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P�.�MIT APPLICATIO�J <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32U0 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-9810- FAX 425-257-8857 <br /> SITE ADDRESS pARCEL TAX I.D.1 PE MIT r <br /> a Zi �.C?�5.� � �8a v�� o�0 2 s�-o �C�o�' 030 <br /> LE6AI LOT N0. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRE83 ZIP PMONE �/ <br /> G�st��� D�ea�s�,v� Twr-a�.�-ra� C����r►�� ��'1oy "3y9 Gdo/ <br /> TENANT NAME CONTACTNAME PHONE <br /> IG,.� , , �A� <br /> CONTR TOH ADDRESS <br /> � (f�"{�.� n ,�, ZIP CONTR,LICENSE II <br /> PHON�'� '�_"�'7V��%�' xis- .si�����r ,�o,�.�� �'pOS� <br /> �r3fi• �e�c T12JMr►/• ON�J <br /> PROPOSED USE OF BUILDIN6 I1 Building Mechanlcal �dditlon NEA7 SOURCE <br /> B� PERMIT K Combinallon lumbinp WORK Al�erailon <br /> TYPE 1..1 Demalition Sign TVpE New Electric <br /> LJ Sprinkler Qea <br /> Rapelr/Meinl. Othei <br /> CONTRACT PRICE OF WORK � CITY OF EVERETT LOCAL BALES TAJf COOE IS 310b <br /> WORK DESCRIPTION ,(� 1 D ,���S a� �2 1L�7�J// ��, <br /> /7 �� /%ZO'�C7/A.lt' /v <br /> ��C( 517�< (�e M/Zfi�1� ✓L6fl '� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF flXTURE OR REM N0. TYPE OF FlXTURE OR REM <br /> _ WATER CLOSET L q/C—A/HANDLING UNITS <br /> _ BATH7UB _ FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> _ SHOWER _ UNIT HEATERS <br /> _ KITCHEN SINK 8 DISPOSAL _ CLOTHES DRVER <br /> _ DISHWASHER _ RANGF HOOD <br /> _ LAUNDRV 7RAY _ 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 /> I _ SINK �SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> _ OTHER _ OTHER <br /> i -- — <br /> i — <br /> I HERFBY CERITIFY'HAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL <br /> ' PROVISIONS OF LaWS AND ORIDINACES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHET4ER SPECIFIED HEREIN OR <br /> I NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV OTHEN <br /> , STATE OR LOC L LAW REGUTATING CONSTRUCPON OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTNORIZED BY THE <br /> OWNER T RTY TO PFRFORM THE WORK fOR WHICN APPLICA710N IS MADE AN01 COMPLY WITH THE STATE <br /> � CONTR T 1 RCW AND .200 WAC. <br /> � � �=/Q Zi <br /> ignalur olOwneu ontractor/Authonzed gent ete <br /> _ �/L <br />