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P�RMIT APPLICATI�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810-FAX 425•257-9857 <br /> SITE ADDRESS PARCEL TA%I.D.1 PERMIt• <br /> f 3 3b-cr� -aa-oa�3 Do2az�r.n - <br /> LEQA LOT NOO. BL TRA � / <br /> DESC. ��� ,�� 5 <br /> OWNER AD RESS ZIP PHO�� r�g�u� <br /> � �'7" � - �/Z� � � [1aS//L lJ l� 9 4'!D 3 <br /> TENANTNAME CONTACTNAME . PHONE <br /> N�� I $��n✓ ��vi�+a� �303-�8�8' <br /> CONTR�N,''./n✓ ACDRE99 ZIP CONTR.LICENBE II <br /> (�r C� <br /> PMONE <br /> PROPOSED USE OF BUILQINO Bullding � MechenlCel Addltlon HEAT 80URCE <br /> PERMIT IR..L Combinetlon Plumbing WORK Alle�etlan R Eleclric <br /> TYPE ,�Sj Demollllon Sign TYPE New �..j Uee <br /> �lJ Sprinkler Fepelr/Maint. lJ OMar <br /> CONTRACT PflICE OF WORK CITY OF EVERETT LOCAL BALES TAIf CODE 18 J108 <br /> WORK DESCRIPTION <br /> iG'�✓� a�o� ,D��� �r�e P� �I5' � P�f� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlI(TURE OR REM N0. TYPE OF FlXTURE OR ITEM <br /> WATER CLOSET A/C—A/HANDLINO UNITS <br /> BATHTUF3 ` FORCED AIR SYSTEMS <br /> LAVATORY(WAuH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL _ CLOTHES DFYER <br /> DISHWASHER RANOE HOOD <br /> LAUN�RY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSEFT <br /> DRINKINd FOUNTAIN OAS FIREPLACE <br /> FLOOR DRAIN DAS RANOE <br /> BACKFLOW PREVENTER t3AS PIPINCi <br /> SINK(SERVICE/BAR/tdOP/ETC.) _ EXHAUST FAN <br /> OTHER_ _ OTHER <br /> I HEREBY CERITIFY iHAT I HAVE READ AND EXAMINEO THIS APPLICATION hND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF IAWS AND OR�DINACES GOVERNINO THIS TYPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIEO HEREIN OR <br /> NOT. THE CafiANTINO OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIT'TO VIOUITE OR CANCEL THE PROVISION OF ANV OTHER <br /> STATE OR LOCAL LAW REOULATIN STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNE S PROPERN RFOR HE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY K'ITH THE STATE <br /> CONT AC S LAW 18.27 RCW AND 298 WAC. <br /> � ���D Z— <br /> i re wner/ ontract o ze gent ete <br />