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P�.;MIT APPLICATIC �J <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425•257-8810— FAX 425-257-8857 <br /> SITE ADDRESS /� (� L PARCEL TAX I.D.N PEHMI7 w <br /> O l.Yi �S�Vl J I 02C5 <br /> LEGA LOT N0. BLOCK TRACT <br /> DESC. <br /> OWNER AODRE59 ZIP PHONE <br /> �� ��vt � �'�r IG10 �� estivl- dl'c�xe� — <br /> TENANT NAME CONTACT NAME PHONE <br /> I �V I �� 5 �� <br /> CONTRACTOR��"r (��}��j(�1� AODRES� _ R� � �P CONTR.LICENSE N <br /> I /+'2�� I�3 J-�T pcT oi�T�- <br /> a�-- <br />� PHONE "' `- /lp � <br /> O S yYIA/t �� ��w- �0 <br /> PROPOSED USE 0�ILDING D Duilding Mechanlcal Addition MEAT SOURCE <br /> PERMIT l, Combinalion Plumbing WORK � Alle�allon � Eiectric <br /> -�/��/C t�"'/// TMPE B Spr nkleion Sign TMPE RepaiUMaint. 0 har <br /> CONTRACT PFICE OF WO a�� �� CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br /> WORK DESCRIPTION �{�//� L G��S/� L/��G� �N �J�G"�� �/M� CL <br /> l� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR REM N0. TYPE OF FlXTURE OR REM <br /> WATER CLOSET A/C-A/HANDLING UNITS <br /> � BATHTUB FORCED AIR SYSTEMS <br /> � LAVATORY(WASH BASIN) _ F:EAT PUMP <br /> , SHOWER _ UNIT HEATEFS <br /> � KITCHc"N SINK 8 DISPOSAL _ CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDFiY TRAY WATER HEATER <br /> � CLOTHESWASHER _ METALFIREPLACE/STOVE <br /> URINAL FIREPIACE INSERT <br /> DRINKING FOUNTAIN OAS FIPEPLACE <br /> FLOOR DRAIN OAS RANGE <br /> BACKFLOW PREVENTER GAS PIPINO <br /> SINK(SEPVICE/BAFUMOP/ETC.) _ EXHAUST FAN <br /> OTHER _ OTHER <br /> I HEPEBV CERITIFY'HAT 1 HAVE READ AND ExAMINED THIS APPIICATION AND KNOW THE SAME TO 8E TRUE ANO CORRECT. ALL <br /> PROVISIONS OF IAWS AND ORIDINACES GOVERN�NG THIS TYPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT�OES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAI lAW REGU V+TING CONSTRUCTION OR THE PERfORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br /> OWNER OF TH PROPEFTY TO PERfORM THE WORK FOR WHICH APPLICATON IS MADE AND I COMPLY WITH THE STATE <br /> CONTR T 5 LAW�8. W AND 298200 WAC. <br /> /�-.F� -� <br /> I elure ol wner/ onlractod uthonzed Agem ete <br />