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PCr�MIT APPLICATI�J <br /> CITY OF EVERE ifT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> � 425-257•8810- FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TA% I.D.N PERMiT M <br /> � C"'� �� b000ap OU Dd,'tU$�-00� <br /> LEGA LOT 0. BLOCK TRACT <br /> oesc. �'3 3 ���or1� u,�S 3`� <br /> OWNER ADDRES LP PHONE <br /> 5�,�,� � L115 wu�L � l�i o Q�I�o 14� ���i� :.�U., °I fi1.o� <br /> TENANTNAME I `�rr^NTACTNAME PMONE <br /> V �t.iv,� <br /> r l I� �,,��c+�, �—i�: - 3 eY -7�'�i f <br /> CONTRACTOR 1_ np� u AD�RES9 l };,�Lxc-.Y nP CONTR.LICENSEN <br /> 1,� - 4 ��7` �0�` 1'f�pJh ��t.. <br /> PMONE V �-1 Ku1wZ� �C_ IA�T �" W,�J��g$3 �4 <br /> PROPOSED USE OF BUILOINO Building Mechanical AddlUon HEAT SOURCE <br /> PERMIT Combinelion IR..1 Plumbinp WORK Rl..1 Allera�ion [� Electric <br /> � �Rr S�-�� TYPE Demolillon U Slgn TVPE (�] New u Oae , <br /> S9" ySL Sprinkler U RepainMeint. L� Othar <br /> CONTRACT PRICE OF WOHK CITV Of EVERETT LOCAL SALES TAIf CODE IB 3196 <br /> WORK D BCRIPTION <br /> e �..-� - �4 R�,�,,, � ��->- b�•1�Q�� s <br /> PLUMBING MECHANICAL <br /> N0. TVPE OF fll(TURE OR REM N0. TYPE OF FUITURE OR ITEM <br /> _ WATER CLOSET _ A/C-AIHANDLINO UNITS <br /> _ BATHTUB _ FOFCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) HEAT PUMP <br /> _ SHOWER _ UNIT HEATERS <br /> _ KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> _ DISHWASHER _ RANf3E HOUD <br /> __ LAUNDRV TRAY _ WATER HEATER <br /> _ CLOTHES WASHER _ ME7AL FIREPLACE/STOVE <br /> _ URINAL _ FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN _ pAS FIREPLACE <br /> _ FLGOR DRAIN _ GAS RAN(3E <br /> _ BACKFLOW PREVENTER _ (3AS PIPINO <br /> 1 _ SWK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> + _ OTHER _ OTHER <br /> I — <br /> I � <br /> iI HEREBY CERI7IFV THAT I HAVE READ AND EXAMINFD THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIiH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PReSUME 70 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PHOVISION OF ANV OTHER <br /> : STATE Ofi I.00AI LAW REGULATING CONSTRUC'fION OR THE PERFORMANCE OF CONSTHUCTION. TMAT I AM AUTHORIZED BV THE <br /> iOWNER OF iH15 PPOPERTY TO PERFORM THF WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 qCW ND 298.200 WAC. <br /> I �' - $�a� oa <br /> i elure o wner/ oniractor/ Ihorized genl ata <br />� <br />