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—� — � -- <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SI7E ADORESS PARCEL TAX IA. N I PEaMiT a � <br />�( <br />'lll 1'1� 5icc � �?�.� ��,.Q� � �i�,t'�';I i �`���� �Y�'� y') r0 bi�� � <br />LEGAL LOTNO. BLOCK i TRACT <br />DESC. <br />OWNER ADDRESS LP PHONE <br />� _�, � �;��PIS� I-1��. L,��3��c...i� �^��1'11LP ��c��c�1� ��L� HONE _nl\ <br />..., �.�e I CONTACTFORPER R <br />bvn�nn�.�vn � <br />PHONE /�� � �� <br />PROPOSED U8E OF BUILDIN6 <br />c I <br />IC..N�iiid� �c.lJcJ <br />J AODRES,S/' - <br />. �-�2yvi % J�'✓ <br />( ,lv n U > � -� � <br />/� 21P <br />�'Y D�r� � W i-�-�1 <br />�C .t � S<<��./in <br />Building Mechaniwl <br />PERMR Combinalion � Plumb�ng <br />TYPE Demolition Sign <br />Sprinkler <br />CONTRACT PRICE OF WORK : � v �7.' 7 <br />" ��3- Piil-� � <br />CONTR. LICENSE � <br />) � / <br />Addltbn <br />WORK A1larelbn <br />TYPE New <br />RepaldMaint. <br />HEAT SOURCE <br />�ElectAc <br />Ges <br />Olher <br />CRY OF EVERETT LOCAL 8ALE8 TAX COOE IS 71DS <br />WORKOESCRIPTION � � � � �� U 1` � ' � � � \ ' <br />� .� li. ��� � .,�� �,�.�4�� .�.N `���1'� �' � )dit� U � �."t <br />i <br />�c. �)��;,�,;4 � tZv�U, � i.�,�. :��,n ��� �lW{��� �Oelt�� �ti��l� �11� �Pi��13� <br />1 <br />�_ � .A _ '1..N,. . <br />NO. I TYPE OF FI%TURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH 6ASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEIBARIMOPIETC.) <br />OTHER _. <br />NO. <br />`�/�JJ.\� �.1� �J \' 1 J <br />1�;��,i��elzl /i�. 0.-1,1�?� <br />TVPE OF FI%TURE OR ITEM <br />AIC —AIHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEATPUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER _ <br />�II NER[B� CERITIFV THAT I HAVE READ AND EXAMINED THIS AFPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS A�lD ORIDINACES GUVERNING TNIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />i NO'• THE GRANI ING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY OTfiER <br />� STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY TNE <br />'. OWNEH GF THIS PROPERTV TO PERPORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLV WITH TNE STATE <br />i CON RAC�OI� LAW 1827 RCW AND 296200 WAC <br />I <br />� j � � � l � N ' 1 �I' � � �1y�, U. . �� �tJ � <br />Si nat ro o wn niractor/Authonzed Ag nl � �I <br />Z <br />� DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />