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i PERMIT APPLICATIOI� <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETi, WA 98201 <br /> ! 425-257-8810— FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D. N I'LtiMii t <br /> 1�1 � /oo '� �l su �'.�73 �_ MoNc3 03� <br /> I IIf�3A1. LOTNO. BLOCN —iRACT <br /> Ip ;C <br /> I -qyypEq ADDRE88 21P PMONE <br /> I ��:�1 , �. -�l'1'1PL�.72 � �"/�7 �dC� �l S� V� "��J !'✓f �'✓�/ �OL�p <br /> I TENANT NAME � COMTACT FOR PERMIT PHONE <br /> 1Lc r�� � S n,P�h�-y _ -Jr6 j� n� � � U Y►- � ��- C 5 �l i "� <br /> CONTRACTOR ADU E S c ZIP CONTR.LICENSE <br /> �,ie.., �n �H��/ �^lu,Ml �,� /1z7 ��%FP. ,q�. s�-k � Ni-lr�C;uPc 59s'N� <br /> PHONE � ��/ �C � �^)�/ � /i�C��>y IIC �v'.A �S}i�O <br /> � ��Y5 — <br /> PROFOSED USE OF BUILDING I fl OuJdmg 6Z� Mechanic.I I7 nAAdinn HEAT 90URCE <br /> PERMR �_� Combmahon �:� Plumbmg WORN �_� Altera�inn n Eledtic <br /> TYPE �� Uemoli6on LJ Sign TVPE L.1 µ-w � ras <br /> LJ Snnr�klei I �Q RepaNM�unl Olher <br /> CONTRACT PRICE OF WORK � S����r— � CITY OF EVERETT LOCAL SALES T/U(CODE 19 N06 <br /> � -� — n <br /> WORNDE9CRIPTION -/ [� 7 , i� �,;.�K + /o[ � <br /> r, 1 �� Lr, .11 ,h� F��'� T- I�.f,� I..K�S /.C.. : : CL� � <br /> �1Z ' �ns �l <br /> �r� t„ra.'� �.� .�. ,, � <br /> PLUMBING MECHAN�CAL <br /> N0. TYPE OF(I%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATFR CIOSET A/C-AIHANULING UNITS <br /> BATHTUB f�ORCEDAIR SYSTEMS <br /> LAVATORVIWASH BASINI HEAT PUMP <br /> SHOWER _ UNIi N[AIERS <br /> i = KI�CHEN SINK 8 nISPOSAL _ _ CIATHES ORYER <br /> UISHWASH[R RANGE HOOD <br /> I LAUNDRY TRAY � WAT[R H[ATER <br /> � CLOTN[5 WASHGR M[TALFIREPLACE/STOVE <br /> �i URINAL FIREPLACF INSERT <br /> I DRINKWG FOUNTAIN _ GAS FIREPIACE <br /> �� FLOOR DR�IN __ 6A5 RANGf <br /> BACKFIOW PREVENT[R GAS PIPING <br /> SINK ISGRVICEiPAR�MOP/f_TC I E%HAUST FAN <br /> OTHER OINER <br /> II HiFEPV CERI7IFY 11NT I HAVt RFAU AND f%AMWFD Tlllti APPIJCAIION ANU KNOW 1HF SA!AF lu flF iHUF�NI�CORRFCT ALL <br /> PROVISIONS OG LAWS ANn CIHIf11N�Cf ti tiOVCRNING 7HiS TVP( OI WURh WII I f�f f.OMPI If D WI1H VJFi[1N[R S 'ECIFI[D HEREIN OR <br /> � NOI iHF,fiAN11N(iOFAPfRM1ifN)PtiNO�PRCSUMf_70GIVEAUIHUHIiYIUVIOlAl1_OHCANf,l�! 7HFPROVISIONOFANVOTH[R <br /> STA7E OH LOCAL LAW kEGULAiMU CONSTRUCTION OR TH[ PERFORMANCE Of CONS1RUf�IUN THAT I AM AUTHORIZ[D BY THE <br /> iONRJFI�OF iHl$PROPERTV Tp PI'�.RFORM�HP VvORY FOR WHICH APPl�CA710N IS MADF.ANIt I<:O�API V W1TH TME STATE <br /> CONTI7 QR�}�W Ifl 27 HL:W AND 2�Z00 W4C <br /> ' ! � �� i: �•� �; /�-�!`� <br /> � 9gnaWteof edConlractoUAulhortzedAaEnt Date <br /> DEBIT 8 CREDIT CARDS ARF. NOT ACCEPTED <br />