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P��MIT APPLICATI4�� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVFRETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE AODRESS PARCEL TAX I.D.N PERMIT w <br /> C�� E. Xo <br /> LEGA LO7N0. BLOCK TRACT <br /> DESC. <br /> OWNER AOOHESS LP PMONE <br /> TENANTNAME CONfACTNAME PHONE <br /> �✓�cs �s�cr� r(,.I. �,�vcT»te,ItslC[ <br /> t�n..y L�A•to�lL.ti l5/f� 1�l.hl„/!� lTto BL✓� 9�Zo3 ' <br /> CONTRAC70R ADORESS Z�P CONTR.LICENSE� <br /> PHONE <br /> �z -_ 7� -z5 . <br /> PROPOSED USE OF BUILDING I Building }�1 Mechanical � Addiiion MEAT SOURCE <br /> PERMIT R Cambinalion �14PIum6ing WOPN Alleroibn � Elactric <br /> TYPE D Demolilion U Sign TYPE New 6es <br /> /_ � (� U Sprinkler Repelr/Mainl. Olher <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALF9 TAX CODE IS 3105 <br /> WORK DESCRIPTION <br /> I �) / � / <br /> �ifi4i�L LIYAI u�� C ��!_ ecY/�I l� � « < �L � VWt�� <br /> � PLUMBI G MECHANICAL <br /> NO. TVPE OF fl%TURE OR REM NO. TVPE OF FlXTUNE OF ITEM <br /> i � WATER CLOSET A/C—A/HANDLING UNITS <br /> BATHTUB _ FORCED AIR SYSTEMS <br /> '� LAVATOFY (WASH BASIN) _ HEAT PUMP / <br /> Z� SHOWER UNIT HEATERS �D <br /> � KITCHEN SINK 8 DISPOSA� _ CLOTHES DRYER <br /> � DISHWASHER RANt3E HOOD <br /> LAUNDRY TRAY WATER HEATER . <br /> � CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK (SERVICE/BAWMOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HEPEBY CERITIFY'HAT I HAVE READ AND EXAMiNED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl <br /> PROVISICNS OF LAWS AND ORIDINACES GOVERNING THIS?VPE Of WORH WILL BE COMPLIED WITH WHEfHER SPECIFIED HEREIN OR <br /> NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOFIN TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHEH <br /> STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED 0Y THE <br /> OWNER OF THIS PROPERN TO PERFORM TNE WORK FOR WHICH APPIICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACT RS LAW 18.27 RCy^�AND 96.200 WAC. ' <br /> i�� �' l���� b�z� v � <br /> Signaluie of Ow euCon ractouAulhorized Agent ele <br />