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P�RMIT APPLICATIC�iV � <br /> CITY OF EVERCTT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT. WA 98201 � `��—� I <br /> 425-257-8810— FAX 425-257-8857 �J> �7 —, �I <br /> SITE ADDRESS PARCEL TAX I.D.# RMIT# � <br /> � �1'``� �� C� � <br /> %�(� �R0�-Pw�Y f 4 y � z �a z3 d� =�' <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. 2 j Zq ,� �ib' N. r�'�k'E r� <br /> OWNER ADDRESS ZIP PHONE <br /> �l.f(�-N�i �fl((NG" �l 2 Z.f�k'� �� N�f' /�1��YSu�/¢<<��t7o 3Eb 6�y93 z i <t � , <br /> TENANT NAME CONTACT FOR PERMIi PH N £<< <br /> CONTRACTOR - ' � A�DRESS ZIP CONTR.UCENSE# <br /> Pi10NE <br /> l I/ � '�l � � <br /> PRDPOSED USE OF BUILDING f'DrBuilding Mechanical ��ddiGon HEAT SOURCE <br /> nl�rnrL 5rd�,� PERMIT ��Combination RI--( Plumbing WORK RI—( /+�terauon RElecNc <br /> !� 1YpE G_.l Demolilion LJ Sign TYPE �..j New u Gas <br /> U Sprinkler U RepairlMaint. � Ll Other <br /> CONIRACT PRICE OF WORK l��CQL) ��j(j.�J l� CITY OF EVERETT LOCAL SALES TNC CODE IS 3105 <br /> it <br /> WORK DESCRIPTION YL��iv�1��i�G(�l l�' G Q �X �`l ' r�r i/�ic S r�R�. cc� ,�/`7���/Llr <br /> a/� /�q yg,5 y.�t <br /> PLUMBING MECHANICAL <br /> �i!O. TYPE OF FIXTURE OR ITEM � TYPE OF FIXTURE OR ITEM <br /> .\ <br /> 'V' WATER CLOSET(TOI�ET) � —A/HANDLING UNITS <br /> 9A?HTUB _ FaR�ED AIR SYSTEMS <br /> L L4NATORY(WASH BASIN) _ HEA�T PUMP <br /> SHO��JER _ UNIT H�ATERS <br /> KITCHE�i SINK&DISPOSAL _ CLOTHES�YER <br /> DISHWASHER RANGE HO <br /> LAUNDRY Tk�1Y _ WATER HEAT <br /> CLOTHES WASFIFR METAL FIREPLA STOVE <br /> URINAL FIREPLACE INSER <br /> DRINKING FOUNTAIN GAS FI�EPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER J GAS PIPING <br /> SINK(SERVICE/BAR/MOPIETC.) _ EXHAUST FAN <br /> OTHER OTHER <br /> i <br /> I I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRGE AND CORRECT. ALL <br /> I PROVISIONS OF lAWS ANO ORIDINACES GOVERNING THIS NPE OF N'ORK N'ILL BE COMPLIED WITH\NFiETHER SPECIFIED HEREIN OR <br /> � NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THi.T I AA1 AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORId THE WORK FOR 1VHICH APPLICATION IS MA�E AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RC AND 296.2,�0 yVAC. <br /> � � i�t� '^°7 lc .���r 7/,�—L� ) <br /> Si�aatur of Owner� ntr cror/Aut nzed Agent Date <br /> DEBIT & CREDIT CARDS ARE NOT ACCEPTED CW /'�� 7`� `I Z I <br />