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'� 1 <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810-FAX 425-257-8857 <br /> SITE AnDRESS PARCEL TAl(I.D.1 PERMIT t <br /> 38 ;�4//3�o30Z/� 6�a0�-o3f� <br /> LEGA LOTNO. BLOCK � TRACT G1.IM�Y COI'��Ml s h�c,�r. �ov�r,ou � fv <br /> DESC. �I _ Z 3 �1.UME � o�' E 21 «I <br /> OWNER ADDREiB aP NE <br /> £u�¢c.-rf i�o�o. �.0 3B�,z. �Y � f.�,� WA 98�01 4u���- �sli <br /> TENANTNAME CONTACTNAME PMONE <br /> 1-� o, I ��t 4t5 197-G.,.a-� <br /> CONTRACTOR d„�,DI(j(.�{ D�i(rOG1ATFsj ApDRESS aP CONTR.LICENSE• <br /> yo v,.•� �a�� Bl o J4oT��5f1�� S E q�-aG-2a+� u zRu <br /> PHONE p, <br /> (q�� �i8 3-I 3�3 &on►�+�-, W �1a0 <br /> PROPOSED USE OF sU1LDING f.�i'building [� M_echen�cal f.YAddttbn HEAT S <br /> � � PERMIT �� Combinetbn �,�Ylum6lnp WOIIK ���'Allentbn Electrk <br /> M� �l� GU� G 7yPE H Demolitfan U 51gn T'PE j� N� c.s <br /> U Sprinkler U RpeirlMUnt Other <br /> CONTAACT PRICE OF WORK /�n�,.n�� 1 *(,��� CfTY OP EVERETT LOCAL MLE!TAX CO�E IS�/06 <br /> [ i <br /> WOHK DESCRIPTON <br /> '('��tT I MP�oY�Mb�'l Wo� Tn Ex�sn�4 �u.r�n�+r M��� r-�uu-rr <br /> a..�o a�o�r,d� o�= ►��w �?s.12��1.pV�L �M,�,,�-.ar � �,.�.rr� �,.w <br /> ol� rbui�n�tl� <br /> PLUMBING ME HANICAL <br /> KO. TYPE OF FD(TURE OR ITEM N0. TYPE OF FlXTURE OH rtEM <br /> T WATER CLOSET A/C—A/HANDLING U S <br /> BATHTUB FORCED AIR SYS 5 <br /> �_ VATORY (WASH BASIN) HEAT PUMP <br /> WER UNIT HEATER <br /> � KIT EN SINK 8 DISPO L LOTHES D ER <br /> _j_ DISH SHER NGE HO D <br /> LAUNDR TRAY I ER ATER <br /> CLOTHES SH ME IREPLACE/STOVE <br /> UfiINAL FIRE CE INSERT <br /> � DRINKING FO IN _ (3A FI IACE <br /> 8 F1.00R DR S RAN <br /> L BACKFlO PREVE AS PIPING <br /> �_ SINK(S VICFJBAR/ C.) T EXHAUST FAN <br /> OTHE OTHER Uu�r <br /> — 5, <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TME SAMETO BE TRUE AND CORFECT. ALL <br /> PROVISIONS OP LAWS AND ORIDINACES GOVERNING THIS TVPE OF WOfiK WILL BE COMPIIED WITN WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTINCa OF A PERMIT DOES NOT PHESUME TO GIVE AUT!iORITY TO'�IOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. TNAT I AM AUTHORIZED 8Y THE <br /> OWNER OF THIS?ROPERTY TO PERFORM THE WORK FOF WHICH APPLICATION I6 M�\DE AND I COMPLY WITN THE STATE <br /> � CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> Zfyz�o.Z <br /> Signalure of OwnerlContracror/ uthonzad Agent Da�— �f <br /> 12 <br />