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RERMIT APPLICAT�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STNEET, EVERETT, WA 98201 <br /> 425-257-8010 - FAk 425-257-9857 <br /> S�jE ADDRESS 1 ^ PARCEL TAX I.D.N PERMiT M <br /> 'L. C�1 ��.5\� � <br /> LEGA LOTNO. BLOCK TRACT <br /> OESC. <br /> OWNER ADDi1ESS LP PHONE <br /> TENANTNAME CONTACTNAME PHONE <br /> CONTRACTOR s OjcC AD�RESS P.(� bbrl ,3�75 ZIP ��CN�C=D11 4� <br /> �M��'�{ ���,-�.rl Wa q�iio) <br /> PHONE " lyZ(1 ICC�1"�S4V 'ga✓2Dy <br /> ��25 - 2qv 33 <br /> PROPOSED USE OF BUILDIN6 f") dullding fl Mechenica� I Addltion MEAT SOURCE <br /> PERMIT K Cambination �q•Plumbing WORK Allera�lon �I=( c-lectric <br /> TYPE �_� Demolilion �.; Sign TYPE ew �._j Qes <br /> LJ Sprinkler Fepalr/Melnt. U Olhe� <br /> CONTRACT PRICF.OF WORK CITV OF EVERETT LOCAL SALES TA%CODE IS 7105 <br /> WOFK DESCRIPTION r� I v� — �I <br /> lJ <br /> ?LUMBING MECHANICAL <br /> ry0. TYPE OF FIXTURE OR ITEM N0. TYPE pF Fl%TURE OR ITER1 <br /> WATERCLOSET _ A/C—A/HANDLINGUNITS <br /> 2 BATHTUB _ FORCED AIR SYSTEMS <br /> � LAVATORV(WASH BASIN) __ HEAT PUMP <br /> _Z SHOWER _ UNIT HEATERS <br /> � KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> � DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> i � CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> ��. _L URINAL _ FIRFPLACE INSERT <br /> I DRINKING POUNTAIN _ 6AS FIREPIACE <br /> � FLOOR DRAiN _ GAS RANGE <br /> BACKFLOW PREVENTER _ GAS PIPING <br /> SINK (SERVICE'BARfMOP/ETC.) _ EXHAUST FAN <br /> OTHER _ OTHER <br /> I HEREBY CERITIFV'HAT I HAVE HEAD AND E%AMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF lAWS AND OFIDINACES GOVERNING TH�S TVPE OF WORK WILL BE C9MPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT THE GF�ANTING OF A PERh1!T�OES NOT Pf7ESUME TO GIVE AUTHORITY TO VIOLATE OF CANCEL THE PFOVISION OF ANY OTHER <br /> STATE OR I.00AL LAW REGULATI Ci CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PFOPERN T P RFORM THE WOFK FOR WHI�H APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONT ACTO 5 LAW 18.2 RG A D 296200 WAC. <br /> � ' �� �Z <br /> Signalure o� Owner/Contract A t onzed Agent ale <br />