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� PERMIT APPLICA�'ION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 � f � <br /> % ��� ��� —� <br /> SITE ADDRESS PARCEL TAX I.D.# PERMi7 a <br /> a�as c3Roao►.�.Y s��000 qoo'0140 -p, - <br /> LEGAL LOTNO. BLOCK TRACT � <br /> DESC. <br /> OWNER ADDRESS ZIP PNONE <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> wa,s�-iAB� 'C�R1YaK.t � PET�, �E ���o �sa-as3-�"�ao <br /> CONTRACTOR ADDRESS pSV1�j 4-a.— S�I�i' ZIP CONI"R.LICENSE M <br /> SPR1NXPlREPRo'��(�1 P��FOSDIC�9RiVW S�r2�N�Po'1'1lS <br /> PHON[ . 'i � C 1 t�1A�P$oI�-L1A�14�'3S <br /> PROPOSEO USE OF BUILDING�' / Building D Mecltaniwl Addilion HEAT SOURCE <br /> PERMIT �Combinalion U Plumbing IWORK �Allerelion � [Icclric <br /> �,��,j�,t� TVPE Demolition U Sign TYPe New Gas <br /> Sprinkler RepaidMaim. Other <br /> CONTRACT PRICE OF WORK �' aa,�. �(� CITV OF EVERETT LOCAL SALES TN(CODE IS J705 <br /> WORK DESCRIPTION <br /> ��V �SE EX�st�hlC� ��RE SPR�N1<�El�. 5`f STE <br /> �G(L NEW �E� �NT 1MPRoV�M�NT• <br /> : Zl��lll� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER GLOSET A/C—A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS i <br /> LAVATOP.Y(WASH BASIN) �1EAT PUMP <br /> SHOWER UNIT IIEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE NOOD <br /> l AUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSEF'T <br /> DRINKING FOUNTAIN GAS F!REPLACE <br /> FLOOR�RAIN GAS RANGE <br />� BP.�VCFLUW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER _ OTHER • _ <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THI.i APPLICATION AND KNOW THE SAME TO�E TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAVo'S AN�ORIDINACES CJV[RNING THIS TYPE OF WORK INILL BE COMPLIEU WITH WHETHER SP[CIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIi 00[S NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL T`1E PROVISIOtJ OF ANY CTHER <br /> STATE OR LOCAL LAW REGULATING CONSiRUCiION OR 7HC-PERFOR��LINC[OF CONSTRUCTION. TIiAT I AM11 AUTHOFIZED UY THE <br /> 01M1'NER OF THIS PR ERTY TO PERFORM11 THE WORK FOR WHICH APPLICATION IS M11AOE AND I COMPLY N'ITH THE STATE <br /> CON W 1B 6200 WAC. <br /> 2 • a •oS <br /> Sign ure of , n or zed�geN Date <br /> DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br /> C �N � uS�t� ESS L-�c#' <br /> 0 3511"1 <br />