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� <br /> PE . iMIT APPLICATIO��� <br /> CITY OF EVERETT PERMIT SERVIC�ES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425•257-8810- FAX 425-257-8857 <br /> ��SITE ADGFESS/ �� �� I D��E��yTA�X^�D.^/'� PERD N yy� <br /> �; ,7T/7�VT� -w! <br /> DESC. �LUT N �` �� BLOCK TR�Tu�� ��� �/ /D� L c f,� <br /> r�/� /9 T ��� l� /7J .Gy�r(� <br /> OWNER �T�— , ADD SS 7JP PMONE <br /> ��eNe� iq, ►�ll'�ns /809 ,�ai/er /}vr� Evrreff .�103 (4�,s"�'.ss.s�8� <br /> TENANTNAME CONTACTNAME PMONE <br /> s a,V1AF/ <br /> CONTRACTOR ADDRESS ZIP CONTR.UCENSE/ <br /> PMONE <br /> PROPOSED USE OF BUILDIN6 ��Building I") Mechanlcal Addilion HEAT SOURCE <br /> PF.RMR Combinalion F� Plumbing WORK Allerai� R Electrk <br /> TYPE Demolitlon L! Sign TYPE New �J Oae <br /> Sprinkl6r Rapeir/Meint. �J Other <br /> COMRACT CRICE OF WORK �Op� � CITV Of EVEREiT LOCAL SALES TAX CODE 18]105 <br /> WORK OESCRIPTIOq . � <br /> C'o►as�tfiioi+- �' a pr�v�tcr .sGncK � ��P f' �n exis i� �lerlc <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF Fl%TURE OR ITEM N0. TYPE OF fll(TURE OR REM <br /> I _ WATEF CLOSET _ A/C—�1/HANDIING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> I LAVATORY�WASH BASIN) _ HEAT PUMP <br /> � SHOWER UNIT HEATERS <br /> ' KITCHEN SINK d DISPOSAL _ CLOTHES DRYER <br /> OISHWASHER RANGE HOOD <br /> � _ LAUNDRV TRAY _ WATER HEATEFi <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> � DRINHING FOUNTAIN OAS FIREPLACE: <br /> FLOOR DRAIN (3AS fiANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHER OTHER__ <br /> I HEREBY�ERITIFV THAT I HAVE READ ANO E%AMINED TMIS APPLICATION AND KNOW TNE SAME i0 BE TRUE AND COFRECT. AlL <br /> PROVISIONS OF LAWS ANO ORIDiNACES GOVERNING THIS TVPE OF WORN WILL BE COMPLIED WITM WMETHER SPECIFIED MEFEIN OR <br /> NOT TME Gi�ANTING OF A PERMIT DGES NOT PRESUME TO G1VE AUTHOFITV TO VIOIAI'E OR CFNCEL THE PHOVISION OF ANV OTHEH <br /> STATE OR IOCAL U GUUITING CONSTRUCTION OA THE PERFORMANCE OF CONSTHUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNEP OF RTY TO PERFORM THE WORN fOR WMICH APPUCATION IS MADE AND 1 COMPLY WITN THE STATE <br /> . CO T S W 1827 RCW D 200 WAC. � <br /> , ' $ - 1 - oZ <br /> ,,ignalwe o w u ontrac od u�honz d Age e�a � <br />