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' r <br /> t <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810-FAX 425-257-8857 <br /> I <br /> SITE ADDRESH PARCEL TA%I.D,t PERMR• <br /> 2 � (�I3 ��✓O kP l2 zso yyooy 000� � .bd3o�-��- � <br /> LEGAL LOT NO. BLOCN TpI�CT <br /> DESC. <br /> OWNEH ADDRE88 <br /> aP PMONE <br /> I <br /> '►✓// �p x p�✓,� /1 ✓�f�-'ls �ns �A �!+i • �'v rv�Ti" /Z tV�j�E1t <br /> TENANT NAME I COflTACT NAME <br /> PMONE �20 <br /> CONTRACTOR ADDRES8 <br /> 21 COHTR.LICENlE� I <br /> �doX .3S 6v N'�n/'��^✓/ <br /> PHONE /'���5 I�IIt /J/. II/Pi.( T/J(/ ��r 3 sO�a l��+ld N'/�'E ( <br /> PROPOSED USE OF BUILDINO Buildinp R Alechenlcal Additbn MEAT BOURCE <br /> _ � � PERM�T Combinetlon �,.] Plumbinp WOpK B Allerotlon (� Eleclrk I <br /> TYPE Demolitlan u Slgn TYpE D New u pae ' <br /> Spdnkler(w ol heetl.) � qepsldMalnl U OIMr I <br /> C NTRAC7 PRICE OF WORK �/� ,_ ) CITY OF EVERETT LOCAL 8ALE8 TAX CODE IS�106 , <br /> WORK DESCHIP710N <br /> -r� �'�- ��-�� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR REM N0. TYV@ OE fl7(TUqE OR ITEM I <br /> _ WATER CLOSET(TOILET) _ N/Q—q�NANDLINO UNITS i <br /> _ BA7HTUB _ FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> _ SHOWER _ UNITHEAfERS <br /> _ KITCHEN SINK& DISPOSAL _ CLOTHES�RYER <br /> _ DISHWASHER _ RANOE HOOD <br /> _ LAUNDRY TRAY _ WATER HEATER <br /> _ CLOTHES WASHER _ METAL FIFEf'U10E/STOVE <br /> _ URINAL FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN _ dAS FIREPLACE <br /> __ FLOOR DRAIN _ OAS RANOE <br /> _ BACKFLOW PFEVENTER _ GAS PIPINO <br /> __ SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> _ OTHER _ OTHER <br /> I HEREBV CERITIFY THAT I HAVE HEAD AND EJ(AMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF IAWS AND ORIDINACES OOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPEC�FIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO aIVE AUTHORI7V TO VIOLATE OR CANCEL THE PROVISION OF ANV OT11ER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMFLY WITH THE STATE <br /> CONTRACTORSLAW 1B.27 RCW AND29620p WqC. <br /> SipnaWre o wner/ ontractori uthonzed gent ate / <br /> ((OZ <br />