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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEFETT, WA 98201 <br /> 425•257-8810- FAX 425-257-9857 <br /> SITE ADDRESS �e PARCEL TAX I.D.N ERMIT k <br /> � �w<Jirto /4l ��d �� <br /> LEOA LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDNE88 U� ��jb ZIP PMONE �,� <br /> �i�� IAXoN//�/ / l(� l.1� /�I�I9 � n�lt ��lrcan�� �O�M��/�� �Q7.� 39/ 0 <br /> TF.NANT NAME .{� CONTACT NAME PHONE <br /> �r a,i `�-1°M�►-��'I� M� y� �79/�33 <br /> CONTRACTOR�� �ds�,y� r��� :�pE��� � / l��6����av CONTR.LICENSE r <br /> R� MQK�-or �u. ����z <br /> PHONE � �� 3 Mc C L ak oss- <br /> PROPOSED USE OF BUILOINO Building D1� Machanicel Addllion MEAT SOURCE <br /> � � PERMIT R Combinnllon K Piumbing WORK � Allerallon D Eleclrk <br /> TYPE Demolition �� �Ipn TYPE New U Oee <br /> �',� / B Sprinkler Repair/Malnt. U Olher <br /> CONIRACT PHICE OF WORK CITY OF EVERETT LOCAL SALES TA%CODE 18 3106 <br /> WORKOESCRIPTION ��f , //� / /�S•/�// R�� r'Q�- /aH Sf/.1�PM <br /> � rOClucf C4s� . �`<< � <br /> / Z � /"'Pit2d/P GdrH���JSo/ !N C��Q�� s a.ce <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF flXTURE OR REM N0. TYPE OF FlXTURE OR ITEM <br /> WATER CLOSET A/C—A/HANDLINa UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> KITCHEN SINK S DISPOSAL _ CLOTHES DRYER <br /> DISHWASHER RAN6E HOOD <br /> LAUNDRY TRAY _ WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL _ FIREPLACE INSERT <br /> DRINKING FOUNTAiN OAS FINEPLACE <br /> FLOOR DRAIN OAS RANOE <br /> BACKFLOW PREVENTER _ OAS PIPINO <br /> SINK(SERVICE/BAR/MOP/ETC.) _ El(HAUST F -� <br /> OT. :ER _ OTHER I ' ��� <br /> I HEREBY CERITIFY THAT I HAVE HEAD AND EXAMINED THIS APPLICATION AN�KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PFOVISIONS OF LAWS AND ORIDINACES 40VERNING THIS 7YPE OF WORK WILL BE COMPLIED WITM WHETHER SPECIFIED HEREIN OR <br /> NOT. TME GRANTIN6 OF A FERMIT OOES NOT PRESUME TO 61VE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY Ol'HER <br /> STATE OR LOCAL LAW REGUTATIN�CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br /> UWNER OF THIS PROPERTY TO PtRFORM THE WOHN FOR WHICH APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 1827 RC D 98.200 WAC. <br /> �' �� - V / ` O <br /> , Srgnalure wner/ onira rl ul nze gent ale <br /> i <br />