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' � �RMIT APPLICAl��I <br /> CITY OF EVERETT PERMIT SER1/ICES <br /> 3200 CEDAR STREET, EVERETT, WA 98?01 <br /> 425-257-8810-FAX 425-257-8857 <br /> SITE ADORESS PARCEL TAX I.O.N � P RMIT• <br /> #/p -- /031.� AiR PDRT Qo�-D 30! -051 Z� <br /> LEGAL l0T NO. BLOCK TRACT <br /> DESC. � <br /> OWNER - ADDRESS 21P PHONE <br /> TENANT NAME CONTACT NAME PFIONE <br /> �}rfTDSTocK �IST,�i8v77a� � .�2��n1 �t,Em�n!�5 60� -�ob - S��a <br /> CONTRACTOR ADDRESS 21P CONTR.LICENSE• <br /> f�'O�I.IED fiR�vDLIn(6 N�+l BiS3/ .SDUTN 2ZZa� ST qpy�,t�/N033.TT <br /> PHONE �,���r c�q � gj D,3 � <br /> a53 - 395"-BSaa <br /> PROPOSED USE OF 1dUILDING �{y:{ Building � Mechanical AddNion HEA7 SOURCE <br /> q.� � �! PERMI7 �.j Combination Plumbing WORK Altxatbn Ebdrie <br /> OisT�er euno�l �PE �.] DertaliUon Sign TYPE �Nsw � Gu <br /> L-) Sprinkler L] RepaidMaint. qhsr <br /> CONTRACT PRICE OF WORK 3���� CITY OF EVERETT LOCAL EALEE TAX COOE IS NOb — <br /> WORK DESCRIPTION =����p� L �n� f-�US� �7y`G�--r �A-G�/ <br /> � i i r V �i�c.� rl <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET A/C–NHANOLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BA51N) HEAT PUMP <br /> SHOWER UNIT HEATEYtS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METALFIREPLACFJSTOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER � . GAS PIPING <br /> SINK(SERVICEBAR/MOP/ETC.) EXHAUST FAN <br /> OTHER � OTHER <br /> I HEREBY CERITIFV THAT I HAVE READ M!D EXAMINED THIS APPIICATION AND KNOW TME 511ME TO BE TRUE 1VN0 CARRECT. ALl �� <br /> PROVISIONS OF LAWS AND ORIOINACES GOVERNINC�THIS NPE OF WORK NALL BE COMPUED NATH WFIETHER SPECIFIED HEREIN OR ' <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOUTE OR CANCEL TME WROVISKIN OF ANV OTMER <br /> STATE OR IOCAL LAW REGULATING CONSTRUCTION OR TME PERFORMANCE OF CONSTRUCTION. TMAT I N+A AUifqRIZEO BY TME . <br /> OWNER OF THIS PROPERTY TO PE RM TME WORK FOR WHICH APPLICATION IS MADE.1N0 I COMPLY WIT H TE STA7E <br /> CO CTORS UW 18.27 CW .200 WAC. <br /> / .. �/ �`Z� –� , <br /> �gnatwe r/ ontre or/ uthoriz eM te � <br />