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( <br /> � PERMIT APPLICATION <br /> � CITY OF EVERETT PERMIT SERVICES <br /> ��� <br /> � 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ���9�s,�l+i� �BD�ID3-ocri <br /> SITE ADDRESS PAHCEL TA% I.D. N PERMIT M <br /> 20 — t C�s.� '� �'y _ <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDFESS 21P PMONE <br /> TENANTNAME CONTACTNAME PHONE <br /> � Ti E�11�A <br /> CONTRACTOR ADDRESS 21P CONTR.LICENSE M <br /> S<�n� ���a,�1�a�,. �� Qo�- �^�5"1 ��r�loat�S qsow -o�s � Soza�i <br /> PHONE C P 1 9 �Jl�n <br /> `l LC) "�f l S - 3"I'�i <br /> PHOPOSED USE OF BUILDING Budding 64 Mechanical Addn�un I HEAT SOURCE <br /> I PERMIT Combmalion �q Plumbmg WORK Allerelion R Eleclnc <br /> �`i����_ t -�--� TYPE � Demolihan LJ Sign TYPE � New �,�J Gas <br /> ��- N Spnnkler U Repa�uMa�m U C:her <br /> CONTFACT PHICE OF WORK CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br /> WOFK DESCRIPTION ' . <br /> "T2.1 , Fi,� �s�-t ��,jc � rr F�� 5..��, Hn,.�n �,�,�� t ttw,— . <br /> G�t-� F�v� rU� ('�r s : � Ar'ru���, , ►�(w� ,� N��/tz /tr Ro�r►� 1D/' <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIJ(TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET �_ A/C-A/HANDLING UNITS ,\ `=�'� <br /> BATHTUB FORCELI AIR SYSTEMS <br /> _ LAVATORY (WASH OASIN) HEAT PUIdP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDFV TRAY � WATER HEATER � ��'�' <br /> _ CLOTHES WASHER METAL FIREPLAC�/STOVE 1�" j �� <br /> UPINAL _ FIREPLACE INSERT , <br /> DFINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PFEVENTER � GAS PIPING <br /> �_ SINK �SERVICF-BAWMOPrETC 1 _ EXHAUST FAN + �- <br /> i � OTHER�y,1L�__—_ 3 <br /> OTHER t ,� .� �> ' � � <br /> � __ � 1�A4 U� `� � � <br /> I — -- -�- ��- <br /> � — — I — <br /> ' I HEREBY CERITIFY 'HAT I MAVE FEAD AND E%AMINED THIS APPLICATION ANO KNOW THE SAME TO BE TFUE AND CORRECT ALL <br /> � PROVISiONS OF L;1WS AND ORIDINACES GOVERNING THIS?VPE OF WOFK WILL BE COMPLIED WITH WHEfHER SPECIFIED HEREIN OF <br /> NOT THE GRANTING OF A PER61R OOES NOT PRESUh1E TO GIVE AUTHORITY TO VIOLATE OR CANCEI TME PFOVISION OF ANY OTHt7 <br /> STATE OR LOCAL LAW REGUT ATWG CONSiRUCTION OF7 THE PERFORMANCE OF CONSTRUCTION THAT I AM AUTHOR12ED BV THE <br /> OWNER OF 'HIS PPOPERTY TO PERFORh1 THE WOFN POR WHICH APPLICATION IS M1IADE AND I COMPLY WITH THE STATE <br /> I CONTRAC'OA$LA54 1B 27 RC'N AND 29u 200 WAC <br /> I <br /> � Signaiwe ol wnevContractouAuihonzed Agent Dale <br /> � <br />