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PL. iMIT APPLICATIO�i <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810-FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.M p pMR» <br /> loy// ir � aa � � <br /> LEGA LOTN . BLOCK TRACT <br /> DESC. <br /> OWNER ADORESS <br /> �- aP PHONE <br /> Jltr�a <br /> TENANT NAME CONTACT NAME CHONE <br /> 2an�ys �;h� � �.,�� I $� S�eve 17o�c�� yZs�2�v- 3o�o <br /> CONTRACTOR AODRE � <br /> PMONE O Cor�a-A�iar 1 S 7r r E'a,� !�•��t� I�wy � LJiQ PIOOS2� �� SE C.OI <br /> C.O � <br /> Y 2s�bs'6-�fs6�' <br /> PROP0.SED USE OF BUILDING I Building D MeChenicel Addi�ion HEAT SOUACE <br /> PERMR R C�mbination u PIUrtlbing WORK B Rte�ation n ���K <br /> TYPE D Demolition U Siqn TYPE D New ❑ 6as <br /> U S nnkler U epeir/Maint D Other <br /> CONTRACT PpICE OF WORK �/3 �� CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br /> "T <br /> WORKDESCRIPTION '�Si nl�� n,� �� �l � S� <br /> t"� J � � �All�� �a��� <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FIXTURE OR REM NO. TYPE OF flXTURE Oq ITEM <br /> _ WATEF CLOSET _ A/C—A/HANDLING UNITS <br /> _ BATHTUB _ FORCED Alq SYSTEMS <br /> _ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> _ SHOWER _ UNITHEATERS <br /> _ KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> _ DISHWASHER ` RANGE HOOD <br /> _ LAUNDRY THAY WATER HEATER <br /> _ CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> _ URINAL � _ FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN , _ GAS FIREPLACE I <br /> _ FLOOR ORAIN � _ GAS HANGE <br /> _ BACKFLOW PFEVENTER _ GAS PIPING <br /> _ SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> _ OTHER _ OTHER <br /> i — <br /> � — — <br /> I <br /> I I MEFiEBY CERITIFV THAT I HAVE READ AND E%AMINED THIS APP�ICATION AND KNOW THE SAME TO BE TRUE AN�COqRECT. ALL <br /> PROVISIONS OF LAWS AND OqIDIMACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WMETHER SPECIFIED HEFEIN OR <br /> NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO CaIVE AUTHOHITY TO VIOUTE OR CANCEL 7HE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFOpM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITN TF1E STATE <br /> C(1NTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> ������ ��9 oz <br /> Sgna re wnedCo ctodAWhonzed Agent T6ate �/ <br /> I Z <br /> L� <br />