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P =RMIT APPLICATI� N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDfiESS ���j'ftv�.J PARCEL TAX I.D.N PERMiT M <br /> D E. CaS�n� R� sTe � �'^ oS o �•�o0�c?� Po3a3��Z <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNEH ADDRESS LP PHONE <br /> TENANTNAME I CONTACT"IAME PHONE <br /> l aJIfJ � JQJGfQ� �t�^� <br /> CONTRACTOR /�CSt P�J�wb��J� AUDRESS LP CONTR.LICENSEM <br /> rJ <br /> PHONE �b - (ays' - 170U �f�a9 STa�+eu.�,� N��-t�. 9Yro3 vsvYR�' <br /> PROPOSED USE OF BUILDING fl Building f"1 Mechenical Adtlllion HEAT SOURCE <br /> PEtiM1T �� Combinelion �_� Plumbing wORK Q Al�erelion �] Electric <br /> TYPE j_� Demolitlon L' Sign 7YPE ❑ New ❑ �es <br /> U Sprinklar U Repalr/Moinl. U O�her <br /> CONTRACT PRICE OF WORK CITV OF EVERETT LOCAL SALES TA%COUE IS 3105 <br /> WORK DESCRIPTION �V Lti ,,,,,. •. ^ Rvi�� u� u-�Yt..iV�J <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATERCLOSET _ A/C-A/HANDLINGUNITS <br /> 9ATHTUB _ FORCED AIR S�5TEM5 <br /> Z LAVATORY (WASH BASIN) � _ HEAT PUMP <br /> I SHOWER _ UNITHEATERS <br /> � 1 KITCHEN SINK 8 DiSPOSAL _ CLOTHES DRYER <br /> DISHWASHER _ RANGE HOOD <br /> LAUNDRY TRAY _ WATER HEATER <br /> CLOTHES WASHEFi _ METAL FIREPLACE�STOVE <br /> URINAL ._ FIREPU�CE INSERT <br /> DRINKING FOUNTAW __ GA;FIREPLACE <br /> FLOOR DRAW _ GA;RANGE <br /> � BACKFLOW PREVENTER _ GA�PIPING <br /> � SINh (SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> i OTHER _ OTHER _ <br /> .'�_ Fll'JU4 C�v. �GC _ <br /> It �.M,rtrwte�n.isv — — <br /> I <br /> � I HERFBV CERITIFV'HA7 I HAVE READ AND EXAMINED THIS APPLICATICN AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVI.SIONS CF LA�VS AND OFIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OH <br /> iN07. THE GRANTING OF A PER�11T DOES NOT PRESUME TO IiIVE AUTHOfiITV TO VIOIATE OR CANCEL THE PROVISION OF ANY OTHEH <br /> STATE OR LOCAI.LAW REGUTATING CONSTHUCTION OR'fHE P[FFOFMANCE OF CONSTRUCTION. THAT I AM AUTHOFIZED BV THE <br /> �. OWNER OF THIS PROPERN TO PERFORM THE WORK FOR WHICH APPLICATION IS MAOE AN01 GOMPLY WITH THE STATE <br /> CONTRACTOFS IAW�.�y7 RCW AND 296.?� 0 WAC. <br /> I i _ � <br /> I ! • <br /> Signawre ol wner/ConlraclovAulho if Aganl e�— <br /> � <br /> � <br />