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PE. EMIT APPLICATIa_ <br />0:r7- <br />CITY OF EVERETT PERMIT SERVICE! <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425.257-8857 <br />North Beverly Perk <br />002 D-01 - NWty 90fl Of lots 20 <br />s D <br />�w z1 <br />z <br />ai-o9 <br />SITE ADDRESS r PARCEL TAX I.D. $1 PERMIT a <br />�L� L)0:� I ?Dv'Ac'.A cY) O i05--Ov <br />LEGA LOT NO BLOCK TRRA�CT <br />D SC <br />- y//;7 <br />TENAN AME CONTACT NAME PHONE <br />CONT"qTOR ADDRESS ZIP CONTR. LICENSE M <br />45H'' ytc l-1tc3 '2%Zs ta�0/s /)'�• �h, 3� �svU /`�� PfJ <br />e <br />PHONE bfr kr//n,.r iU «. <br />��•C� %.S%-ln�i3 U <br />PROPOSED USE OF BUILDING <br />CONTRACT PRICE OF WORK ,: rl9a <br />WORK DESCRIPTION ,,,n� �Oqs s <br />H <br />Budding [] MechanicalPERMIT Combination L) Plumbing <br />TYPE Demolition D Sign <br />Sprinkler <br />n Addition <br />Ij4-Uj(( Alteration <br />New <br />Pepsi.... nt <br />HEAT SOURCE <br />j� Electric <br />B Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TAX COOL is ai Uo <br />--7;;-1 <br />'r;'=#� <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM — <br />WATER CLOSET <br />A!C - A/HANDLING UNIT-S <br />__ <br />BATHTUB <br />FORCED AIR SYSTEMS <br />i <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />_ <br />__ <br />__ <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />_ <br />_ <br />_ <br />_ <br />CLOTHES WASHER <br />__ <br />FIREPLACE INSERT <br />_ <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />__ <br />_ <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />_ <br />_ <br />_ <br />_ <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />L <br />EXHAUST FAN <br />'/ OTHER A kt-' z <br />Tye <br />_ <br />_ <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAhIE TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR <br />ON OF ANY <br />NOT. THE <br />OR LOCAL ILAW REGULATNG OF A PERMIT DOES NOT CANCEL <br />ING CONS RUCTION OR THE PERFO MAN E OF CONSTRUCTION T AT AM AUTHORIZED ED BY � OTHER <br />STATE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />r•.nNTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />