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P � :MIT APPLICATIO, . <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 <br /> SITE ADDRESS BVicAa.t3'�/SuiTE A F B PARCEL TAX I.O.N PERMjiy� <br /> Z6ij WErr�As,NO /'�D. � 280- yiy-oozo-i6op A f-, <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. dN 7/,D Go�E,E. S,</� <br /> OWNER ADDRE53 21P PHONE <br /> A►l�v'G/E�vo�' S`TE�KNsan/ /D/�r T/'iF1>A✓E Svr7L/0/0 SEA7IZFWA � <br /> SN1�6RATEU �Eq� E,f7�T{ �iBiD� ZO6.5/�-06�� <br /> TENANTNAME CONTACTNAME PHONE <br /> I <br /> I �oun�L� LoGo2 Fe�� ��:%�i�2T y15-6 �a-��o6 �'aT, i/� <br /> CONTRACTOR ADORESS LP CONTR.LICENSEM <br /> I SEGGfN C�usr�<uC>/oN Z27 WE.f7Lr1�tE.Q✓E . /V 9�/0 9 \ .�f <br /> PHONE �A/jGE� �✓A . ' • ��;�J'���CG 37� <br /> PROPOSED USE OF BUILOING Building f'1 Mechanicel Addition HEAT SOUHCE <br /> /� PERMIT � Combinetion �� Plumbing WOHK � Al�eration � Electric <br /> OffQ,r' G+!4�.'l.��+,ly/� TYpE Demolition LJ Sign TYPE New Gas <br /> Spdnkler Repelr�Meim. Othar <br /> CONTRACT PRICE OF WORK �5 �D� Qp CRY OF EVERETT LOCAL SALE3 TA%CODE IS 3105 <br /> WORK UESCRIPTION <br /> In�/1P.�/'o:/SEDEn��s�v(� t✓AGL/ADA T�EST�'aoA,' /��DDED U,Pj- �xiM �lbn�,f <br /> PLUMBING MECHANICAL <br /> I NO. TYPE OF FI%TURE OR ITEM N0. TYPE OF flICTUAE OR REM <br /> WATER CLOSET A/C—A/HANDLING UNITS <br /> BnTHTUB FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATEHS <br /> KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> _ DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER MFTAL FIREPLACE/STOVE <br /> __ UHINAL FIREPLACE INSERT <br /> DRINKING FOUNTA�N OAS FIREPLACE <br /> FLOOR DRAIN _ GAS RANGE <br /> BACKFLO6Y PREVENIER GAS PIPING <br /> SINK (SERVICE/BAR/tvIOP/ETC.) EXHAUST FAN <br /> OTHER _ _ OTHER <br /> I — — — <br /> i -- — — — <br /> I — <br /> iI HERE9Y CEHI7IFY THAT I HAVE PEAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE 4ND COR,�ECT. ALL <br /> PROVISiONS OF 11.WS AND URIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHEH SPEGFIED HEFiEIN OR <br /> 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 REGUL4TING CONSTRUCTION JR'HE PERFOHMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED 8Y THE <br /> OWNER OF iHIS PROPERN TO PERFORM THE WORK FOF WHICIi APPLICATION IS MADE AND I COMP�Y WITH THE STATE <br /> � CONTRACTORS LAW 18.27 FCW AND 296200 WAC. <br /> i � fnLl ��J'�/ � <br /> SignaWre oi Ownertt;omrac�or�honzed Agent aie <br /> � �l2 <br />