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PERMIT APPLICATION <br />APPLICATIONCITY <br />CITY OF EVERETT PERMIT SERVICES <br />OF EVERETT PERMIT SERVICES3200 <br />R00 CEDAR STREET, EVERETT. WA 90301 <br />CEDAR STREET, EVERETT, WA 98201425-257-8810 <br />92S29A010 - FAX 445-25�-889 <br />-FAX 425-257-8857SITE <br />81iE ADDRESS � PARCEL iHM I.D. <br />ADDRESS PARCEL TAX I.D. pMIT�75�'•T%5r✓SvOoo/cx.�LEGALOTNO.BLOCKTRACTDESC.OWNERADDRESSEu�.TT�+A,¢K/»or?�aa//ut�gwo98/c82t�—v7r-%7oTENANTNAMECTACTFORPERMITTPHONE/�r/.a�lr/es <br />6r 9S— � 5�+ 9 Oa o/ w •3 <br />iEu. LOT NO. .iocx v�cr <br />oes E. ADDRESS PHONE <br />�yb�+,n'7Md .ae2 /JJoi?uw�u �.v�RWo���4.�n� 9LK8 uc-w/-%7o <br />ierux�xu.� �cry^ ecna.e exone <br />� ��/� Oar-��ea-9rw <br />4as- �8a-9ravCON <br />/�/Ic.(�.sb�% <br />� _-r.. _ Kcv�M�L� <br />�WR �lm+NCi �o. HYoi i44:� Mc. u^ ipV <br />RACTADDRESS� ZIP CONTR. LICENSEc�al�Prn�/hLeo,/9vsly�l�,/�'E'uPHONEPROPOSED <br />�I480'Rlkd`15TA <br />PHONE ��C1WdNVl� 4./� IO�i• ry <br />Building Mechanical <br />Bu�IE�nBMxMnitelryPE#Ad1t <br />dllonHEAT <br />�.ME?6F�VROCE•Off,nE�Oemapum�Ad^d�B�Mani. <br />SOURCEPERMITCombination <br />USE OF BUILDING <br />IIOMBEOYBEOieYlCNO <br />PlumbingWORK <br />� <br />arelbn <br />TYPE <br />Demolition Sign <br />H <br />TYPE New <br />RopalrlMolnl. <br />�Eleclrlc <br />Gas <br />ONer <br />U�9p�rwceawankA��opp�areveuniocaeuecmmoeie�n>WOgMOEe[RIP�1]XIEMAvTPLUMBING <br />Sprinkler <br />,�1t <br />CONTRACT PRICE OF WORK p /�p, ODV ' <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />WORK DESCRIPTION �— n <br />Efli/lrlT� <br />PLUMBING MECHANICAL <br />MECNILALX0. <br />NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br />lYPl OffInUREOrtE4 x0�ENfIXiYR[OXIIENWPiFF <br />WATER LLOSEi <br />A/C—A/H:+NDLINGUNITS 2 ��iST'F� T <br />NC-AM:3104NGUNRSSE�{/SP�pgTXiVB <br />_ <br />_ <br />BATHTUB <br />� <br />FORCED AIR SYSTEMS, i <br />FgiCE0 FIR5Y5iEM5�IgVPtONV <br />HEAT PUMP — Vkv <br />_ <br />LAVATORY (WASH BASIN) <br />IW�HBR51N)XEPiPUMV�SIIJWERIINR <br />SHOWER <br />_ <br />UNIT HEA. ERS <br />xFA.F115NIICXEN5iNM6 <br />_ <br />_ <br />M5FO5FL <br />KITCHEN SINK 8 DISPOSAL <br />CLOTHES DRYER <br />CMLNi�XEMOF�VE0.pI5XWP5NEH <br />RANGE HOOD <br />_ <br />DISHWASHER <br />LAUNDRY TRAY <br />WATER HEATER <br />µAiEHNEATER�AVlAPYiMVMEiOLFIgEFtACE5iWEQOlXE5WA5XEfl <br />_ <br />CLOTHES WASHER \'a <br />—METAL <br />�FIPEPLACEIXSEfliMIXRL�-pp�FIRERACEOPlrvl(INGFGJrviFIHGpgpq�yGEROOROMINGqgPIPMOPACKROW <br />FIREPLACE/STOVE <br />_ <br />_ <br />URINAL <br />DRINKING FOUNTAIN <br />_ <br />—GAS <br />FIREPLACE INSERT <br />FIREPLACE <br />_ <br />_ <br />FLOOR DRAIN � <br />PREVENTER <br />FAEVEMERSNN�SERV6E9WMOVIEtC13a�Eqs*^�+OIHEP_IMEPEBYCEP�IM1Fv <br />GAS RANGE <br />GAS PIPING <br />- <br />BACKFLOW <br />SINK (SERVICEIBAR/MOP/ETC.) <br />�_ <br />EXHAUST FAN <br />OT ER L�t� <br />— <br />OTHER _ <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO DE TRUE AND CORRECT. ALL <br />IIU� IW.vEREPO ulOEMFMMEOINiePRL[>1�W11�L`xGW 1XE 6M4 i0YiP1£ANOCOPPEtt. .ULVPOn4nW5f1AW9PxpORidW.CE3fAKNHIW IxienrtffBE W�NLiEDM1X WXELxEH ePEOfEDNEREiXgif <br />THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />GMNiM60fPPEPMrtWEe HJi ME9VME L06M�VII�MiT"IONONIEOPCNIC'�iNEµMW�Y�OxIIX �NYOIxEF5141E <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />OPLCCN NW REOYUiWOCg15lNVtlICNOP ME PEFSOPmONCEC[ CM9IRVRKx.OBvIxEgN1ERiMISPPORPM1iOPEF�OflN1XEN9Px FORWHRx.1PRKJ.LpNISM1YE M'DiCONnLV MIN 1K 5inlEcap�*a+suwnzrncw.++ozw�oow..csmm.�.ma.�+,wmreaorr�vw�:oo�.mo�uDEBIT6LNEDITCARDS <br />OWNER OF THIS PROPERTY <br />CON�TRy�TORS LAW 18.21 RCW AND 298.200 WAC. <br />Signature of OwnerlContractor/Authonzed Agent Dale <br />��0 <br />RRE NOT ACCEYTEOPERMIT <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED � <br />