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' � PERMIT APPLICA' i ION <br /> � CITY OF EV�RETT PERMIT SERVICES <br /> 320Q CEDAR STREET, EVERETT,WA 98201 I <br /> I 425-257-8810-FAX 425-257-8857 <br /> �t,(l'1L/`� <br /> � <br /> SfTE ADORESS <br /> PARCEL 7A%I.D./ PERMIT a � <br /> '1-22 g+��w�t �c bO �f39/ - H7�{- ol3 -a� <br /> � LEGA LOTNO. ,B1LOCK TRACT <br /> IDESC. 1'y `• �� T��� yp pHONE <br /> � OWNER ADDRESS <br /> $E(� 23�`� L�-G. $`�S_ �Db� f�e. *�E �-too �e��cv.c,wn�t�Lo� Lobt7s2�uv <br /> �I PHON4 <br /> � TENANTNAME CONTACTNAME � ��vj <br /> � I � O��✓ H `a�C �h �-7.� ���C� <br /> LONTRACTOR � � � � LP CONTF.LJCENSEt <br /> �ra�A^� C�^��AcT%�L AUDRESS <br /> i �4+hv: srE✓E�'osE 970y 3�d A✓G n�r t/zo8 (�RaN9::._' O�oPN <br /> PHONE 206 �2q 88'�`� S�RNIt� WA 977i�f <br /> f� Building Mechanical I") ACdttbn I HEA7 SOURCE <br /> PROPOSED USE OF BUILOING �"'� Alterallon � �] Electnc <br /> PERMIT b� Combiration Plumbing WORK K � Gas <br /> I 7ypE Ky Demolilion Sign TYPE �..� New I <br /> I.J Sprinkier IJ RepalrlMainl i Uther <br /> ICONTRACT PRIGE OF WORK CiTY OF EVERE7T LOCAL SALES TAX CODE IS 7105 <br /> II WORK DESCRIPTION <br /> � � k �STw(� ST����rcS <br /> 'I �£MOUS �X <br /> PLUMBING MECHANICAL <br /> �I NO. TYPE OF FIXTURE OR REM NO. TYPE OF FI%TURE OR REM <br /> i, <br /> �i WATER CLOSET _ AIC-AIHANDLING UNITS <br /> I BATHTUB _ FORCED AIR SYSTEMS <br /> � L AVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER _ UNITHEATERS <br /> �, KITCHEN SINN 8 DISPOSAL _ CLOTHES DRYER <br /> �. DISHWASHER _ RANGE HOOD <br /> � LAUNDRY TRAY _ WATER HEATER <br /> � CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> � URINAL _ FIREPLACEINSERT <br /> �� DRINKING FOUNTAIN _ GAS FIREPLACE <br /> ��� FLOOR DRAIN _ GAS RANGE <br /> I BACKFLOW PREVENTER _ GAS PIPING <br /> '� � SINK(SERVICE/BAfLMOPIETC.) _ EXHAUST FAN <br /> I — <br /> � OTHER _ OTHER <br /> i — <br /> � i HEREBY CERITIFY THAT I H READ AND EXAMINED THIS APPLICATION AND KNON'THE SAME TO BE TRUE AND CORRECT ALL <br /> , PROVI NS OF LAWS AND IOINACES GOVERNING THIS IYPE OF WORK WILL BE COMPIIED WITN WHETHER SPECIFIED NEREIN OR <br /> i NOT. E GRANTING OF RMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISION OF ANY OTMER <br /> ' W 7 OF T�CS PR W R OTPEF2F RM THE WORK POR WHICH APPLIC T ON IS MADERA C lo OMp�Y W TH THE S�TAITE D 9Y THE <br /> '� 0 tAC 7 RGOLAND 288200 WAC. <br /> / � � <br /> ' Si n tureot n dCon acl r/A rize /+genl Da <br />