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P�RMIT APPLICATIC�rI <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVE ETT, WA 98201, 425-257-8810 <br /> �o�1�� oo y � Go <br /> SITE ADORESS PAqCEL TAf(I.D.• PERMIT N <br /> ZO .� ` � a J f-e � �I A - o�� <br /> LEOAL LOT NO. BLO K TRACT <br /> DESC. <br /> OWNER ADDRESS �O �e. O PHONE <br /> (��r.�(�r E�O t3 ZD�'7 <br /> TENANTNAME CONTACTNAME PHONE <br /> S �L . I (�a-�" u 3 � (� <br /> CONTRACTOR ADDRESS CONTR.LICENSEN <br /> PHON � Q � � �i✓tC� IA'IL�.� �w`- I- I��( �`���0 � <br /> (ll <br /> � <br /> PROPOSED USE OF BUILDIN(i p�Building n Mechanical Additan HEAT SOURCE <br /> _ / PERMIT D Combinalion D PIum6ing WORK �Alteretion D Elecmc <br /> „w�. ' I TYpE Demolitian � Slgn TYPE New 1�� Daa <br /> I lA.�. B Sprinkler RepeidMelnt. �U o�ne� <br /> CONTRACT PRICE OF WOR � CITY OF EVERETT LOCAL SALES TAIt COOE IS 7105 <br /> WORK DESCRIPTION � `��a // I� 1 �� Ls���� � // � „I� (�� <br /> L( A/ t� I � ( ! �� .� r <br /> ��o D � <br /> PLUMBINci MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> WATEF CLOSET _ A/C-A/HANDLIN(3 UNITS <br /> BATHTUB _ FORCED AIR SYSTEMS <br /> LAVATORY(WASH FASIN) __ HEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> D�SHWASHER _ RANGE HOOD <br /> LAUNDRY TRAY _ WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL _ FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ (3AS FIREPLACE <br /> FLOOR DRAIN _ OAS RANGE <br /> BACKFLOW PREVENTER __ OAS PIPINd <br /> SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> OT�iEF _ OTHER <br /> I HEiiEBY CERITIFV THAT I HAVE READ AND E%AMINED THIS APPLICATION AND KNOW THE SAME Tll BE TRUE AND CORHECT. ALL <br /> ?ROVISIONS UF LAWS AND ORIDINACES OOVEHNING THIS TYPE OF WORK WILL BE COMPLIED WITM WHEfNER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS ROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLV WITH THE STATE <br /> CONTRACT � 1827 RCW AND 296.200 WAC. <br /> ( ^ �O <br /> nat Authorize Date <br />