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_ i <br /> P�RlUIIT APPLICAYfUN <br /> �, CiTY OF EVER�TT PERMIT S�RVICES <br /> 3200 CEDAR STREET, EVERETi', WA 38201, 425-257-8810 <br /> SITE ADDRESS f/ PARCEL TAX I.D.It P_RMIT tt <br /> ',Z,Z/0 �7 `' S� DO 5�� - C �/- ov�� - o / xotd � -ao � <br /> LEGAL LOT NO. RU�CK TRACT <br /> DESC. <br /> OWNER ADDRESS PHONE <br /> TENANTNAME CONTAI.�NAME C�„SSw-/l A �� �n�! PHONE <br /> �� � /<« - y�� y-�- <br /> , <br /> CONTRQCTOR j ADDRESS CONTR. LICENSE# <br /> !��/�"`c �li� ,»Slnf � /Z92y D/t� SnaR- Monrdc � : <br /> PHONE36U� .S_G✓ 6� ! S✓L� huM/S�n /�.�-�9� i�ot.F�P�o33�� <br /> PAOPOSED USE OF BUILDING Building . � Mechanical AAdition HEAT SOURCE <br /> � PERMIT R Combination Plumbing WORK � Alteration � Electric <br /> � /��,� TYPE D Demolilion Sign TYPE New Gas <br /> U Sprinkler RepaidMnint. Olher <br /> CONTRACT PRICE OF WORK CITY OF EVERET7�LOCAL SAIES 7AX CODE IS 3105 <br /> WORK DESCRIFTION <br /> � u r� �� 't y <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. I TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET A/C–A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> � KITCHEN SINI(& DISPOSAL _ CLOTHES DRYER <br /> _L DISHWASHER _ RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRI�JKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN G4S RANGE <br /> BACKFLOW PREVENTER � G�\S PIPING <br /> SINK(SERVICE/ AR/MOP/ETCJ EXHAUST F / � <br /> � OTHER f�o i t ,� OT�IER��t SC �`�� <br /> / "-------- - — ' — — <br /> — � — <br /> I HEREBY CERITIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO�E TRUE AND CORRECT. ALL ' <br /> PROVISIONS OF IAWS AND ORIDINACES GOVERNING THIS TYPE OF WOAK WILL BE COMPLIED WITH WHETHER SPECIFIED HEaEIN OR <br /> NOT. THE GRANTING OF A PCRMIT DOES NOT PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAN NEGULATING CONSTRUC'i ION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE I <br /> OWNER OF THIS PROPERTY TO PERFORM ThIE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE '! <br /> CONTAACTORS LAW 1827 RCW AND 296200 WAC. <br /> ���� ,; - �;-o/ <br /> SignaWre of OwnedContractodAuthonzed Agent Date <br /> .� .� .. _ -z;; �. -- � a� -- ,� <br /> _ :-...T ,_,�.,,-, .:�_,.,_„ <br /> _� v__ , .: . _ <br /> _ -- — --- �., — :, <br />