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P RMIT APPLICATI <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.R PERMIT« <br /> v 7� � (�20A ���� — <br /> LEiA LOT NO. IOCK TRACT <br /> DESC. <br /> OWNER / ADDRESS �P PNONE ryZS� <br /> �A2�/ f ��e�.Jc 1'�'T�4s o.�J 2 .?ZS 79 kd� S, £, f✓T y2SZoS 33y/S <br /> TENANTNAME I CONTACTNAME PHONE <br /> CONTRACTOR ADDRESS aP CONTA.LICENSEII <br /> �o����rr� G,.�r.r'��evr�� ��� ,r�,�.,�y.r�v� Q�vo.s_�. 5'e2os �a,.���ySo�o <br /> PHONE <br /> LS'zS-777-Z/G� <br /> PROPOSED USE OF BUILDING Building fp�INechenical Additlon HEAT SOURCE <br /> TYPE'T I--{ SPrinkiler non � Sign bin9 T�,EK B Repair1/Meint. �other� <br /> .I� F,�' �� <br /> CONTRACT PRICE OF WORK ��Z �iO ��0 CITV OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION <br /> AO�iid�, C as v''i/'£/��.4c � i.t/.r�e� <br /> PLUM8ING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. I TYPE OF FlXTURE OR ITEM <br /> � <br /> WATER CIOSET A/C—A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) FIEAT PUMP <br /> SIiOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER R�NGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METALFIREPLACFJSTOVE <br /> _ URINAL �� FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER �_ GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAI'ST FAN <br /> OTHER OTHEH <br /> I HLREBY CERITIFY THAT I HAVE READ AND EX.AMINED THIS APPLICATION AND KNOW THE SAME TO BE TAUE AND CORHEC�f. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING TH�S TVPE OF WORK W�LL BE COMPUED WITH WHETHEP SPECIFIED HEREIN OR <br /> NOT. THE GRAtJTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIIY TO VIOLATE OR CANCEL THE PROVISION Of ANY OTHER <br /> ST4TE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE Of CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> ONINF.R OF THIS PROPERTY t0 PERFORM THE WOFiK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CCNT RS . RCW AtJD 296200 WAC. <br /> ' — /-2 q�- C�Z <br /> S,�n r ol nedC actoNAulhorizedAgent Date <br />