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PL.RMIT APPLICATIQ� v <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STHEET, EVERETT, WA 98201 <br /> 425-257-8810-FAX 425•257-8857 <br /> SITE ADORESS� PARCEL TAJ(I.D.N PERMIT M <br /> %�J � <br /> LEGA LOTNO. BLOCN TRACT <br /> DESC. <br /> OWN ACDRE99 21P PMO <br /> r <br /> , �!� `�'�D'� ✓� s� <br /> TENAM MF. C ACTNAME PX <br /> ,^.(Oil�.LiA///OA� I �0.� <br /> CO�Af,TARL`N�� ADDR88S IIP CONTR.LICENfE N <br /> J�.EY �o,c i/�YJ�l.�.r Z7 ���3 <br /> PMONE �Z <br /> �r -O z � r- <br /> PROPOSED USE OFlUILDINO P�RMIT �R-( Caimbi ation R Pl�hb nge1 w�qK R'pe��M �� MlAT SE��E <br /> `��� " — �vE U Sprinklelon D Sign TYP[ N �,j O�a1e'r <br /> U <br /> CON'fRACT PRICE OF WORK CITV OF EVlIIETT LOCAL tALE!TA%CODE IS�10e <br /> WORK DEBCRIPTION <br /> PLUMBING MECHANI AL <br /> NO. TYPE OF fl%TURE OR ITEM NO. TYPE OF FlXTURE OR RFM <br /> WATER CLOSET _ IVC–,1MANDLIN(3 UNITS <br /> BATHTUB _ FORCED AIR SYSTEM9 <br /> _ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> _ SHOWER _ UNIT HEATERS <br /> KITCHEN SINK 6 DISPOSAL _ CLOTHES DRYER <br /> DISHWASHEP _ RANOE HOOD <br /> LAUNDRY TRAY _ WATER HEATER <br /> I = CLOTHES WASHER _ METAL FIREPLACE/3TOVE <br /> _ URINAL _ FIREPUICE INSERT <br /> ORINKING FOUNTAIN _ OAS FIREPLACE <br /> FLOOF DRAIN OA3 RAN(3E <br /> I _ BACKFLOW PPEVENTER _ OAS PIPIN� <br /> SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHER _ OTHER <br /> I — — <br /> � . <br /> I HEREBV CERITIFY'HAT I HAVE READ AND EXAMINED THIS APPIICATION ANO KNOW THE SAME TO BE TRUE AND COHRECT. ALL <br /> � PROVISIONS OF LAWS AND OFIDINACES 60VERNIN6 THIS TYPE OF WORK 4�� '.BE COMPUED WITH WHETHER SPECIFIED MEREIN OF <br /> NO7. THE 6RAN711aC OF A PE7MIT DOES NOT PRESUME TO QIVE AUTHORITY TO VIOLATE OR CANCEL THE PFOVISION OF ANY OTHER <br /> ' STATE OR LOCAL LAW FEGUUITIN6 CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> iOWNER OF TyIS PROPERTY PEHFORM THE WOFK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACiQR�S LAW 1B.27 AND 298.200 WAC. / <br /> !i/ <br /> � Y � � 1'�v � <br /> ignawre o erl onlractoU W onzed gect eta <br />