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�tRMIT APPLICAT:�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAfi STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 <br /> SITE DRES „ � pARCEL TAX I.D.N I PERMIT M <br /> � moa� t-ooq <br /> L GAI, LOT NO. BLOCK TRACi <br /> DESC. <br /> O NE . , ADORESS Z�P PMONE <br /> �- � 1 ��: o <br /> TENANT NAME I CONTACT NAME PHONE <br /> � <br /> CONTRACTOR T/'� \ ',�1��^ A�ORESS 1y1 O �, Q `y�O 'n�p CONTR.LICEN�MI� <br /> �]� \�. ' 1 � J � � KCa <br /> PMONE � ��^ <br /> 5 <br /> PROPOSED USE OF BUILDINa Bullding Mechanlcel Addltlon HEAT SOURCE <br /> PERMIT Cambinalion RI..1 Plumbing WORK �R-( Allerellan Electrk <br /> TYPE DBmolillon U Sign IYPE u New �ae <br /> Spdnklar U RapaldMeint. ��Iher <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL 9ALE3 TA%CODE IS J106 <br /> WORKDE9CRIPTION���I t� /j/ � ' UY V tK.ej`� V�/�/lTl�' �.{il r � �J <br /> y�� <br /> clo�i�°S ��(� o��- a la-���e a <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIl(TUNE OR ITEM NO. TYPE OF fl%TURE OR ITEM <br /> _ WATER CLOSET _ A/C-A/HANDLING UNITS <br /> _ BATHTUB _ FOqCED AIR SYSTEMS <br /> _ LAVATORY(WASH OASIN) _ HEAT PUMP <br /> _ SHOV�'ER UNIT HEATERS <br /> _ KITCHEN SINK 8 DISPOSAI = CLOTHES DRYER <br /> _ DISHWASHER RANGE HOOD <br /> _ LAUNDRY 7RAY � WATER HEATER <br /> _ Cl07HES WASHER _ METAL FIREPLACE/S70VE <br /> _ URINAL _ FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN _ OAS FIREPLACE <br /> _ FLOOR DRAIN _ GAS RANOE <br /> I _ BACKFLOW PqEVENTER _ pqS PIPING <br /> _ SiNK(SERVICE/BAR/MOP/ETC.) _ EXHAUST N <br /> _ OTHER _ OTHER " v <br /> i <br /> � I HEREBV CERITIFY 7HAT I MAVE REAp AND EXAMINEO 7HI5 APPLICAT�ON AND KNOW THE SAME TU BE TRUE AND CORREC7. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED W�TH WHETHER SP[CIFIED HFREIN OH <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PqESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL TNE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULA7ING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORI2ED BV THE <br /> � OWNER OF THIS PNOPEPTY TO PERFORM THE WORK FOR WHICH APPLICAT ON IS fAADE AND I COMPLY WITH THE STATE <br /> i CONTR C70 S L 18.27 R ND 96.200 WAC. <br /> �� � <br /> Sig 1 e o wn r ontrac / o zed gent ale <br /> I <br />