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. �e-ea-eeaa e9:se �an: �- (o:ia2szs�ees� P.z <br /> -�l <br /> PERMIT APPLICA'TION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-9810—FAX 425-257-8857 <br /> SITE ADDRE93 PARCEL TAX I.D.• �Pf���D� `�� <br /> 2 S-f' o0 3 <br /> � �ot No. e�ocK riucr <br /> DESC. <br /> gy ---' LP ONE <br /> �M�-�6"Izll1ct 'P�IA�.Sov► 2�{lo G�l3r S�' Q�"''lv( �00•3Q'7 3y°�] _ <br /> 7ENANTNAME CONTACTFOIIPERMR P� <br /> �c.�� q�lc�s�.r- --�� �Zy� <br /> ��SH 1��'1}'� ��'��-/� �uoReas nr CONfR.LICENBE M <br /> P� 262- �en �°"T'l'rrrnd k� �Qut 4� '� Cv�K�'7/ <br /> PRpPO8E0 U8E OF SUILDING Bu�ldlrg Mxhanleal nAdltlm HE�T 50URCE <br /> PEMIIT RComDlnetbn �IumWnp WORK AlteroUon QEkaA� <br /> Sn TYpE B �molftlOn 5ipn �7YPE New IY Wi <br /> ���L �W� , Rp�klMtin4 LJ ONrr <br /> CONflIACT PRICE OF WOIIK ���� CITY OF F VERlTT LOCAL 6AL!!TAX COCE 1!7106 <br /> wowc oeecarna+ ��� � 9,4 f '� G41 ��h4�i•_ � • <br /> �r.epl4ce _.l►�!� �lg� P�P�`� ! 9a3 �'p'r� s�.e <br /> PLUMBINO MECHANICAL <br /> N0. TYPE OF FUlIURE OR ITEM NO.. TYPE OF FIl(TURE OR ITEM <br /> WATER CLOSET(TOILEn A/C-A'HANDUNG UNITS <br /> BATHTUB � FORCCD AIR 3Y9TEM9 <br /> _ LAVATORV(WASH BASIN) _ HEAT I�UMP <br /> SHOWER _ UNI7 HEATERS <br /> KITCHEN S�NK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER _ RANOE HOOD <br /> UUNDRY TRAY _ WATER NEhTER <br /> CLOTHES WASHER MEiAL FIREPLACE/STOVE <br /> URINAL � FIREPLACEINSERT <br /> DRINKING FOUNTAIN _ GAS FIREPIACE <br /> FLOOR DRAIN GAS RANOE <br /> BACKFLOW PREVENiER GAS FIPING <br /> SINK�SERVICE/BAR/MOPIETCJ _ EXHAUSTFAN <br /> OTHER _ OTHER <br /> I MEREBY CERITIFY TMAT I MAVE REAO AND E1fAMINED THI$APPUCATION AN�KNOW TME S4ME TO BE TRUE AND Cdl1lECT. ALL <br /> PROV1610N6 OF UWS AND ORIDINACES GOVERNIN6 TMIS TYPE OF WORK WILI BE COMoLiEO WITH WHETIER SPECIFIED HEREIN OR <br /> NOT. P.1E 6RANTING OF A PERMIT DOES NOT PHESUME TO OIVE AUTHORITY TO VIOLl.TF-.OR CANCEL TME PROVI6ION OF ANV OTHER <br /> STATE OR LOC/�L UW REOUVITING GONSTRUCTION OR THE PERFORIMNCE OF CON6TRUCTION. THAT I AM AVTHOR�.ZED BY TME <br /> pWNER OF THIS PROPERTY TO PERFORM THE WOiiK FOR WHICH APPLICATION IS MA�E AND I COMPLV WITM THE S iATE <br /> �CONT ''TORS /8.27 RCW AND 98.200 WAC. <br /> ��d� �zy <br /> neU rerol�w r ntrace io ze ent a s <br /> DEBIT 6 CREDIT CARDS ARE NOT ACCEPTED <br />