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P�.�MIT APPLICATI�. J <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.N P MIT M <br /> oz - w A��� 620 <br /> IEQA LOT NO. lLOCN TRACT <br /> DESC. <br /> OWNER ADDRESS DP PHONE <br /> vGcP �.� ,� G(S a� C�{e �}7 oa- J�I�a,� ,p,�L qg ?.�3`�z�).ar7 - �6 o q <br /> TENANTNAME I COHTACTNAME MONE <br /> CONTRACTOR ADDRESS 21P CONTR.UCFNSEI <br /> PHONE <br /> PROP09ED U9E OF SUILDINO Bullding � Mechenkel � Additlan MEAT oOURCE <br /> �d�'i ��� 1. . PERMIT B Combinetion Pl9mbing WORK Altaralbn � El�rtrk <br /> � TYPE Demollllon SI n TYPE Nsw Dae <br /> ��,,��g B Sprinkfer Rapeir/Malnc Oth�r <br /> CONTRACT PRICE OF WORK CRY OF EVEqETT LOCAL SALEB 7AX CODE Is 7106 <br /> WORK DESCRIPTION <br /> PLUM8IN(i MECHANI AL <br /> N0. TYPE OF flXTURE OR ITEM N0. TYPE OF fl%TURE OR fTlM <br /> WATEPCLOSET _ A/C—NHANDLINOUNITS <br /> BATHTUB _ FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) _ HEAT PUMP <br /> I _ SHOWER _ UNIT HEATERS <br /> KITCHEN SINK 3 DISPOSAL _ CLOTHE9 DFYER <br /> � _ DISHWASHEFi _ HANOE HOOD <br /> _ LAUNDRV TRAY _ WATER HEATER <br /> CLOTHES WASHER _ METAL FIFEPLACE/STOVE <br /> _ URINAL _ FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ pAS FIREPLACE <br /> _ FLOOR DRA�N _ 4AS RANf3E <br /> BACKFLOW PREVENTER _ OAS PIPINO <br /> SINK (SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHER _ OTHER <br /> I HEREBV CERITIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRE:T. ALL <br /> PROVISIONS OF LAWS ANO ORIDINACES OOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED MEREIN OR <br /> NOT. THE GRANTINO OF A PERMIT OOES NOT PRESUME TO 61VE AUTHORITY TO VIOUTE OR CANCEL THE PROVISION OF ANV OTHER <br /> STATE OH LOCAL LAW REGULATINO CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. TMAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW ANU 298.200 WAC. <br /> ��Sw l�vi� (aL�. � �p � z <br /> ignature o wnerl antractod ulhorize genl s <br />