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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAFI STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 <br /> SITE ADDRE55 PARCEL T!U(I.D.R PE�iM��,� `b, <br /> 38�2 GFX�) �'�'S �! <br /> LEGA lOT NO. BLOCK TRACT <br /> DESC. LI�22�27�1Jf�'U+ � <br /> OWNER ADDRESS �P PHONE <br /> (�MJiA jLc+ln�ict�t Ib►aPvi� ���t. 4w,�.izo �6�i �fts�297•GZ� <br /> TENANT NAME CONT CT NAME /� !p� ����� PHONE <br /> a.ieOiPT���Gai-l�+w+e.inxa r7O� 'ltYi/�}G�• GYsl3 <br /> (uronu¢a PPLt/�cMUN11�s�f <br /> CONTRACTOR ADDREBS ZIP COHTR.LICEHSEII <br /> �'1I-t�R-ILt� �Pff+oUAtl-'S � �NG �}IU^ Zrv�� �a�. �a13 �L-�' �4�'LOZf1Ll <br /> PHONE �'�'�,r�,(,�� 9gozi-=f397 <br /> 4��483•i�i3 <br /> PpOPOSED USE OF BUILbING � Building � MechanfCBl Additbn MEAT SOURCE <br /> M���i��L PERMIT Combinetian Plumbing WORK �Allerellon � Eleclrk <br /> TYPE Demolilion Sign TYPE New Gas <br /> Spnnkle� Repeir/Mainl. Olher <br /> CONTRACT PRICE OF WORK -���� CITY OF EVERETT LOCAL SALES TAX CODE 1!0106 <br /> WORKDESCRIPTION —���fr(3 2 f.�',Z <br /> (L�.�n�ro �s�►.x� v�'��� {1a�� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlJ(TURE OR ITEM NO. TYPE OF FlXTUflE OR ITEM <br /> WATER CLOSET A/C–A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAV�TORY(WASH OASIN) _ HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SIA�K 8 DISPOSAL CLOTHES DAYER <br /> DISHWASHEP RANGE HOOD <br /> LAUNDRY THAY WATER HEATER <br /> CLOTHES WASHER METAL FIFEPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> ORINKING FOUNTAIN GAS FIREPIACE <br /> FLOOR DRAIN � OAS RANGE <br /> BACKFLOW PRE'✓ENTER GAS PIPING <br /> SINK(SERVICFlBARlMOP/ETC.) _ E%HAUST FAN <br /> OTHER OTHER <br /> I HERC-OY CERITIFY THAT I HAVE FE�D ANU EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. AlL <br /> I PROVISIOIJS Of V1WS AND ORIDIN�CES GOV[RNING THIS TVPE OF WORK WILL BE COMPLIED WITH WH[THER SPECIFIED HEREIN OR <br /> NOT. TI1E GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOUITE OR CANCEL THE PPOVISION OF ANY OTNER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOP12E0 BY THE <br /> OWNER OF TIiIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH TfiE STATE <br /> C��R�TOR�RCW AND 296200 WAC. I�' � <br /> �Nl1f UI <br /> Si lur ol Owner/CoNraclor/Authorized Agent ala <br />