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PIC.�MIT APPLICATIQ. J <br /> CITY O� EVERETT PERMIT SERVICES <br /> 3200 CFDAR STREET, EVERETT, WA 98201 <br /> 425-257-8910 - FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.M PERMiT� <br /> a C�/ o7-oi�{ <br /> LEGA LOTNO. BLOCK iRACT <br /> DESC. <br /> OWNER ADORESS LP PMONE <br /> G/iZ F�2 �7T <br /> TENANTNAME I CONTACT NAME PHONE <br /> G/ �.� E12�2 L�T- <br /> CONTRACTOR AO�RE53 LP CONTR.IICENSEI <br /> �n.�7tG2c�v s�• srr�r�z i�i� c. �a�•�c �iirn,A�P, ev�xGno�a.dr <br /> PHONE �,�� <br /> asa - 3i�y <br /> PROPOSED USE OF BUILDING I Duilding � Mnchenical Additlon HEAT SOURCE <br /> PERMI7 � Combinetlon Plumbinp WORK � Allereiion � Electrk <br /> �j�� s���(J TVPE Demolitiun Sign TVPE New Gee <br /> Sp�inkler Repeir/Meint. Olhnr <br /> CONTRACT PRICE OF WORK /IJ�/r/1/1 — CITY OF EVERETT LOCAL SALES TAX CODE IS 7106 <br /> T UliY/ <br /> WORK DESCRIPTION <br /> �11i5'�jCG +��P3 t'ctR/I/fJ(.r� /AlC� fJlC U� �9,�I/9�f//- JS�G,?3/?�?' <br /> S,�h�' �.s�.Atis7- <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR RcM NO. TVPE OF fl%TUHE OR REM <br /> WATER CLOSET A/C -A/I'4NDLING UNITS <br /> BATHTUB fORCED dIR SYSTEMS <br /> _ LAVATORY (WASH BASIN) HEAT PUMP <br /> SHOWER Z UNITHEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES �RYER <br /> DISHWASHER RANOE HOOD � <br /> I = LAUNDFY 7RAY = WATER HEATtR <br /> CLOTHES WASHER METALFIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN OAS FIREPLACE <br /> _ FLOOR DRAIN GAS RANGE i <br /> EACKFLOW PREVEkTER � GAS PIPING <br /> SINK �SERVICE/BAFVMOP.�ETC.) � EXHAUST FAN I <br /> I OTHER __ OTHER_ <br /> —I II <br /> I HEI7EBV CERITIF'!'HAT I HAVE READ AND EXAIAINED THIS APPLICATION.1ND KNOW THE$AME TO BF:TPUE ANG CORRECT. ALL <br /> PRqVISIONS OF U1W8 AN�ORIDINACES GOVE9NING THIS TVPE OF WORK WP_�_6G COMPLIED WITH WHETHEfi SPECIFIEU HEREIN OR <br /> NOT. THE Gf7ANTIDlG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV 70 VIOLATE OF CANCEL THE P90VISION OF ANY OTHER <br /> STA�E OR LOC.�L LAW REGUTATING CONSTRUCTION OH THE PERFOFMANCE OF CONSTRUCTION. TH�T I AM AUTHOFI2E0 BY THE <br /> OWPJFR 0=`.�OPEFTY TO PERFORM THE WORK FJR WHICH APPLICATION IS MADE AND I COMPL'/WITH THE STATE <br /> CONTRA�ORS W 18.�W��92�C. <br /> � , <br /> Signalure ol OwneuC,oNractooAuthor d Agent ale ��v <br />