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, <br /> , <br /> �RMIT APPLICAT�t�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 M o3og -oaS <br /> SITE ADORC•SS / <br /> PARCEL TAX I.D.11 PERMIT N <br /> �p C CASi�✓� �U S s�acovo � 1 <br /> LEGA LOT N0. BLOCK TRACT <br /> DESC. np PNONE <br /> OWNER v yg-r-rs/w���c PLDeNA(� ODRESS I <br /> n �I .� � ,� � !-f��,r �, l.�r.t �l�lc�i 2�G�1��331T <br /> �,7JI rv� � a��� ��� l CO ACTNAME —! PHONE <br /> TENANT NAME I <br /> ',;��'C 1 11�, .-- I {�� � Zlp CONTH.LICENSEII <br /> COIITHACTOR r •- • ADDRESS <br /> Pr'l l r�iJN���v � 1JC l�X�-( /l.`[a"`(t. <br /> � �/�� i 5/� yp�,53 BEsTPGI. `193 � <br /> PHONE ,(�/P �n ;:. �7n0 li ��r� �,c�A- <br /> � <br /> Building Mechenical Addillon MEAT SOURCE <br /> PROPOSED USE OF BUILOING R �Electric <br /> PERMIT {�.( Combinetlon Plumbing WORK Altereiion QeS <br /> TypE �] Demollllon Sign TYPE New p�her <br /> U Sprinkler Repair/Meinl. <br /> �---- <br /> CITV OF EVERETT LOCAL SALE9 TA%CODE IS�106 <br /> CONTRACT PRICE OF WOiiK <br /> WORK DESCRIPTION <br /> MECHANICAL <br /> PLUMBING <br /> ryp, TVPE OF FIXTUHE OR REM <br /> N0. TYPE OF FIKTURE OR ITEM <br /> A/C-A/HANDLING UNITS <br /> WATER CLOSET FORCED AIR SYSTEMS <br /> BATHTUB HEAT PUMP <br /> LAVATORY (WASH BASIN) UNIT HEATERS <br /> SHOWER CLOTHES DRYER <br /> KITCHEN SINK 8 DiSPOSAL RANGE HOOD <br /> _ DISHWASHER � WATER HEATER <br /> LAUNDRY TRAY METAL FIREPLACEiSTOVE <br /> CLOTHES WASHER FIREPLACEINSERf <br /> URINAL GAS FIREPLACE <br /> _ DRINKING FOUNTAIN � GAS RANOE <br /> FLOOA DRAIN GAS PIPING <br /> BACKFLOW PREVENTER EXHAUST FAN <br /> SINK (S[RVICE/BAR/MOP/ETC.) — OTHER <br /> I = OTHER�� _ �Y� n <br /> �-- <br /> I HEREBY CERITIFV THAT I HAVE READ APID EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> � PROVISIONS OF U1WS AND ORIDINACES GOVERNING THIS TVPE OF WORN WILL BE COMPIIED WI7H WHETHER SPECIFIED HEREIN OR <br /> �i SOATE OR IOCAL ILl�W REGULATING OONSI RUCTION OR TOE EFFORMANCE OF CO STRUCT ON. THAT AM OUTHIORI ED BY HE ER <br /> iOWNER OF THIS PROPERN TO PEFFORM THE WORK FOR WHICI I APPLICATION IS MADE AND I COMPLY WITH THE STOSE <br /> CONTRACTORSIAW 18.27 RGW AND?76200 WAC. <br /> �� 01. � 9, a3 <br /> � .. P <' F <br /> Signaw�OWnerlC�traclouAulhonzed f �eN <br />