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�ERMIT APPLICA�JN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 <br /> SRE ADDRESS PARCEL TAl(I.D.N p qMi7 x <br /> 1031� /�'�� or� 2O OoS3 Z oo� z�� Y1� 1�-oZ/ <br /> LEGA �OTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRES8 21P PHONE <br /> �2�}a. Pn,P �9�Vc� ' ly`� �� /h/C. NE lr�Jv.�,�la '�i8D7 .f <br /> TENANT NAME CONTACT NAAE GHONE <br /> � 1� w�s � �7t�SS �ove ��TT�' ?3�� �6� �7�`{ - i <br /> COMRACTOR ADDRES ZIP � CONTii.UCENSE M <br /> EVers�eer, QeFr�.Se�..�1on -) Z7 s �^��+ 5�' ��62c,Txz�iA7 <br /> PHONE�`o �� I / N S�o.Tl It� W � D�G ��I�O� <br /> PROPOSED USE OF BUILDING I Buildin9 �8Ch8niC81 ���o�.�^AAa ddition HEAT$OWiCE <br /> /� / PERMIT B COmbinalion Plumbing WORK �Iteratbn Electric <br /> bF���� /�.�L�„�y)L TYPE D Demolition Sign TVPE New s <br /> � � D Sprinkler RepeidMaint. Omer <br /> COMRACT PRICE OF WORK 6� 'Lvp� CITY OP EVERET�ILOCAL SALES TA%G00615 9/0b <br /> WORK D`ESCRIPTION r <br /> �nSl��� � �1V�Y�" "��� r Z Ef�"'J} �"', ' � F�..� '� .45Sok.�r.i-+J^_^ <br /> c���4„�,� <br /> i� PLUMBING MECHANICAL <br /> j NO. TYPE OF FlXTURE ON REM NO. TNPE OF FlKTURE OR REM <br /> I WATER CLOSET A/C—A/H/4NOlING UNITS <br /> � _ BATHTUB _ FORCED AIR SYSTEMS <br /> ' LAVATORY(WASH BASIN) _ HEAT PUIN�� <br /> ' _ SHOWER �_ UNIT HEAITERS <br /> KITCHEN SINK 8 DISPOSAL _ CLOTHE'S DRYER <br /> DISHWASHER _ RANGEli00D <br /> _ LAUNDRY TRAY � WATER HEATER <br /> CLOTHES WASHER , METAL FII9EPLACE/STOVE <br /> URINAL FIREP�CE INSERT <br /> DRINKING FOUNTAIN � . _ GAS FIREPLACE <br /> _ FLOOR DRAIN GAS AANGE <br /> BACKFLOW PREVENTER = GA&�PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) �. EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIPY 7HAT I HAVE REAO AND EXAMINED TMIS APPLICATION AND KdOW THE SAME TO BE TfiUE ANO CORRECT. ALL <br /> PROVISIONS OF IAWS ANO ORIDINACES GOVERNING THIS TVPE OF WORK WILL 8E COMPLIED WITH WHETHEH SPECIFIED MEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PqESUME TO GIVE AUTNORITY TrJ YIOtATE OF CANCEL TriE PROVISION OP ANY OTHER <br /> STATE OR IOCAL LAW REGUL4TING CONSTRUCTION OR THE PERfOfiMANCE OF CONSTRUCTION. TNAT I AM AUTHORIZED 8V THE <br /> OWNER OF THIS PROPERTY TO PERFOHM THE WdRK FOR WHICH APPLICATIGWJ!S MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW . W AND 2 �,WAC. <br /> � i� �Z/��� � <br /> Sign re of n dContractor/Authorized Agent ate <br /> I <br />