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(�ERMIT APPLICAr�;ON <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 TAl(I.D. R PERMiT� <br /> � , .BO D - <br /> LE6A LOTNO. BLOCK THACT � <br /> DESC. <br /> OWNER ADDRES9 �P PH�N�S�S,3 p�I <br /> //J� ��� �� ii �,�,��erD 7� 7 C���ADEa�,Pi�E� /�.I�GIT/.��d � �'�0.3 <br /> TENANTNAME I CONtA/:TNAME PHONE <br /> COr�g A TOR ADDRESS ZIP CONTR.LICENSE• <br /> S� Y �m/'YrST Iv��'(o75 E�16LC�k', Q8�.3 �PCmjU �y/ Pf< <br /> PMONE <br /> PROPOSED USE OF BUILDING � Building D Mechenlcal Addltlon HEAT SOUHCE <br /> PERMIT Combinetl0n �,J Plumbing WORK R Att¢rellon � Eleclrb <br /> TVPE Demolition U Sifl� T�PE g New Oea <br /> j?(�1�P]%Al Sprinkler Repalr/Maint. Othar <br /> CONTRACT PRICE OF WORK � � � CITY OF EVERETT LOCAL SALE4 TA%CODE 19�106 <br /> WORK DESCRIPTON ,.� <br /> K L IZ C�O�' <br /> PLUMBING MECHANICAL <br /> 1 NO. TVPE OF Fl%7URE OR ITEM N0. TYPE OF FlXTURE OR ITEM <br /> WATER CLOSET AIC—A/HANDLING UNITS <br /> _I BATHTUB _ FORCED AIR SYSTEMS <br /> =I LAVATORY(WASH BASIN) = HEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISI�WASHEF RANGE HOOD <br /> LAUNDRY TRAY _ WATER HEATER <br /> CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> URINAL _ FIREPIACE INSERT <br /> DRINKING FOUNTAIN _ (3AS FIREPIACE <br /> FLOOR DRAIN _ DAS RANGE <br /> BACKFLOW PREVENTER _ GAS PIPING <br /> SINK(SERVICElBAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHER _ OTHER <br /> I HEREBV CEPITIFY THAT I HF Vt READ AND EXAMINED THIS APPLICATION AND KNOW TNE S.4ME TO BE TRUE AND CORNECT. ALL <br /> PROVISIONS OF LAWS AND ORIOINACES OOVERNINC THIS TYPE OF WORK WILL BE COMPLIED WITH WHETFIER SPECIFIEU MEREIN OR <br /> NOT. THE GR41lTING OF A PERMIT OOES NOT PRESUh1E TO GIVE AUTHORITY TO VIOIATE OF CANCEL THE PROVISION OF ANV OTHER <br /> STATE OR LOC•1L LAW REGUTATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BV THE <br /> OWNER OF THiS PROPERtt TO PERFORM THE YlORK FOR WMICH APPLICATION IS MAOE AND I COMPIY`NITN THE STATE <br /> CONTRACTOAS LAW�8.27 RCW AND 298200 WAC. <br /> � � � l�d/ C � <br /> ignature a wneu nt ctou u anz� gent a�e <br /> �jp�jU��003 <br />