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�ERMIT APPLICAT�JN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADD;jESS ��� <br />����'//� � ST�- S � � „` �i <br />� <br />LEGA L�% BIOCK <br />DESC. <br />OWNER � <br />��L/fi�ii�E/i�iF/G%��/$Y/1 -..T ��. <br />TENANTNAM <br />S/�F� - B«.'/� <br />,�E, s�„ <br />,J, ✓. <br />PMONE �/�S• �38-55 3n <br />PROPOSEO E OF BUILDINO <br />�r2 —,�A�F <br />CONTRACT PRICE Of WORK <br />PARCEL TAX I.D. R � <br />005�3�o�ooyi o a- <br />�T < < _ - i � <br />� � <br />% �� % 7 G�j7f �! R �.E <br />Mr)i1vSr•� //i' cv,q- <br />'7Zcu'� <br />aoDREs9 7 3 n 7 �/(,7�" PC <br />ti2 i1✓c�Sli�/E'� L�'A. <br />`���� 7A <br />Building Mechanical <br />PERMIT � Com�inallon � Plumbing 1 <br />TYPE Defiolition Slgn 1 <br />Sprinkler <br />WORKDE9CRIPTION .�I p�� � J'�Lia'�FjC �j �e� <br />d <br />PLUMBING <br />NO. I TYPE OF FlXTURE OR REM N0. <br />� � WATER CI.OSET <br />L BATHTUB <br />� LAVATORY (WASH BASIN) <br />� SHOWER <br />�KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />$ LAUNDFYTRAV <br />� CLOTHES WASHER <br />� URINAL <br />� DRINKING FOUNTAIN <br />-�*' FLOOR DRAIN <br />.� BACKFLOW PREVENTEH <br />P' SINK (SERVICE/BAFUMOP/ETC.) <br />_ OTHER <br />_�G�T� <br />3/- 9� <br />' PHONE <br />yat--�3r' i-� <br />%6 <br />PHONE <br />_��Sr-�3�-S�S3o <br />F.� F LP CGNTR. LICENSE I <br />% /f�UNe- n�'7•t����' <br />yF�✓oEe.iors' e �.1 <br />Addillon MEAT SOURCE <br />A�leralion Eleciric <br />New � Oas <br />Fepeir/MainL �� Othar <br />CIiV OF EVERETT LOCAL SALES TAX CODE IS 7106 <br />itJ �<<� � e n ST/2 �<<< y n�u <br />TYPE OF fl1(TURE OR ITEM <br />A/C - A/HANDLING UNITS <br />FORCED 0lP. �YSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WA7ER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPINQ <br />EXHAUST FAN <br />OT ER <br />� r-A�— <br />�5 ��,a _. — <br />1 <br />� HEREBV CERITIFV THAT I HAVE RF.AD ANO EXAMINED THIS APPUCATION ANO KNOW THE SAME TO BE T1'UE AND CORRECL ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING iHIS TIPE OF WORK WIIL BE COMPLIED WITH WHEfMER SPECIFIED MEREIN OR <br />NOT THE GRANTING OF A PEF1dIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL THE PFCVISION OF ANV OTHER <br />SrqTE OR LOCAL LAW REGULATING CONSTRUCTION OP THE PEHFOPMANCE OF CONSTRUCTION. 'HAT I AM AUTMORI2ED BV THE <br />OWNER OF iHIS PROPEPTY TO PERFORM THE WORK FOR WHICH FIPPLICATION IS MADE 4N0 1 COMPLY WITH iHE S?ATE <br />CON7RACTOHS LAW 18.27 FCW AND 298.200 WAC. <br />ignalure o wnerl onlraclar/AWhonzed gent ete <br />��Z <br />Z <br />