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�ERMIT APPLICA�JN � <br /> CITY OF EYERETT PERMIT SERVICES � <br /> 3200 CEDAR STREET, EVERETT, WA 98201 f <br /> � 425-257-8810-FAX 425-257-8857 �/�2�/ I <br /> � � <br /> SITE ADDRESS PAIiCEL TA7(I.D.• ERMI7 M <br /> 0 3 i- Q1, E��.�ct w q 8 0o a sao <br /> LEGA LOT NO. BLOCK TRACT � <br /> DESC. <br /> OWNER ADDRESS nP VM NE y�3- b7�S�� <br /> U��� Yr00tr�lcS 19q00- I�ly�� �K.- /�C �,SOo�,ti.u��� WW `l$07�. � <br /> TENANTNAME � I CONTACTNAME PHONE � <br /> fh,a.�ti��- �\Kss Toi�� l�o�c�a as3 -9ale-a,a90 <br /> ; CONTRACTOR Pa.1.y,o� F„P�p.��O,��DDRES3 LP CONTFI.LICENBE Y <br /> PHONE <br /> a�-s -�ia�.- aa a�o7 70�"'►�... E. TL. wA 4S�tdY QA��rr-Pov�t� <br /> PROPOSED USE OF BUILDING Building n MeChaniC81 Additian MEAT 36URCE <br /> I PERMIT � Combination K PlUrtlbi�g IIMOqK � Al�eration � Electnc <br /> TYPE Demolition LJ Sign TYPE New Gas <br /> Spn�kler RepaiNMa�nt. Other <br /> CONTRACT PRICE OF WORK y aQ� OD CRY QF EVEAETT LOCAL SALES TAX CODE IS 9106 <br /> �D <br /> WOiiK DESCHIPTION <br /> � Z �w W �. <br /> PLUMBING MECHAMICAL <br /> NO. TYPE OF Fl%7VRE OR REM NO. TYPE pF FlXTURE OR REM <br /> � _ WATER CLOSET �� _ /VC-A/HAMDUNG UNITS <br /> BATHTUB FORCED AIR SVSTEMS <br /> LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER UNIT HEATER3 <br /> ; KITCHEN SINK S DISPOSAL _ CLOTHES DRYER <br /> ' = DISHWASHER _ RANGE HOOD <br /> LAUNDRY TRAY � VNATER HEATER <br /> CIOTHES WASHER METAL FIREPLNCE/STOVE <br /> I URINAL � FIqEPLACE INSEFT <br /> � DRINKWG FOUNTAItJ . _ CaqS FIREPLACE <br /> ' FLOOR DRAIN GAS RANGE <br /> � BACKFLOW PREVENTER � GAS?IPING <br /> ' SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> _ OTHER �, OTHEA <br /> � � F� s�E,nW✓- � <br /> — � � � _� _ f <br /> 1 MEREBY CEFITIPY THAT I HAYE REAO AND EXAMINED TFHS ARPUCRT69N FMD kN6VN THE SAME TO 8E TRIi�AND COtiRECT. Al� . <br /> PROVISIONS OF LAWS ANO ORIDINAGES 60VERNING THIS TYPE OF WORK WILL 8E COMPUED WRH WWiE'fkE4 SPEGSFIED HEREIN OR <br /> NOT. THE GRANTINCa OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOt,ATE OR CAfYCEI THE PRL;VISfCAN OF ANY OTHER .. <br /> STATE OR LOCAL LAW REGUU171NG CtJNSTRUCTION OR THE PERFbRMANCE OF CON3TRUCTION. THAT f AM AUYMORIZED BY 7HE � <br /> OWNER OF THIS PROPERN TO YERFOHM THE WORK FOR WMICH APPI.ICATION fS MApE ANG 1 CONAPLY WITH THE SYATE <br /> lTRACTOqS LAW 1827 RCW ANG 298200 WAC. <br /> /I�➢. C� mLlYll..�n.n�,..�.� ��I�,J�/.� � <br /> Signah�re of wne/ onVactoNAuthorized Agent aAs \ � <br /> !� <br />