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PlC.�MIT APPLICATICS . J <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320U CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810 -FAX 425-257-8857 <br /> P� 3r�- do� <br /> ISITE ADDRESS (� PARCEL TAX I.D.N P�Ej�MIT M <br /> 3.� V� /L z17U � 2. � (._U�j�S—�3 <br /> LEGA LOiNO. BLOCK TRACT <br /> oeso. 3 shor� �c�fi oz-o� o0 <br /> OWNER ADDRE55 :JP PHONE <br /> Ht�c�C P�c�. CoNs�T. 39d�� �7+z��,.,e. Nt ��erei�- 9�zos W2.s-�t7-�3� <br /> TENANT NAME CONTACT NAME VHONE <br /> �-�,G�� s��s, c��s� �1 �.��.�k y zs- Zqo -�� z 9 <br /> CON7RPCTOR ADDRE S ZIP CONTR.LICENSE 1 <br /> }-�O,CaCU, a�s, c�:ns+ . 39aa ti��`a�. �-�. ���;�- qez�s HRf�ckB�1ZDZ <br /> PHONE 7`� �^,.� '�J� <br /> J ��� <br /> PROPOSED USE OF BUILUING Building I") Mechenical I Additlon HEAT SOUHCE <br /> S � � I PERMIT Combinelion H Plumhing WORK RL1 Allerellon �n[ Electric <br /> riPE � Demolilion �� Sign TYPE �J New B Ges <br /> L� Sprinkler U RapaidMaint. Other <br /> CONTRACT PRICE OF WORK �. �i U�jU /��/(,�/ CITV OF EVEHETT LOCAL SALES TAX COOE IB 3105 <br /> WORK OESCRIPTION <br /> bu�1�1 S r� !��c�� u,��F <br /> �l � y - <br /> 2t k� <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR REM NO. TYPE OF FIXTURE OR REM <br /> I WATER CLOSET A/C—A/HANDIING UNITS <br /> BATHTUB � FORCED AIR SYSTEMS <br /> � LAVATORY (WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> I 1 KITCHEN SINK 8 DISPOSAL L CLOTHES ORYER <br /> '� � DISHWASHER 1_ RANGE HOOD <br /> ' LAUNDFY TRAY _L WATER HEATER <br /> I / CLOTHES WASHER � METAL FIFEPLACE/STOVE <br /> UFINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIRE('LACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK (SERVICE/BAR/MOP/ETC.) � EXHAUST FAN <br /> O7HEA nTHER <br /> I HEREBV CERITIFY'HAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING iH15 TYPE OF WORK WILL BE COMPLIEO WITH WHFTHER SPECIFIED HEREIN OR <br /> NOT. THE GFANiING OF A PERMIT DOES NOT PRESUME i0 GIVE AUTHORITY TO VIOLATE OFl CANCEL THE PROVISION OF ANV OTHER <br /> STATE OR LOCAL LAW REGUTA7ING CONSTRUCTION OR THE PERFORh7ANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR V�HICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> TRACTC` AW 1827 W AND 296.20 AC. <br /> Si nalure Owner/ trac , 1 rized Ag nl ate �IL <br />