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I�cRMIT APPLICAT�.JN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEAETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 <br /> SITE ADDRE59 �,QJr u7S� ��l # PARCEL TAJ(I.D.• PERMR• <br /> � I r�3�-�/ <br /> LE6A LOT N0. BLOCK TRACT � <br /> DESC. <br /> OWNER ADDRESS LP PHONE <br /> TENANT NAME I CONTACT NAME PNONE <br /> , �qV�1P� � I�Q✓�r� a� 353--�/Z� <br /> COHTRACTOR�/�- r�� A� ,�"4 � ADDRE88� Q�OX S�.S3 �P CONTR.UCENSE• <br /> ��� 4 �llw�,�/a �/� y�138 NITF lS�9c� <br /> VHONE/�U��53 - 23 <br /> � <br /> PROP08ED USE OF BUILDINO Buildinp Mechanicel n AOdMbn MEAT 60URCE <br /> PERMIT R Combinetlon R Plumbin� WORK ❑ Ntsretlan � Electrb <br /> TYPE D Demolltion p Slgn TYPE D N�w pe� <br /> D Spdnkler(M of heede) D Rspeo-n.�e�nt omsr <br /> CONTRACT PqICE OF WORK /�'�) �CfTY OF EVEREIT LOCAL SALEB TAX CODE IS�106 <br /> WOpK DESCRIPTION �) <br /> f�V�� /�y� S�ir�y��sl ��7� S�Pf77 <br /> r <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF fll(TURE OR ITEM N0. TYPE OF FlXTURE OR ITEM <br /> _ WATER CLOSET(TOILET) A/C-AMANDLINO UNITS <br /> _ BATHTUB _ FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> _ SHOWER _ UNIT HEATERS <br /> _ KITCHEN SINK 8 DISPOSAL _ CIOTHES DRYER <br /> _ DISHWA3HER � RANdE HOOD�j��� 5'µr '���,br S t�.� <br /> LAUNDRV TRAY WATER HEATEF /� <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> _ URINAL _ FIREPLACE INSERT <br /> _ DRINKINO FOUNTAIN _ pAS FIREPLACE <br /> _ FLOOR DPAIN _ OAS RANGE <br /> BACKFLOW PFEVENTER _ pAS PIPINO <br /> _ SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> _ OTHER _ OTHER <br /> I HEFEBY CERITIFV THAT I NAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO COHPECT. ALL <br /> PROVISIONS OF LAWS AND ORIOINACES OOVERNINO THIS iYPE OF WORK WILL BE COMPUED WITM WHETHER SPECIFIED MEREiN OR <br /> NOT. THE GRANTINQ OF A PERMIT DOES NOT PRESUME TO 6IVE AUTHJRITV TO VIOUTE OR CANCEL THE PROVISION OF ANV OTHEF <br /> STATE OF LOCAL LAW RE6ULATINO CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTNORIZED BY TME <br /> OWNER OF THIS PROPERTV i0 PERFORM THE WOHN FOR WHICM APPLICATION IS MADE AND 1 COMPLV WITH THE STATE <br /> CONTRACTORS W 18.27 RCW AND 288.200 WAC. <br /> � ,� � �7 ,C��.C�� � _ �.�1 <br /> ignature ner/ onlr od onted g t ate <br /> / �� <br />