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�- ---— <br /> PE�MIT APPLICATIO� ' <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> SITE ADDiiES7S �I �y�P�A�R ELA TAX I.D.# pERM17 a <br /> IO T�O� �C=C,E �C_7=�-� �/FY GGc%L�Z`I C2'�'ZC�-�ZL�� � t_:,� 7 ` `.7 <br /> LEGA LJT NO. BIOCK TRACT � <br /> DESC. <br /> I °�ER AD�RESS LP PHONE <br /> f �'�q�1�1-�-r�v ���Zc ?��,> �U F�a.iDs`�k� <br /> . TENAN NAME NTACTNAME PHONE <br /> � a�a ����s,� I �� -�,�,��-� d�-�-�5� <br /> I CT1�VC��C'-D �L7E 'Y`L�C=T��TIC7-� AI 1 T�' I�"1 Lr �E �� �C�'�Z CONSp,�y��� <br /> %rl� <br /> � PHONE <br /> � �2s-qF�� s�5� W«x�rti�/r�c <br /> PR POSED SE OF BUILDING f"1 Building fl Mecfanical Addition MEAT SOURCL- <br /> � av PERMIT K Combinaiion �_� Plun�bing WORK �Alteralion (� Eleclric <br /> TYPE �j Demolition �� Sign IYPE New Gas <br /> ��-�y� lb"Sprinkler Repair/Mainl. B Olher <br /> iCONTRACT PRICE OF WORK '�'l�� CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br /> � WORK DESCRIPTION <br /> i ���ICL `-�Ih.1l�C �� IN h.l�w� �L� Sf��'f7C.Y,-� <br /> i <br /> PLUMBING MECHANICAL <br /> NO. TYPE Of FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATERCLOSET _ A/C-A/HANDLINGUNITS <br /> _ BATHTUB _ FORCED AIR SYSTEMS <br /> _ LAVATORY (WASH BASIN) HEAT PUMP <br /> _ SHOWER _ UNIT HEATERS <br /> _ KITCHEN SINK 8 DISPOSAL = CLOTHES DRYEP, I <br /> _ DISHWASHER RANGE HOOD <br /> __ LAUNDHYTFAY _ WATER HEATER I <br /> __ CLOTHESWASHER METALFIREPLACE/STOVE <br /> _ URINAL _ FIREPLACE INSERT i <br /> _ DRINKING FOUNTAIN Gl1S FIREPLACE <br /> _ PLOOR DRAIN _ GAS RANGE i <br /> BACKFLOW PAEVENTER _ GAS PIPING <br /> _ SIP1K (SERViCE/BAR/MOP/ETC.) _ EXHAUST FAN — i <br /> _ OTHER _ OTHER <br /> I HEFEBV CERRIFY THA` .HAVE FEAO AND EYAIdINED THIS APPUCATION AP�D KNOW THE SAME TO BE TRUE AdD CORFECT. AL! �' <br /> Pf:OVISICNS OF WL'JS AND ORIDINACES GOVEFNING THIS TYPE OF WORH'NILL BE CO�dPLIED WITH'�7JHE7HER SPECIFIED HEREIN OF 'i <br /> �'J07 i HE GRFNTING OF A PERIdIT OOES IJOT PRESUf.1E TO GIVF AUTHOFlIN TO VIOL�TE Oii CANCEL THE PROVISION OF ANY OiHER � <br /> ;T:.TE OR LOCAL LFY/REGULATING CONS7RUCTION OR THE PERFORMANCE OF CONS7RUCTION. THAT I AA1 AU7HOHIZED BY THE <br /> OWNER OF THIS PROFERTY TO PERFORPd THE'.VOflK FOR WHICH APPLICATION IS h1ADE AND 1 COMPLY WITN THE STATE � <br /> CONT AC RS LAY! �827 qCW AND 2 6.200 WAC. ' <br /> " �Y � r�� •-� �-z�-� <br /> Signature ol OwnedComractodAuthorized Agenl Daie VZ <br /> ! <br />