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t PERMIT APPLICA�� ION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810-FAX 425-257-8857 <br /> ��(J.PA� <br /> SRE ADDRES3 PARCEL TAX I.D.N PERMI7 p <br /> 'L21� rj('o/FnM/MS ML bo �f39/ - NT�/- DD(�-vV Da3o r -0�3 <br /> tEGAL LOTNO. BLOCK TRACT <br /> DESC. }N�/p 7 �'I 1 LP PHONE <br /> OWNER ADDRESS <br /> 5 c(� Z 3 r� LLL S4S- `Db� pwe• wiE �100 �e�\ea,,c.w�`i'u9v�1 2C6 27i 2�uc% <br /> TENIIHT NAME I CONTACT NAME PHONE <br /> CONTMCTOR �. � (���1�an� GpNIkAcTNL ADDRESS LP CONTR.LICENSE t <br /> RN�v: STF✓C�'oSE 9�O�f 3r� A✓G /�G fl2oE LL020P � <br /> (�Ra N� r� <br /> VHONE 2ob �zq b8'�� S��NIr', wA 9���5- _ <br /> aaOPOSED USE OF BUIIDING BuJdinp f'1 Mechanical n AtlOttlon MEAT SOURCE <br /> PFRMIT Combineqon H Plumbinp WORK K Altaretlon [, Eiecmc <br /> TYPE Demolilion lJ Sign 7YPE �_l New Gas <br /> Spdnkler LJ RepalqMaint. Omer <br /> CONTRACT PR10E OF WORK Cf1Y OF EVEREff LOCAL SALES TAX CODE IS 7105 <br /> , WORK DESCRIPTION <br /> OE Mot,�S H �X �ST iat� 5'T�K��^�'rG� <br /> PLUMBING MECHANICAL <br /> N0. I TYPE OF fl%TURE OR REM NO. TYPE OF FIXTURE OR REM <br /> W ATER CLOSET AIC-AIFIANDLING UMITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHcN SINK 8 DISPOSAL CLOTHES CRYER <br /> DiSHWASHER RANGE HOOD <br /> LAUNORV TRAY _ WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URI�,IAL FIREPLACE INSERT <br /> � DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFIOW PREVENTER GAS PIPING <br />. SiNK(SERVICEfBAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHER OTHER <br /> I — <br /> i HEREB C'cRITIFV THAT I HAVE EAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECi ALL <br /> Pp,p � NA OF L4 S ANO 0 INACES GOVERNING THIS TYPE OF WORK N9Ll BE COMPLIED WITH WHETHER SPECIPIED HEREi1J OF <br /> NJ - GftA T OF A P IT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISION OF ANY OTNER <br /> 57 R LO ING CONSTRUCTION OR THE PERFORMhNCG OF CONSTRUCTION. TNAT I AM AUTHORI2ED BY TNE <br /> O E OF T I OPER T PERFORM 7HE WORK FOR WHICH APPIICATION I MADE AND I COMPLV WITH TI1E STATE <br /> C � T T W 18.27 R W AND 288.200 WAC. <br /> I a o3 <br /> S re o nedCon a /Aulh izod Agenl ali� <br /> i <br />