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� <br /> __� r . <br /> I PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425•257•8810- FAX 425-257-8857 <br /> SITECADDHE93 ,�.,. � PAIiCEL TAX I.D.• PERMIT M <br /> ��/ L��r✓V ��/ .= 0�:1 5'F�Ooor_�o/� / 2 — <br /> LFOA LOT NO. BIOCK TRACT <br /> DESC. <br /> OWNER ADDRE88 ZIP PHONE <br /> �Yc�CTT �1rC�itl�/,✓G� 70J�. C/YJ%vU .�'�. EY�Qc`7�i� I� , 9��f� 16d _.3S"� O <br /> TENANTNAME CONTACTNAME PNONE <br /> La Ti�N�-4 � �'''9ui�:4- �.��r�� c�c�-ecr,✓ (y2rJzv� -g-t �f <br /> CONTRACTOR ADDRESS ZIP COMTR.UCENBEM <br /> �s°�Tsr6�✓.r���.�,� �_� , iaz�Z �_ �-y r� az�, �6f-ris�'99��9 <br /> PHON�yzr �3� -r�� 6 �� �riu c��x.r , wst S���z- <br /> PROPOSED USE OF BUILOINa Building Mechenlcel Addltbn MEAT SOURCE <br /> PERMIT Combinallon Plumbing WORK �R( Alieratlon R Electrk <br /> �Cc77�4L TYPE Uemolition �"Sign TYPE �,J New �] Oae <br /> Spdnkler LJ Repelr/Melnt. U otner <br /> CONTRACT PRICE OF WORK�/�B CITY OF EVERETT LOCAL 8ALE8 TAX CODE IS J106 <br /> f <br /> WORK OESCRIPTON <br /> �.t/t�7fit�- Fn/� ?��' X ( o� j/�f/G Cr Fit�4=D S/G i✓ <br /> PLUMBING MECNANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FlIITURE OR REM <br /> _ WATER CLOSET _ A/C—AMANDLINO UNITS <br /> BATHTUB _ FORCED AIR SYSTEMS <br /> _ LAVATOFiY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY /"� WATER HEATER <br /> _ CLOTHES WASHER / METAL FIREPLACE/STOV <br /> _ URINAL � FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ OAS FIREPLACE <br /> FLOOR DRAIN _ OAS RANOE <br /> BACKFLOW PREVENTER _ (3AS PIPINO <br /> SINK(SERVICE/BAR/MOPlETC.) _ EXHAUST FAN <br /> OTHER _ OTHEH <br /> I HEREBV CERITIFV THAT I HAVE HEAD AND EXAM�NED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. All <br /> PROVi510N5 OF�AW514f.D ORIDINACES GOVF.FNINO THIS TYPE OF WORK WILL BE COMPLIED WIiH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRAfSTINO OF A PERMIT DOES NOT PRESUME TO 61VE AUTHORITV TO VIOUITE OR CANCEL THE PHOVISION OF ANV OTHER <br /> STATE OR LQEAL LAW REGULATINO CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br /> OWNER 05�7HIS PROPERN TO PEHFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTR�RS LAW 18. RCW AND 29/820��4'l1���_ <br /> 1. . %�• / � z/J �� <br /> Sig tur o wner/ ontrec r u�horized gent ale �/ <br /> d <br />