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r <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADOHESS PARCEL TA%I.D.R PERMIT M <br /> � CF,��, sT E1�F.I?ET1" <br /> LEOA LOTNO. BLOCK TRACT <br /> DESC. <br /> �W��(UG�E'STEP�.. ADDRE88 aP PMONE <br /> AAZ.1L_W�167" F1N�A�l�ti Z�6CE�9�2 sr �"Zoi f��s=3o�o/Y� <br /> TENANT NAME CONTACT NAME PHONE <br /> Sa�.,,� Jc��J C�srE,e- �/�S'• 3�� •o�8� <br /> CONTRACTOR AODRE88 ZIP CONTR.UCFNBE� <br /> PHONE <br /> PROPOSED U8E Of SUILDINU Building MechenlCel Addltbn HEAT 80URCE <br /> �m � PERMIT R Combinelion R Plumbing WORK Allaretlon D EtectNc <br /> TYPE Oemollllon � Slgn TVPE Naw �ae <br /> B Sprinkler RepsirlMalni. Other <br /> CONTRACT PRICE OF WORK CITY OF EVEPETT LOCAL SALEB TA%CODE 18 9106 <br /> WORN OEBCRIPTION <br /> � Pi� S ��vsr'/Lr-aTi� ca� STU l� � auf�TE1z f�E,4TE+°L. <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEM NO. TVPE OF FlXTURE OR REM <br /> WATEF CLOSET A/C—A/FIANDLINO UNITS <br /> BATHTUB FORCED AIFi SYSTEMS <br /> _ LAVATORY(WASH BASIN) H'cAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANOE HOOD <br /> LAUNORY TRAY X WATER HEATER <br /> _ CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKINO FOUNTAIN � OAS FIREPLACE <br /> FLOOR DRAIN OAS F1ANC3E <br /> BACKFLOW PREVENTER J� OAS PIPINO <br /> SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHER _ OTHER <br /> I HEREBY CERITIFV THAT I HAVE READ AND E%AMINED TNIS APPLICATION AND KNOW THE SAME TO 8E THUE AND CORHECT. ALL <br /> PFOVISIONS OF LAWS AND ORIDINACES 60VEHNIN�THIS 7YPE UF WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE�RANTINO OF A PERMIT DOES NOT PRESUME TO OIVE AUTHORITY TO VIOUTE OR CANCEL THE PROVISION OF ANV OTHER <br /> STATE OR LOCAL LAW REGULATINO CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV TO PEHFOHM THE WORN FOH WHICH APPIICATION IS MADE AND I COMPLV WITH THE STATE <br /> CON ACT RS LAW 1B 2J RC 298. WAC. <br /> ���. .���°�' .,�� �i o � <br /> ' nalure o wn onireclor u11or e ent ele �^ �// � Q <br /> /� � <br /> VL — _ __. <br />