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_ <br />C�4us,�q wvoDl <br />PERMIT APPLICATION mn��z �3s��1 <br />CITY OF E!/ERETT PERMIT SERVICES g,�s ic� 2z��} <br />3200 CEDAR STREET, [VERETT, WA 98201 <br />425-<^57-881 G - FAX 425-257-8857 <br />-- --- --- - - - <br />SITS�TiEs���...._��.A-GE_S �._..._.:_----PARCELTAXI.D-N _�r 'x _ ��_J <br />.. LOTNO BLOCH � TRACT <br />_., <br />� �- �� f- —� �DDRESS 21P PNONE <br />OWNER <br />Cms �-/c�nt(�u�cJ�, �n/c , pBo /579 S�Jof/o.h,t// q/�_ �j�z91 �z,r) 3� 3- J�ua� <br />- -- �' �--1- --�- - - <br />TENANT NA�dE CONTACT POR PERMIT PMONE <br />CRaIcC /%�a�t ito.J i.� 3'S�1- /�oo <br />--- - -- --- --- �� -- -- <br />COa1RACTOR AODRESS ZIP CONTR. LICENSE a <br />C,,.�,r S'�.++�c as A.6o✓� <br />rr r+e Crv�1'inl*�ogsnf3 <br />�� Z�- ) 3 S 3- 9 000 ------ --- <br />v�eoP05[o uS[ OF BUILOING I � Buddiny Mechanical nuortiur. HEAT SouRCE <br />PERMIT Combination Plumbing WORK nRe�at�on �[�.��_�,��.. <br />� � � � TYPE � Demolilion � Sign TYPE � New � G.�s <br />Spnnkler Repa�r�A9a�nt Omw <br />_.____..__._.____ -. . __.___ �__- _ <br />CONTRACT PRIC[ OP WORK �/ / D/ 0pO CIN OF EVERETT LOCAL SALES TAX CODE IS J105 <br />(D <br />--- -- ----�-- -.._.._ . .. _. --- <br />- -- -- . __._-- --------- - — � <br />WORH D[SCRIPTION <br />�(!✓ S�� A� IR^) _i � 2 <br />--- ---- --- <br />PLUMBING <br />NO � TVPE OF FIXTURE OR I1EM <br />� , .�..:iERClOSE7 (iO�ILETI <br />Z !�;+THTUB w/ jM+^+( I�irWtlJ <br />j ..�'�' A?ORY �WASH DASIN) <br />;�+�)4VER <br />� ��' �'HEN SINK 8 DISPOSAL <br />( �,� .�.�'IVASHER <br />. -�� ��N�RY TRAY <br />I �. �HES WASHER <br />�U.L <br />�� ��:k:ItJG FOUNTAIN <br />.. ;OR DRAIN <br />CiACKFLOW PREVENTER <br />SiNK ISERVICE.'BAR/MOP�ETC � <br />._ _ _ -- -- - - - <br />MECHANICAL <br />I NO. I TYPE OF FIXTURE OR ITF.M <br />_� A�C-.NHANDLi!��G L,��'�'S <br />1 FORCED AIR SVS t! '.": <br />HEAT PUMP <br />UNIT HEATERS <br />� CLOTHES DRv[ �� <br />_f_ RANGE HOOD <br />�_ WATER HEATCf� <br />MFTAL FIREPLF�� i '.� � .. <br />FIRF.PLACE INSF �� f <br />= GAS FIREPLA�C <br />GAS RANGE <br />GAS PIP!NG <br />E'.HAUST FAN <br />��(HER <br />� <br />_��•=9� CERITIFV THAT i MAVE READ AND EXAMINED TMS APPLCATION AND KNOW THE SAME TO BE TRUE r', � �� � <br />���.v'� iSiONS OF �A�qS AND ORIU�NACES GOVERNING THIS T1 PE OF WORK WILL BE COMPLIED W ITN WHETHER 5i'i�� �� <br />�)T 7HE GRANTMG Of A PERMiT DOES NOT PRESUME TO GIVE AUTHORiTV TO VIOWTE OR CANCEL'ME PROViS�� '. <br />• e' OR LUCaL �_AlN R GULATMG CONSTR�CT�ON OR TME PERFORAIANC[ OF �'(?�1S'�1�.!C'v)N '�AT 4!+ Al �7.•� ., <br />.:'��-:a , r'H,,s nnOP[ TY r0 PERFORM THE WORK FOR WMiC�i APPI.ICaTIC�., '. � �;� .,- .•., . • �.�, . -.. �... � � _ �- <br />. . �095_��,� � _7RG'.YANO2962001!'AC / <br />� -- ---s` s(-o `/ <br />. ,t..�i �r ��� ncr,CunlraclonAwhonzeQ A�1ent Date <br />DEBIT 8 CREDIT CARDS ARE iJOT ACCEPTED <br />