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P`�RMIT APPLICATI(. �� � <br /> CITY OF EVERETT PERMIT SERVICES I <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257•8857 <br /> SI7E ADDRESS PAqCEL TAX I.D.M PERMIT N <br /> 3 - �vo 2� lSoS'o-7 00 0� oo M • o.� <br /> IEGA �6F�Ng. S�T" BLOCK TR7ICT �Ih.,�( Q /r ' • <br /> DESC. ,Z r�!'�� v�+f/� ��_ ' 1' <br /> OWNER AODRESS Cu,'-� p�,,, ZIP PHONE . <br /> J �dJ <br /> ?- e�v�-r.� �c. Zoe�9 �z�° �� s K��-r wa �ao3Z <br /> TENANT NAME I CONTACT NAME PHONE Cf�� <br /> �j- E1..�VeT1 SiD�fLc 2Ssz� �c.s� L.q�t.,+MA,v f�) q23-3c46 � <br /> CONTRACTOR (,y���.��y(,��pESS � p <br /> �O-ST�'Ff P �k S3 370 ZIP CONTR.LICENSE N <br /> PHONE �j�b\ 2 � � � .�� I �cr���. wR 98�33 �5�=0�� <br /> �`.. f J � <br /> PROPOSED USE OF BUILDING Building Mechanical Addition HEAT SOURCE <br /> PERMIT Combination � Plumbing IWORK � Alterallon � Eleclric <br /> TYPE Demolilian U Sign TYPE New Ges <br /> ��iTa�(� Sprinkler Rapair/Meinl. Olher <br /> CONTRACT PRICE OF WORK CITY OF EYERETT LOCAI SALES TA%CODE 19 3105 <br /> WORKDESCRIVTION �� GIKf FuK L�K£ �� �t' OVr CP�� Z DCVYt` F�[�[y�- <br /> W 171� Etw�roTC vs�� T � 2CL �•.�+C.��iN1a' [.JtTiI �QL�TL� tJ/vs i. <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF fl%TURE OR ITEM NO. TVPC•OF FIXTURE OR ITEM <br /> � WATEFCLOSET _ A/C-A/HANDLINGUNITS <br /> I _ BATHTUB FORCED AIR SVSTEMS <br /> i _ LAVATORY(WASH BASIN) HEAT PUMP <br /> � _ SHOWER UNITHEATER6 <br /> , _ KITCHEN SINK 8 DISPOSA� _ CLOTHES DRYER <br /> i __ DISHWASHER RANGE HOUD <br /> I _ LAUNDRY TRAY _ WATER HEATER <br /> _ CLOTHES WASHER METAL FIREPLACE/STOVE <br /> _ URINAL FIREPLACEINSL-RT <br /> i _ DFINKING FOUN7AIN GAS FIHEPLACE <br /> . FLOOR DRAiN GAS RANGE <br /> _ BACKFLOW PREVENTER GAS FIPING <br /> _ SINK �SERVICE;BAR/MOP;ETCJ _ EXHAUSTFAN <br /> _ OTHER � OTHER <br /> —I <br /> I NEFE9Y CERITIFV'HAT I HAVE READ AND EXAMINED THIS APPLICATION AN�KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LqWS AND ORI�INACES GOVEP�7ING THIS NPE OF WOFH WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT THE GRANiING OF A PERMIT DOES NOT PPESUIdE TO GIVE AUTHORITY TO VIOUITE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAN/HEGULATING CONSTRUC710h OR THE PERFOFMANCE OF CONSTRUCTION. THAT I AM AUTHORIZ[D BV THE <br /> OWNEF OF THIS PROPERTY 70 PER RM (HE WORK FOR WHICH APPLIC ATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRAC RS LAW iB27 RC 6200 WAC. <br /> - '�/<o-G Z <br /> Signat r ol OwneuCoNractovA ¢ed genl ale <br />