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P�MIT APPLICATI(�d <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> � 425-257-8810- FAX 425-257•8857 <br /> I -- �'�Z --- gc?�-p,�-t <br /> SI7E ADDRESS PARCEL TA71 I.D.II EFMIT M <br /> �.- �, _ �09�02� <br /> LE6A LOT N0. BLOCK TRACT <br /> DESC. _ <br /> OWNER ADDRESB LP PHONE <br /> TE NAME I CONTACT ME PHONE <br /> CONTRACTOR �J�Q��� �'�`� (uvy-T ADORESS JL/O� � fr3T �` pP CONTR.LICENSEM <br /> �'[J �' :�.1�r1F '"'A �d.s�' l'A�/�J/�: oyy�F <br /> PHONE /' <br /> PROPOSE USE OF BUILUING n Building fl Mechanlcel f") Addltlon MEAT SOURCE <br /> PERMIT K Combinetion H Plumbing woRK K Altarailon Electric <br /> TYPE �_l Demolitlon V 5�9� n'PE �_t New Oae <br /> LJ Sprinkler LJ Hepalr/Maint. Other <br /> CONTHACT PRICE OF WOPK �7 /�� .— CITY OF EVERETT LOCAL SALE9 TA%COOE IS�106 <br /> v <br /> WpRK DESCRIPTIO f � Q.,,��,, � <br /> �Q'�I�C� ��""����� d d � ������� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF Fl%TURE OR REM N0. TYPE OF flXTURE OR ITEM <br /> WATER CLOSET _ NC-A/HANDLING UNITS <br /> BATHTUB _ FORCED AIR SYSTEMS <br /> I = LAVATORY(WASH BASIN) = HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> � _ KITCHEN SINK 8 OISPOSAL _ CLOTHES DRYER <br /> DISHWASHER _ RANGE HOOD <br /> I _ LAUNDRY TRAY _ WATER HEATER <br /> CLOTHES WASHER _ METALFIREPLACEISTOVE <br /> UFINAL _ FIREPIACE INSERT <br /> DRINKING FOUNTAIN _ (3AS FIREPLACE <br /> FLOOR DRAIN _ 6A5 RANOE <br /> _) BACKFLOW PREVENTER = GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETCJ EXHAUST FAN <br /> OTHER _ OTHER <br /> I HERE@� CERITIFY'HAT I HAVE REAO AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BF.TRUE AND CORRECT. ALL <br /> PROV1510N5 nF LAVdS AND ORIUINACES(iOVERN�NG THIS TYPE OF WOHK WILL BE COMPLIED WITH WHETHEP SPECIFIED HEHEIN OR <br /> NOT. THE GAANTING OF A PERIAIT OOES NOT PRESUME TO 61VE AUTHORITY TO VIOLATE OR CANCEL THE PiiOVISION OF ANY OTHER <br /> STATE JR LO�:?L LAW GULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BY THE <br /> OWNEP OF THIS P FN TO PERFORM THE WORK fOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRAC70F` 1827 HCW AND 296.200 WAC. <br /> �' e',�/�r �2 <br /> ig re ciT)wner� ontractou uthonzed genT ete � <br /> L <br />