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C E(�MIT APPLICAlI JN <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 <br /> SITE ADORESS I PARCEL TAX I.D.71 P RMIT x <br /> 1a315 MQ�•r R#D , lo� �o9b!°�2o000 2Sco 1/ �/(� <br /> LEGh LOT NO. BIOCi( TRACT <br /> DESC. <br /> OWNER AOORE 9P PHONE . �_ <br /> 'DE1.T14 �GTlEB l�kla� 144vt-qy�{�.AlE� WDc��.ld�U.EeJSOl2 4QSI• 52c�c <br />� TENANT NAME . I CONTACT NAME PHONE <br /> i1,.in�v��r eS�wss S+M..�D�2.R ►..�b,�1 4�- 43'1 -S2oo <br /> CONTRACTOR ADORESS ZIP CONTR.LICENSE M <br /> SNcRQ1t GL�LCaGaAL'1101._.t 1�lOo 144��"—AtlEr 1..1�.. CIYr2i2LC-1451�1f3 <br /> VHONE WO��hI{�l WL�.+ �WPM q�Z <br /> A?��4�s1-SZa� <br /> PROPOSED USE OF BUILDING �S Building � MBChaniCal ("1 Addnion HEAT SOURCE <br /> I PERMIT FF.'-(( Combinalion Plumbing WORK FIqa( PJteralio� fI��.I Electric <br /> I TYPE �..j Demolition Sign ITVPE �..j New . �y Gaa <br /> L) Sprinkler U RepaidMaint. U 01her <br /> COMRACT PHICE OF WORK � 2 ,QI i5� �� CITV OF EVER�TT LOCAL SA�fS TA%CODE IS 3106 <br /> WOpKDESCRIGTIOW �,� �� �02o S�'?1E►.JAi.i'r' iHt¢WEF-(F�L�. <br /> � <br /> I PLUMBING MECHANIC L <br /> NO. TYPE OF FlXTURE OR REM NO. TYPE OF fl7fTURE OR ITEM <br /> i <br /> WATER CLOSET A/C–A/HANDLING UNITS <br /> � _ BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BAS�N) HEAT PUMP <br /> � SHOWER UNIT HEATERS <br /> � _ KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> I _ DISHWASHER _ RANGE HOOD <br /> I _ LAUNDRY TRAY _ WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> � _ URINAL FIREPLACE fNSERT <br /> I _ DRINKING FOUNTAIN . _ aAS FIREPLACE <br /> � _ FLOOR DRAW � _ GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> j _ SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> I OTHER � _ OTHER . <br /> I — — <br /> � <br /> '' I HEREBV CERITIFY THAT I HAVE READ AND EXAMdNED THIS APPlICA710N ANO KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br /> � PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED MEREIN OP <br /> � NOT. THE GRANTING OF A PERMIT DOES NOT PI9ESUME TO GIVE AUTMORITY TO VIOIrATE OR CANCEL THE PROVISION Of ANY OTHER <br /> ' STATE OR IOCAL LAW REGULATING CONSTRUCTION OR THE PEHFOHMANCE OF CONSTRUCTION. THAT I AM AUTNORIZED BV THE <br /> � OW THIS PROPERN TO PERFOFM THE WVOFK FOR WHICH APPIICATION IS MADE AND I COMPLY WITH THE STATE <br /> I CO RAC RS lAW 182�RCW AND 29fi200 W51C. <br /> ; c,�c,.� � � / �z�a�___. <br /> ' Sig e o� wnedr,ontractov uth3Tl2ed geat � ate 1/� II <br />