUILDINO Building � Machanlcal Adrl�tinn MEAT SOURCE <br /> PERMIT � Combinalion Plumbing WORK � Aqara�ion �Electnc <br /> TYPE Demolilion Sign TVPE Naw Gee <br /> C �� Sprinkler RepeinMem� Olher <br /> CONTRACT PRICE OF WOF!t �' t�5-�V ClTV OF EVERETT IOCAL RALES TA%COOE 19 7106 <br /> i <br /> WORN DE9CRIVTION <br /> ��:� STr 1C- � Ow�S71L-•cil6� <br /> PLUMB(NG M[CHANICAL <br /> NO. TYPE OF FIXTURE OR REM NO. TYPE OF FIXTURE OR REM , <br /> �_ WATER CLOSE7 � A/C -A,'HANUUN�UNITS I <br /> ,%� BATHtUB � FORCED AIR SYSTEMS i <br /> � LAVATp�iY(WASH BASIN) = HEAT PUMP <br /> � SHGWER �� UNIT HEATERS , <br /> 1_ KIT:;NEN SINK 8 DiSPOSAL � CIOTHES DFYER � <br /> �_ DISHWASHEF ,J._ RANGF HOOD <br /> � LAUND!�Y TRAY _J__ WATER HEATER I <br /> � CLOTNES WASHER �� METAL FIREPLACE/STOVE j <br /> � UNINAL FIREPLACE INSERT <br /> DFINKING FOUNTAIN � QAS FIREPLACE <br /> — FLOOF DRAIN GAS RAiVOE <br /> = BACKFLOW PREVENTER � �AS PIPING � <br /> -- S�NK �SERViCE/BAR/MOP/ETCJ .3 Exr+v��aTFAN I <br /> - OTHEA � OTH�,1_ <br /> —I — --- I <br /> I HEREBV CEPIiIFV'HAT I MPVE READ AND EXAMINED THIS APPUCATION ANO KNOW i HE SAME TO BE THUE AND CU1qECT ALL I <br /> PFOVISIONS OF L4W5 AN�qqIDINACES 60VERNING�Hlu TVPE OF WORN WILL BE CDMPLIED WITH WHETMER SPECIFIEO HEREIN OR � <br /> NOT THF 6RANTING QF A PERMIT�OES NOT PRESU6IE TO(31VE AUTMOR�TV TO VIOLATE OR CANCEL TME PROVIfiION Of�NV OTHER I <br /> STATE OF LOCAL LAW FEGUTATING CONS'RUCTION OR THE PEPFOFlMANCE OF CONSTRUCTION iHi�f I AM AUTMORIZED BV TME i <br /> OWNFR pr THI£PROYERTV TO PERFORM THE WGFK FOR WH�CH APPUCATiON IS U4DC' AND I COMPLY WITH THE STP*E I <br /> CONTRACTOFS LAW t 7 fiCYp# 29P.200 W� -� <br /> ��7�'i�� <br /> Si{�pqt e ol bwnr.uComrac o"�`r��e� gan� ate /^ I <br /> � �/2 <br /> � <br />