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< < � <br /> PERMIT APPLICA'I'ION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEOAR STREET, EVERETT,WA 9G201 <br /> 425-257-8810-FAX 425-257-8857 ���/� �'7 <br /> �� SITE ADDRESS PARCEL TJUC I.D.� "ERMiT Y '/ <br /> 22�� c��oknwh� a.ic. b0 �l39/ - H7�{- pD -DO Da3o ( "dG�t' <br /> �EGA LOT NO. O��CK TR'�'�T <br /> DESC. S.yl i.fi l � H � �`� LP PNONE <br /> � OWNER ADDRE59 p <br /> 5C(� 73�=1 Lt—L S4S_ �DbT~ r.�.fe• w�6 �-100 Ye\\LJ+�L,W��I�90'� 1Ob27s 2�UU <br /> TENANTNAME I CONTACTNAME PHONE <br /> � CONTRACTOR - � (��At,qn� Go�vh4AcTNV �DRESS LP CON�fR.UCENSEN <br /> � RM*�: STE✓C�OSE 9�0 / 3�`� Rvo NG fl 2od G�E'A f�RGL O�O P N <br /> �i, PHONE 206 �29 b8'�`� S�A-Nlr� �.✓R 9?�i�S_ <br /> PROPOSED USE OF BUIlDIN6 Bu�ding � Mechanical � AOCltion HEAT SOURCE <br /> FERMIT � Combination Plumbinp IWORK AtleraUon I D E�ectnc <br /> I TYPE Demolilion Sign TYPE New C� cas <br /> Sprinkler RepalrlMalnt. U ane� <br /> �; CONTRACI PRICE OF WORK CRY OF EVERETT LOCAL SALES TAX CODE IS�105 <br /> i WORK DESCPoPTION <br /> �C rnoUS N �X �ST v.�v ST�k��✓�S <br /> j PLUMBING MECHANICAL <br /> �� N0. TYPE OF FlXTURE OR REM NO. TYPE OF FIXTURE OR REM <br /> WAiERCLOSET _ AIC—MIANDLINGUNITS <br /> � BATHTUB _ FORCED AIR SYSTEMS <br /> IAVATORY(WASH BASIN) _ NEAT PUMP <br /> SHOWER _ UNITHEATERS <br /> ' KITCHEN SINK 6 DISPOSAL _ CLOTHES DRYER <br /> DISHWASHER _ �NGE HOOD <br /> LAUNDRY TRAY _ WATER HEATER <br /> � CLOTHES WASHER _ METAL FIREPLACE/STOVE � <br /> URINAL _ FIREPIACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPLACE �I <br /> FLOOR DRAIN _ GAS RANGE ' <br /> BACKFLOW PREVENTER _ GAS PIPING I <br /> SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN i <br /> , OTHER _ OTHER I <br /> I HEREBY CERITIFY TViAT I HA Fl+D AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TF3UE AND CORRECT. ALL '� <br /> PROVISIO OF IAWS AND O NACES GOVERNING THIS TYPE OF WORK WILL 8E COMPUED WITH WHETHER SPEGFIED HEREIN OR I <br /> � NO M GRANTING OF A IT DOES NOT PRESUME TO GIVE AUTHORIiY TO VIOLATE JR CANCEL THE PROVISION OF ANV OTNER � I <br /> ATE LOCAL LAW R U TING CONSTF3UCTION OR THE PERFORMANCE OF CONSTRUCTION. TMAT I AM AUTHORIZED BY THE � <br /> ' WNE F THIS PRO TO PEFSORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WRH THE STATE � <br /> � CON C CW . AC. <br /> ! a �� <br /> g aNre 1 nerl nV clor uthodzed Agent Dat <br /> � <br />