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� a_:RMIT APPLICATII,N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREE7, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425•257-8857 <br /> SITE ADOFESS PARCEL TAX I.D.M ��� _ � <br /> iS �3 C[p�R' S� 6v�ncrt `i5�c� /7�9o5- y on - no�i <br /> LEGA �] LOiNO. BLOCK TRACT qs Fr A�i < <N ec»�' sr rov y <br /> �E$C. yEi- Nk� i;p LcT/ /�`�f )Ij l�Llh �IE�YTtCrvTM 5- �RtDDL N S:E H A� 7 A /'tT E LNCEDRP <br /> ST TN w /��� 7u� <br /> OWNER AODRESS 7JP PHONE <br /> �afN � n%�,' Tn�•.,�.e-�v i5�3 CtANw ST, EvEI('ETT `iB.Zc� y�5 :i5:t 75y7 <br /> TENANTNAh1E I CONTACTNAME PHONE <br /> I <br /> SH.•iC SI�,�1i <br /> CONTRAC7t7R N�,�r ADDRESS 21P CONTR.LICENSE N <br /> PHONE <br /> PROPOSED USE OF BUILDIN.9 Building MechaniCel Addllion HEAT SOURCE <br /> S�.vc�C Fii•nic;' nc��Oc�C� PERMIT Combination Plumhing WORK Alterallon pp�� Etectdc <br /> TYPE Demolifion Sign TYPE New u Gae <br /> C i.:.v�i� � ('c� u✓�69 Sp�inkler Rapeir/Maint. U Other <br /> ' CONTRACTPRICEOFWORK �/q _ S.�L` C�TYOFEVERETTLOCALSALESTA%CODE199f05 <br /> WORK DESCRIPTION <br /> /C��� JiuANC �'�� /,�•�C /��Ll[C���/.dG tXiSiinC• k/iCNCN 7 <<�c� <br /> 4.1b ��.u+�Y I-urr �UGITicN '7e L�A�J7�N(• ' <br /> �Ary� r�. .��IC pJDi7�0�r /aNJ lilbN6 n .�4 U�tN. <br /> I PLUMBING MECHANICAL <br /> I NO. TYPE OF flXTURE OH REM NO. TYPE OF FI%TURE QR REM <br /> WATERCLOSET ( / f�' � ce�sr.nt- AIC-A/HANOLINGUNITS <br /> � BATH7UB (fr�r���<•) = FORCED AIR SYSTEMS <br /> l LAVATORY�WASHBASIN�(� N�`d� � t'��:r,���� - HEATPUMP <br /> ,J_ SHOWER (/+���) y UNIT HEATERS �� �xur„v�,� 1 Ncwl <br /> � KITCHENSINKBDISPOSAL(«'S��^'��) i3iidb � <br /> � � DISHWASHER CN��) � RANGE HOOD ER �« � <br /> I LAUNDRY TRAY � WATER HEATER C[x�srwc•) <br /> ; � CLOTHES WASHER�!.•�' ��d�'� METAL FIREPLACE/STOVE <br /> I UFINAL = FIFEPLACEINSERT <br /> DRINKING FOUNTAIN - (3AS FIREPLACE <br /> � FLOOR DRAIN = GAS RANGE <br /> ( = BACKFLOW PFEVENTER - GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) � EXHAUSTFAN (1 N�w• ��jii11M(-� <br /> 07HER OTHER <br /> i _ — <br /> i — — — <br /> I <br /> t HEREBY CERITIFY THAT I HAVE R[AD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIOINACES GOVERNING THIS iYPE OF WOFY,WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />� NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OH CANCEL THE PROV�SION OF ANV OTHER <br />�� I STATE OA LOCAI LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BV THE <br /> � OWNER OF THIS PROPER7Y TO PERFORM THE WORK FOR WHICH APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br /> � CONTRACTOfiS LAW 1B27 RCW AND 296.200 WAC. <br /> �[i„ � • L/�tnrlQ.a,� �/1�.i f '�'•"j.•— 02 <br /> Signatme ol OwneuGonVactor/Aul nzed Agent � <br /> I7r' f cN i t �)rl�' ' r�� ' ISi r AcF C <d ��DA�' ST' �o TP/1 1I�• <br />