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P�.RMIT APPLICATIL .� <br /> CITY OF EVERETT PERMIT SERVICES � <br /> I� 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> I — <br /> I SITE ADDRESS PARCEL TAX I.D.# RMIT u <br /> 2.23 � As�1�5 A� 45 ao a� . ��c�r �1 � <br /> LEGA LOTNO. BLOCK TRACT ;, <br /> oEsc. P�1.�r1v�R� � •8•��5- P�cA - 1.��5 i,2 3,4 <br /> � OWNER ADDRESS ZI' PMONE I <br /> � 'fi►wW1-HY P. H�� 223o AD,qw�,ti ILV� �t�� 3h� •124q (�25 i <br /> I TENANT NAME , CONTACT NAME PHONE ' <br /> � N A GA�tHE�►N�. SI�L� (.3td�) to76 ��Z.34 II <br /> I CONTRACTOR�QD ADQAESS ZIP CONTR.LICENSE N I <br /> ' U �i <br /> PHONE <br /> � PROPOSED USE OF BUILDING Building D Mechanical � Add�tion HEA7 SOURCE I <br /> �i D�,},y� �p PERMIT � Com6ination U Plum6ing WORK � �Alteratlon I �Electric <br /> �f�� TYPE Demolitiori U S�9n I7VPE New Gas � <br /> �� �f,�� Sprinkler RepairiMaint Other �µ <br /> �I CONTRACT PRICE OF WORK 15��� CITV OF E4ERETT LOCAL SALES TAX CODE IS 3105 <br /> II WORKDESCHIPTION C� � �`� �3�� � �. QC�•�`Vl� I <br /> 1'�`�M �.�hi� � NC. '�7/yj�'' ,f`��`�'`' O� 7t1S,�M�.�� <br /> ! ��7Jf111d ��!'f� �����1't�llr • L �i11 Q�i-� � I�s+r`(� <br /> OI�SK• <br /> — PLUMBING MECHANICAL <br /> � NO. � TYPE OF FIXTUFE OR ITEM NO. TYPE OF FIXTURE OR ITEM I <br /> WATEiiCLOSET _ A/C—A/HANDLINGUNITS <br /> BATHTUB FOACED AIR SYSTEMS <br /> LAVATORY (WASH BASINI _ HEAT PUMP I <br /> SHOWER _ UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAI _ CLOTHES DRYER � <br /> DISHWASHER _ RANGE HOOD <br /> � LAUNDRY TRAY _ WATER HEATER <br /> CLOTHES WASHER _ METAI FIflEPLACE/STOV€ <br /> . URINAL _ FIREPLACE INSERT . <br /> j _ DAINKING FOUNTAIN _ GAS PIREPLACE i, <br /> , FLOOR DRAIN _ GAS RANGE � <br /> BACKFLOW PREVENTER _ GAS PIPING ' <br /> ' SINK jSERVICE�BAR/MOP/ETC.) _ EXHAUST FAN I <br /> OTHER . OTHER � <br /> — — — II <br /> I HERIEBV CERITIFV'HAT I HAVE PEAO AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO�BE TRUE ANC CJRPECT. AL'.� I <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECiF1ED HEREIN GA <br /> � NCT. THE GRANTING OF A FERMIT DOES NOT PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER � <br /> STA7E OR LOCAI LAW REGUTATING CCNSTRUCTION OR THE PEaFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE I <br /> OWNER OF THIS PROPERTI'TO PERFORM ;HE WORK FOR WHICH APPL;CATlON IS MADE AND I COMPLY WITH THE STATE i <br /> CO CTO S LAW 1827 RCW AND 286200 WPC. I <br /> �lk-�C��e�� rA:t p �,.5 .�3 __ � <br /> Sig e OwnenContractor/Au onz�Ag t Date �;� <br />