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R"'RMIT APPLICATIQ :V �����03 <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810-FAX 425-257•8857 <br /> � �� <br /> SITE A DqESS � PARCEL TA7(I.D.♦ R� <br /> 70 9 E�� rrr A�� _ � - <br /> LEOA LOT NO. SLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS aP HO <br /> Stio -,C%w�, .���s�r��� , L_. �. C ��c�q� -�1B8 <br /> TENANT NAME CONTACT NAME � VMpNE— <br /> - �99Zo ��Y 99 ��'� l�r.�,��-�D , ��A 9&�.36 <br /> CONTRACTOR ADDRESS LP CpNTq,LICENSE� <br /> PXOND�/����IC�� �f.Cl `�I� '^'�� <br /> , ,�Sos-Ss' <br /> PROPOSED USB OFlUILpNO 8uilding hanical Adtlitbn T OURCE <br /> /Y7� PERMIT Combinetlon Plumbing WORK Altxatbn Elecyrlc <br /> REsr�°� T�'PE Demolitbn Sign 1YPE N�w �G1�se <br /> � Sprinn�er RpsldM�int OIMr <br /> CONTRACT PRICE OF WORK�' T,Q OCr. qTy pF EVERETT LOCAL fALEs TAX CODE 18]106 <br /> - �• <br /> . <br /> WORK DE4CRIPTION <br /> ,�p�iD ��/LaD /�/EtrJ S'T�G/R.S �N r�a,�e n.) <br /> PLUMBING ME HANI AL <br /> NO. TYPE OF fl%TURE OR REM N0, TYPE OF FlXTURE OR ITEM <br /> WATER CLOSET _ A/C-AMANDLING UNITS <br /> BATHTUB _ FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW^REVENTER GAS PIPING <br /> SINK(SEP.VICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER_ 01HER <br /> i —I <br /> � <br /> I HEFiEBY CERITIFY iHAT�HAVE READ AND EXAMINED THIS APPUCATION AND KNOW THE SAA1E TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETMER SPECIfIED HEREIN OR <br /> ! NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME PROVISION OF ANY OTMER <br /> ' STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTMORIZED BY TME <br /> �� OWNER OF THIS PROPERTY TO PERFORM THE WORN FOR WHICH APPUCATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTFACTO StAWy . CW A 1 98.20C WAC. <br /> . <br /> Signeture of wner! ontractor orized Agent le !/ <br /> l� <br />