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' P�tP.MiT APPLICATI(�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> I 425-257-8810— FAX 425-257-8857 <br /> I <br /> SITE ADDRESS PARCEL TAX I.D.N PERMiT K <br /> � �-O > � � rvlo3o7-aoq <br /> �� LEGA LOTNO. BLOCK TRACT <br /> IDESC. <br /> OWNER ADDRESS ZIP PHONE <br /> �s- �� H� � /Z ycl-.-!!-,� Evr<..�J` ���/ y25 - 2sz-/6'/G <br /> TENANT NAME / CONTACT FOR PERMIT PHONE <br /> I��1��7�••� �/L S— 13 $/7 LG� <br /> CONTRACTOR ! p ADDR SS <br /> I c ��+K-� Sq�fs 1'���,.�y L� 21P CONTR.UCENSEN <br /> PHONE � �lX��CT� yBI�/ �- <br /> Y2 >"- 25 y- 2/6/ <br /> 36o �.�=ve�.��'S`.�,� �-r!✓fiL's-s•oyz �� <br /> ' PROPOSED USE OF BUILDIN6 Building �Mechanical n Additlon HEAT SOURCE <br /> I I PERMIT B Cambination Plumbing WORK �LAltaratlon n ElecWc <br /> TYPE D Demolition Sign TYPE D Naw ��Gas <br /> U Sprinkler U Repalr/Mainl. D ou�a� <br /> iCONTRACT PRICE OF WOR 4� �Yv� CITY OF EVERETT LOCAL 3ALE3 TAX COUE�S NOS <br /> I _ / (/ <br /> WORK DE9CRIPTIO1N L/ ^ <br /> i ��7�'U /�L'�C G�"�rc-rT'i�-.�a� e lt0 �� � S 9� (L�TiLa-� �a�'� <br /> iPLUMBING MECHANICAL <br /> I NO. TYPE OF FI%TURE OR ITEM N0. TYPE OF FI%TURE OR ITEM <br /> WATER CLOSET(TOILET) AIC-AIHANDLING UNITS <br /> I _ BATHTUB 7� FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) HEAT PUMP <br /> i _ SHOWER UNITHEATERS <br /> I _ KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> _ DISHWASHER RANGE HOOD <br /> i _ LAUNURY TRAY WATER HEATER <br /> _ CLOTHES WASHER METAL FIREPLACE/STOVE <br /> _ URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> i _ FLOOR DRAIN GAS RANGE <br /> � _ BACKFLOW PREVEN7ER � GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> i _ OTHER____ — <br /> OTHER <br /> � -- <br /> i HEREBV CERITIFV THAT I HAVE READ AND EXAMINED 7HIS APPLICATION AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL <br /> �ROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS NPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT THE GRANTING OF A PERMiT DOES NOr PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OP ANY OTHER <br /> STATE UR LOCAL LAW REGULATING CONSTRJCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BV THE <br /> OWNER OF TMIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AN�I COMPLV WITH THE STATE <br /> CON7RACTORaS LAW 1B17 RCW AND 296.200 WAC. <br /> j �'��%� 7- 3- oj <br /> I Signaw ot uwner/Con6acror/Authonzed Agenl ate <br /> I_ DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />