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P�RMIT APPLICATIt�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8Bt 0-FAX 425-257-8857 <br /> SITE ADDRE88 PARCEL TAX I.D.• PERMIT M <br /> /.�/S'6 E - E�E �7T ,,.A C <br /> LEQA �or No. s�xK rn�cr <br /> DESC. <br /> OWNEA ADDREBS ai N! <br /> �v�r�• 6ouR� �/� L�u/ Cu//Si.li-uE fc.�,ttilr 4�7'� 9'8�0/ `%�aS.Z•59 <br /> 7ENANTNAME I fRACTNAM! MIONE <br /> CONTNACTOR Q �� a CAR /'R`T AdDRlq 7 y/ S �{,o ,E w b°O QD21P COlRII.LICEtqE 1 <br /> c /�A�� ^� � ►�Yt S�qNwoo� � w.o 98.t9L l�it'TtC9? /cc <br /> ""oNE 366 GSS' /4'S3 <br /> PROPOaED IME Of�UILDINfi ullding �echenlcel III��� AddNbn MEAT fOIMC[ <br /> PERMR Combinatlon mbing W011K �Nlsntbn (J'Ebctrb <br /> TVPE Demolitian Slpn TY�E N�w ❑ f1�. <br /> 3prinklar(w d he�d�) Rp�tr�AA�lm. U OMx <br /> CONTRACT PIIICF OF WORK ���� ��cm oF eveeerr�oc�s�es v►x cooe n o�oe <br /> WORKDEfCMPT10N �E�y �� s o Rt//A '.E SA�¢ TiC'oe !� n�� su�..� STN s <br /> REM '0�/ F B !�k I/� �L TwQ S/��w�'/� � TOileT <br /> . � . <br /> PLUMSING E MANI AL <br /> N0. TYPE OF FlXTURE OR ITEM NO. TVP!OR RIITUII!011 ITEM <br /> ATER CLOSET(TOILE� _ A/C—A/HANDLINO UNITS <br /> THTUB _ FORCED AIN SYSTEMS <br /> _ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> _ SHOWER _ UNITHEATERS <br /> _ KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER ' <br /> _ DISHWASHER _ RAN�E HOOD <br /> LAUNDRY TRAY _ WATER HEATER <br /> _ CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> _ URINAL _ FIREPLACE INSERT <br /> DRINKINO FOUNTAIN _ OA3 FIREPIACE <br /> FLOOR DRAIN _ OA3 RANOE <br /> BACKFLOW PREVENTER �AB PIPINO <br /> _ SINK(SERVICElBAR/MOP/ETC.) � EXHAUST FAN <br /> _ OTHER _ OTHER <br /> I HEHEBV CERITIFY THAT I HAVE READ AND F�CAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COHRECT. HLL <br /> PROVISIONS OF LAWS AND ORIDINACES OOVERNIN�THIS TYPE OF WORK WILL BE COMPLIED WITH WMETHER SPECIFIED HEFlEIN OR <br /> NOT. THE GRANTINO OF A PERMIT�OES NOT PRESUME TO aIVE AUTHONITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REOULATINO CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNE THIS PROP RTY TO PERFORM THE WORK FOR WHICH APPLICATION 19 MADE AND I COMPLY WITH THE STATE <br /> CONTfiA LAW .27 RCW AND 298.200 WAC. <br /> ,'� - 'L7 u/!.`�— c� oJ�° .� <br /> Signatu o wneu uniractor/ uthonze genl ete <br />