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P MIT APPLICATIO � <br /> CITY OF EVERETT PERMIT SERVICES ' <br /> 3200 CEDAR S7REET, EVERETT, WA 98201 <br /> 425457-8810- FAX 425-257-8857 n///Z roD� <br /> � <br /> SITE ADDRESS PARCEL TAX I.D.N PERMIT M <br /> � �5 (�� CASINO R �� — <br /> IEGA LOTNO. BLOCK TRACi <br /> OESC. <br /> OWNER ADORES9 21P PHONE <br /> 1n�na.��� �s�c�5TA7n. SV�`a - <br /> TENANT NAME CONTACT NAME PHONE <br /> �0� �'.�r�z�.� �K-N^'`� �u�S �ZoL� ?72 - ?�01 <br /> CONTRACTOH ADDRESS ZIP CONTR.LICENSE M <br /> N�wAc� (,�u�.csts /�un�cr3�� Z�zt F.�ck���JA�ki..s•fil� 98r� H�c.►fA�Pu92�7 <br /> PHONE�iJ,s � /'�.fZ–•u�0 I <br /> ���„Ej -� i <br /> PROPOSED USE OF BUILDING � Building � Mechenic9l I� Addilion I MEAT SOUHCE <br /> PERMIT Combinelion Plumbing WORK B Alterelion D Electric <br /> TYPE Demolilion Sign TVPE D New D Gas <br /> Sprinkler U RapairlMeml. D Other <br /> CONTRACT PRICE OF WORK CITV OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> WORK DESCRIPTION <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF fIXTURE OR ITEM N0. TYPE OF fl%TURE OR ITEM <br /> � WATEii CLOSET _ A/C–A/HANDUNG UNITS <br /> i _ <br /> BATHTU� _ FORCED AIR SYSTEMS <br /> LAVATORY(WASH EASIN) _ HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY THAY WA1'ER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URiNAL FIP.�PLACE INS[RT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> = BACKFLOW PREVENTEF _ GAS PIPING <br /> SINK(SERVICEiBAR/MOPIETC.) _ EXHAUST FAN <br /> OTHER _ OTHER <br /> i � /N01 �ti _/�r Q,¢a�+C�w'L _ <br /> � — — — <br /> � — i <br /> - I HEFEBV CERITIFV`HAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. AlL <br /> ' PROVISIONS OF U1WS ANO ORIDINACES GOVERNING THIS TVPE OF WOFK'NILL BE COMPLIE�WITH WHETHER SPECIFIED HEREIN OR <br /> I NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> �� STATE OR LOCAL LAW REGULATING CONSTRUCTIOPI OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BV THE <br /> , OWNEP OF THIS PFOPERTY TO PERfORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> iCONTRACTORS 1B RCW AND 296200 WAC. <br /> j ���� �Z�l`�// <br /> IS�gnalure ol Uwneu � ractor/ u�honzed gent ate <br />