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PERMIT APPLICATI�N <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADORESS 1 O'�I I MRNWRr PARCEL TAX I.D.x PERMI7 x <br /> EvERE1T� vyA. 98Za4 _�� <br /> � <br /> LEGA LOT NO. BLOCK TRACT J <br /> DESC. <br /> OWNER ADDRE33 LP PHONE � <br /> TENANT NANE CONTACT NAME PHONE <br /> QA1'1DY�S �M�QI � p1�JlOf� I <br /> COMRACTOR ADORESS � aP CONTp.LICENBE M <br /> MERiT M6GF�l►��CA�.. 1�1G �jo-153e°AVfc HI.E. 98e73 <br /> vHON S� 98'�-�1 �pINoND, WA /NiR�TM�1i3C.�N <br /> PROPOSED USE OF BUILqNG Building Mechenical Addition HEAT SOURCE <br /> PERMIT � Combination �Plumbing WORK �IUteration � Electric <br /> TYPE Demolition Sign TYPE New Gas <br /> Sprinkler Repeir/Maint. Other <br /> CONTHACT PPoCE OF WORK CRY OF EVERETT IOCAL SALES TA%CODE IS 3105 <br /> WORK DESCRIPTION � <br /> p�v�ve � i�ls�►�� PwMd��J4 ���2�'s '� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlJ(TURE OR REM NO. TYPE OF FIXTURE OR REM <br /> � WATERCLOSET A/C—A/HANDLINGUNITS <br /> BATHTUB _ FORCED AIF SYSTEMS <br /> � LAVATORY(WASH BASIN) HEAT PUMP <br /> _ SHOWER _ UNIT HEATERS <br /> _ KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> _ DISHWASHER _ RANGE HOOD <br /> _ LAUNDRYTRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> � URINAL � FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPLACE <br /> = FLQOR DRAIN . _ GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> _ SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> _ OTHER _ OTHER <br /> I HEREBV CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF IAWS AND OR�DINACES GOVERNING THIS'VPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN Ofi <br /> NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW RECaULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM TFtE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LA 827 RCW AND 196.200 WAC. <br /> � �� 8-�-02 <br /> . . <br /> Signature o Owner/ ontractodAuthorized Agent ate <br />