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! <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICcS <br /> 3200 CEDAR STREET, EVEREYif,WA 98201 <br /> 425-257-8810-FAX 425-257-8857 � <br /> pARCEL TAX I.D.N PERMIT M <br /> s�T�4oS ll �C�L�n��/�r� �oo � In�3iU-�z� <br /> IEGA LOTNO. BLOCK TRACT <br /> DE9C. <br /> NER ADDREBS � 1�` �� <br /> �A-{- (��'l�'-1 3�fa� t3c.l( �IU�' �v�q� l �r � <br /> /G�ON�TACT FOR VERMIT / �MONC <br /> TENANT NAME I l..Gl� u"��Q. �/Q��riS['�4� C7�-rY `� 2 ! '""'d _ <br /> CONTNACTO (�1,�� „� � . A�OREb6 <br /> � ZIP CONTR.LICENBE/ <br /> w �G��� :...,�... �_������� Q�i'P� cJ.�fkiUQ��a3 <br /> I P NE � n �r� �n <br /> L C <br /> VROPOSED U9E OF BUILDINO BUildinp �(M6ChenIC81 ACdltlrn HEA7 SOURCE <br /> VERMIT � Combinal'on B'Plumbinp WORK B utentlon iI'c'�� p'''��c <br /> 7rP! Demolilion 9ipn TYP! ��Dlaw p13+� <br /> Sp���B� U R�palrR�lalnt. lJ Otl�ei <br /> C9HTRACT PRICF OF WOFIK / ^OO , ��� <br /> ��Ty pF iVEpE7T LOCAL f�LEB TA1(CODE IS f10S <br /> SY ^ <br /> WORK DEBCRIP�ON � � r � L ��`r� / / � /� J,� <br /> K S J �7� •'_ 0 <br /> 6 <br /> ' PLUMBING M�CHANICAL <br /> I NO. NPE OF FI%TIIRE OR ITEM NO. I 1YPi OF fl%TURE OR 17kM <br /> WATER CLOSET(7GiLET) _ NC-MHANDLING UNITS <br /> BATHTUB _ FORCED AIR SYBTEMS <br /> LAVATORY(WASH BASIN) _ HEAT PUMP <br /> � SHOWER _ UNITHEATERS <br /> KITCHEN SINK 8 DISPOSAL _ CLOTkSS DRYER <br /> DISHWA5HER RANGE H000 <br /> � LAUNGRY'fRAY � WATER HEATER <br /> CLOTHES WASHER _ METAL FIREPLACFJSTOVE <br /> URINAL _ fIREPIACE INSENT <br /> DRINKING FOUNTAIN _ GP FIREPLACE <br /> FLOOR DRAIN _ GAS RANGE <br /> BACKFLO'N PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETCJ _ E%HAUST FAN <br /> OTMER _ OTHE� <br /> =I — _ _. <br /> I HEREBV CF.RITIFV TNAT I HAVE fiFAD ANO E7WMINED THIS APPIICAT10N AND KNOW TME SAME TO BE TRUE PND CORRECT. ALL <br /> PROVI5i0N5 GF L4W5 AND OHIDIY.ACES GUVERNING 7HIS TVPE OF WONK WILL BE COMPLIED W�TM�NHETHER SPECIfIED MEREIN OR <br /> NOT. TNE GRAN7iNG OF A PERMIT DOES NOT PRESUM:�TO GIVE AUTNORITY TO VIOUTE OR CANCEL THE PROVISION Of ANY OTMER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCiION OR THE PERFUI�MANCE OF CONSTRUCTION. 7MAT I AM Al1THnR12ED BV TME <br /> OWNER OF THIS PROPERN TO PERFORM THE WORK FOR WHICH AF'PLIGATION IS MADE hV�1 COMPLY WITM THE 5 fATE <br /> CONT CTORS 1B 27 RCW AND 4Bfi.200K'AC. � � ��� <br /> L �O .z./ <br /> S a� o .vner ntrado onz gent aU <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> S'd L588L5252bT �01 �WOM� 02�60 £F10�,''Z2��170 <br />