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I_�____ <br /> ' PCr�MIT APPLICATIG.J <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> � 71C�5 CG7,L10 ��, ��C. I � 1 I �'J V � 1 � PERMITM <br /> j LEG.t LOT N0. BLOCK TRACT <br /> ' DESC <br /> ��� OWNER ADDRE53 <br /> ZIP PHONE <br /> j �/� I�o,:o•, �vope✓t �e> �',O��i�tZU�Y (3o-f�•ell l✓r, 9F0��(�zuo�C�zS?39y- 0333 <br /> TENANT NAME I CONTACTNAME PHONE <br /> Cas� �I no�d o hie,c:�wh Nu�d w��fit � ( I o r�" `IzS) 3 y y - 4 9 <br /> �� COF(TRACTOR ADDHESS LP CONTR.UCENSE/ <br /> a: � ��s ����,b;., 4 � s P,�.r�o�,�j �Y^�W�,� w�, q4'vy6B�GCSp6o103K <br /> �, PHONZS _I '�1 /� <br /> ' PROPOSED USE OF BUILOING uilding henicel AdCitlon HEAT S RCE <br /> PERMIT Combinatian lumbing WORK Allera�lon lectric <br /> ; IL TYPE Demolilion Sign TYPE Naw Oes <br /> i �'�k � ��/�0�"� � k`J Sprinkler RopeirlMeinl. Other <br /> � CONTRACT PRICE OF WORK CITY Of EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I <br /> �. WOFKOESCRIPTION � /,Oh S:hr� l�hd Q6 � L y oY UL'2� ) <br /> � 1�,1��, P,��b. � � 9 r �� <br /> PLUMBING MECHANICAL <br /> NO. TYVE OF Fl7(TUHE OR ITEM N0. TYPE OF FlXTURE OR fTEM <br /> _ WATER CLOSET _ A/C—A/HANDLING UNITS <br /> _ BATHTUB _ FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> � KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> .� LAUNDRY TRAY� T WATER HEATER <br /> _ CIOTHES WASHER _ METAL FIREPLACE/STOVE <br /> __ URINAL FIREPLACE INSEflT <br /> ORINKING FOUNTAIN _ dA5 FIREPLACE <br /> Z FLOOR DRAIN OAS RANGE <br /> BACKFLOW PREVENTER � GAS ?IPING <br /> Z SINK�SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> � OTHER c. i .✓1 ••e» 5;.,l� _ OTHER <br /> G• P <br /> 1 �G�i�' ih <br /> I HEREBV CEf+iT�FY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW TH[SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF IAWS ANOOAIDINACES GOVERNING THIS TYPE OF WORH WILL BE COMPUED WITN WHETHER SPECIFIED MEREIN OR i <br /> NCT THE GRANTING OF A PERMIT DOES NOT PRESUMF TO GIVE AUTHORITV TO VIOLATE OR CANCEL TNE PROVISION Of ANY OTHER <br /> STA7E OR LOCAL LAW REGULATINO CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE I <br /> OwNER OF TH�S PROPERN TO PERFOqM THE WORN FOR WHICH APPLICATION IS MADE AND I COMPLY WITH 7HE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 NAC. <br /> SignaWre of OwneriContractori uthonzed Agent ate <br />