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P[ RMIT APPLICATI� J <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425457-8870- FAX 425-257-8857 <br /> SI7E ADDRESS PARCEL TAR I.D.M P MIT M <br /> 3�3 E, C.�s;„o R� on 3 n � �o��a-oa <br /> LEGA LOT NO. BLOCK THACT <br /> OESC. <br /> OWNER ADDRE53 ZIP PMONE • N�.��2) <br /> ��- 5., ...� Y6/0 2oo�-i, sf sw 5,,;+� �w . C�.,aW03�' w�+ <br /> TENANT NAME . \CONTACT NAM PHONE <br /> Id�or�i �Gvnp-hov 425•743-I555 <br /> CONTRACTOR AODRESS LP CONTR.LICENSE� <br /> Tw� � C�..�+� P�s+ F,-�.,..t. -foW��pFoay it- <br /> PHONE <br /> 4LS-7ti;-iss.S 5�,�1-� C � t L � . J o <br /> PROPOSED USE OF BUILDIN6 19�8uilding f"1 Mechan cal I� Addltion HEAT SOURCE <br /> PERMIT ����`Combinellon �-� Plumbing WORK ��� Alteralbn EI w <br /> TVPE j� Demolillon LJ Sign TVPE 4�Naw a <br /> �(,�r4c�t IJ Sprinkler LJ Repeir/Meinl. t <br /> O <br /> CONTHACT PRICE OF WORK e� L ��i�/ � CITV OF EVERETT LOCAL SALES TAX COOE IS�106 <br /> C� � <br /> WORK DESCRIPTION <br /> 2oX 2g <br /> �,(1,�.1 (�Q �"G�C �'�F � o l�2 a . a r-n r S�ro as �s � <br /> PLUMBING NIECHANICAL <br /> NO. TYPE OF FIXTURE OR REM N0. TVPE OF FU(TURE�1R ITEM <br /> WATE CLOSET A/C A/HANDLING UNITS <br /> _ BATI{ B FOR ED AIR SYSTEMS <br /> LAVAT Y(WASH BASIN) HEA PUMP <br /> SHOVVE UNIT EATER <br /> KITCFEN INK&DISPOSAL _ CLOT ES D ER <br /> I = DISHN'AS ER = FANO HO <br /> LAUNGRV WATER TER <br /> CIOTH.=S SHER METAL EPLACE/STOVE <br /> ' URINAL FIREP INSERT <br /> DFINKI� FO TAIN DAS F E CE <br /> FLOORS AIN f3AS ANO <br /> BACKF�LC.�W PFiE ENTER GA IPINO <br /> i _ SINK�;EHVICE/B MOP/ETC.) _ EX AUST FA <br /> OTH 0 ER <br /> - � - <br /> I HEREBV GERITIFV'h'AT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> , PROVISIONS OF LAWS AND ORIOINACES GOVERNING THIS TYPE OF WOFK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> ' NOT. THE GRAN7ING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY OTNER <br /> � STATE OR LOCAL LAW F'EGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTNORIZED BV THE <br /> OWNER OF T 5 PFO IiTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> RACT LAW 27 RCW AND 296200 WAC. <br /> ature o ner� onuactodAulhanzed gent ele � <br /> � <br />