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( <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8870- FAY. 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.• PERMIT M <br /> �Os � e, �`�0 P o i i � -o�� <br /> LE�A LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRE/SS LP PHONE <br /> Z17S fG �'N��� ���[i �ZOO �'S-7� � /�7 f/ <br /> TENANT NAME CONTACT NAME � PMONE <br /> � L�� r�af�xe j I � <br /> CONTRA ADORE LP CONTR.LICENSEN <br /> PHONE ./.,�,�SI 7I G <br /> +�� -� l �d-�si�-d�-�z> <br /> PHOPOSED USE OF BUILDINO Building MeCheniCal Addillon HEAT BOURCE <br /> PERMI7 Combinetlon RI.�( Plumbing WORK Alterelbn Elac�dc <br /> TYPE � Demotitlon u Sign TYPE New � 48� <br /> Sprinkler Repeir/Melnt. Olher <br /> CONTRACT PPICE OF WORK CITV OF EVENETT LOCAL SALES TAX CODE IS 3106 <br /> WORK DE9CRIPTION '�� Hty �r��p �l �r r,kf� `/�i1! i^�1C. ,t.",aQ ,i (��/tq,to ,Lfw,� /�'+S'�+ <br /> R�f� .*ROQ ��CGV w'Y1 �tA � � '— �� � // <br /> �, v , .� ,�a�i i�i:�,;,.�� • <br /> / <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FU(TURE OR ITEM NO. TVPE OF flXTUNE OR REM <br /> WATER CLOSET A/C-A/HANDLINQ UNITS <br /> OATHTUB FORCEO AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCH[N SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANQE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHEH METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSFRT <br /> DfiINKINO FOUNTAIN CiAS FIREPLACE <br /> FLOOR DRAIN GAS RANaE <br /> BACKFLOW PREVENTER GAS PIPINO <br /> � SINK(SERyIC /BAFUMOP/ETC.) _ EXHAUST FAN <br /> OfHER ri� �+c OTHER <br /> ` —,.— — <br /> — �c _ <br /> i'�ff.{�L' — <br /> I HEREBV CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICNTION AND KNOW THE SAME TO BE TRUE AND CORRECI. AlL <br /> PROVISIONS OF U1WS AND ORIDINACES GOV�RNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. 7HE GRANTING OF A PEPMIT DOES NOT PRESUME TO OIVE AUTHORITY TO VIOUTE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTFUCTION OR THE PEFFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPEFTY t0 PERFORM TNE WORK FOR WHICH APPLICATION IS MADE AND I COMPIV WITH THE STATE <br /> CONTRACTORS LAW 1827 HCW AND 298200 WAC. <br /> �� ,� ��/'/� <br /> Signalure o Owner( ntr lod ulhonzed genl ate <br /> /� <br />