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P('�:RMIT APPLICATI� N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 96201 <br /> 425-257•8810 — FAX 425-257-8857 <br /> SITE ADDRESS PARCEL AX I.D.M PERMi7� <br /> �" � M11� d � �C'�dL'�p XOLOC� -OrJ� <br /> LEGA LOT NO. BLOC ACT <br /> DESC. <br /> OWNER AODRESS ZIP PMONE <br /> �C�c�tS� 1►�Y 1c�(1Y�D-Q �f�.- �9fi L�, Sd�C. � <br /> T NANTP�AME � JONTACTNAME PHONE C�q <br /> , , <br /> 3 ... , <br /> CONTRACTOR � f� �; � ADO�iESS�� � �p� C���OCENSE N <br /> PHO E�./„ <br /> r�' �1 1 <br /> �C.IX ('�0 <br /> PROPOSED USE OF BUILDING Oullding I") Mechanical Additlon HEAT SOUHCE <br /> I PERMIT B Com6lnalion �H Plumbing WORK � Alterallon 17 Electrk <br /> TYPE � Demolilion U Sign TVPE New ❑ Oee <br /> Sprinkler Hepair/Mairn. D Other <br /> CONTRACT PRICE OF WORK 1��5'� !+� C�TY OF EVERETT LOCAL SALES TAX CO�E 18 310b <br /> WORK DESCRIPTiON <br /> Z.v;,���� Z - N�a,a A. �,Q M-t eoo�, 5 . <br /> J ( � �� <br /> > r I '�! ,1 �� � '� , <br /> . ,� 1' �b� � ��1 / � � � , <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF Fl%TURE OR REM NO. TVPE OF fl%TURE OR REM <br /> WATEfi CLOSET _ A/C-A/HANDLING UNITS <br /> BATHTUB _ FORCED AIR SYSTEMS <br /> � LAVATORY (WASH BASIN) HEAT PUMP <br /> _ SHOWER _ UNITHEATERS <br /> _ KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> _ C:�HWASHER RANGE HOOD <br /> _ LAUNDRY TRAY � WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> I _ URINAL _ FIREPIACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPLACE <br /> � FLOOR DRAIN _ GAS RANGE <br /> I — BACKFI.OW PREVENTER _ GAS PIPING <br /> _ SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> _ OTHER _ _ OTHER <br /> I __ I <br /> , — — <br /> � I HEFEBY CERITIFY'HAT I HAVE READ AN�EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE THUE AND CORRECT. ALL <br /> � PROVISIONS OF LAWS AND ORIDINACES GOVERf�ING THIS TYPE OF WORK WIL:BE COMPLIED WITH WHETHER SPECIFIED HEREIN OH <br /> I IJOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE 4UTHORITV TO VIOL4TE OR CANCEL THE PROVISION OF ANY OTHER <br /> 574TE OR LOCAL LAW REGULATING CONSTPUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I A.N AUTHORIZED BY THE <br /> OWNER OF THIS PROPERN 10 PERFORhI rHE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WI i H THE STATE <br /> � C CTORS W 78.27 RGW AND 296.200 WAC. <br /> � �� � - <br /> �._- C�\ S-Z�-O=- <br /> Iignamre ol wner-�nhacloriAuthonzed Ag9n1 ate <br />