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��RMIT APPLICATC�I�" —� <br /> ��. CITY OF EVERETT PERMI'� SENV�i;ES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257•8810 - FAX 425-257-8857 <br /> SI PE�A�DDRESS PARCEL TAX I.D.1 eENMIT� <br /> Z T-oo�oz400 llc�.� iv-009 <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER AODRESS LP PMONE <br /> �3��.�1e�6G LI,L P.n. bor 2i5 E��]� 9 f�Zo 4� <br /> TENANT NA!AE , I CONTACT NAME <br /> PHONE <br /> CONTRACTOR AD�pESS ZIP CONTR.LICENSE I <br /> PHONE <br /> PROPOSEOUS80FBUIlDINO fl Bullding Methenical AdC�lian HEA�'SOURCE <br /> PERMIT K Cambinellon � Plumbing WoaK Alleralion D �Iectric <br /> TYPE �.� Demolillon Siyn 7YPE � New �j pe� <br /> U Sprinkler � Repalr/Meint. U Other <br /> CONTpACT PRICE OF WORN CITY OF EVEREI7 LOCAL SALES TAX COOE 19 9105 <br /> I -- <br /> WORK DESLRIPTION <br /> �f-Mo— Geo'S �. G4 s 'P CsA.�.�G�.. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF Fl7(TUqE OR ITEM <br /> � WATERCLOS[T A/C—AIHANDLINGUNITS <br /> I BATHTUB _ FORCED AIR SYSTEMS <br /> � _ LAVATORY(WASH E7ASIN) _ HEAT PUMP <br /> _ SHOWER _ UNIT HEATERS <br /> _ KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> i _ DISHWASHER _ RANCiE HOOD <br /> _ LAUNDRY TRAY WATER HEATER <br /> i _ CLOTHES WASHER METALFIREPIACE/STOVE <br /> _._ URINAL _ FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN _ QqS FIREPLACE <br /> � FLOOR DRAiN <br /> — _ OAS RANGE <br /> _ BACKFLOW PREVENTER _ GAS PIPING <br /> __ SINK(SEHVICE'BAR/MOP/ETC.) _ EXHAUST FAN <br /> _ OTHER _ OTHER <br /> I HEREBY CEPITIFV THAT I HAVE READ AN�EXAMIN[D 7HI5 APPUCATIO�I ANO KNOW THE SAME TO BE TRUE AND COFRECT. AlL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED HERE:N Oq <br /> NOT. THE GPAN7ING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO`/IS�ON OF ANY OTIiER <br /> STATE OR LOCAL LAW REGUL4TING CONS7RUCTION OR Tl1E PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PFOPERTY TO PERFORM THE WORK FOR WHICH APP�ICATICN IS MAOE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 qCW 298. 0 WAC. <br /> l�� l �o• .,,�. <br /> Signnu�Own uComra tor/ uthonzedAgent ele <br />