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PE� ,IIIIT APPLICATIOP <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257•8810- FAX 425-257-8857 <br /> SITE ADORESS PARCEL TAX I.D.A PEqM1T w <br /> ��ad' C'/us/ic�f�: �r/� Iti��1 Ov yy.3�Y!-5�-��D D '� - <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS 21P PHONE <br /> ,����fj„" ��lik�l`� ��i��� �iDt� ll�wiall.l.t:��f �(6l/J� l'Vl� <br /> TFNe N�AAF CONTACTNAME PHONE <br /> I o��n X C��unin P��.� I r:mir RuilJin'_ �p� ��y/1/� <br /> Ib;]I Ili�_h��:i� onti�rl� I "''Ou,.l1/l, <br /> I �nm�u��d. \\:1 `����� AUDRESS LP CONTR.LICENSEN <br /> .1_'�-?�1.'-Ib�ll I n� 1'�-'�l:-�::: r�l .'�lu <br /> I ic-� I uAl A<l'I n'1'q I <br /> PROPOSED U�OF BUILDING I BPilding f"1 Mechanicel I Q AdPition I HEAT SOURCE <br /> PERMIT Combinetion F_� Plumbing WORK l, Allerallan � Electric <br /> � TYPE Demolition Ll Sign TVPE .�r�at New Gae <br /> ��� � S rinkler v Re air/MeinL Olher <br /> CONTRACT P CE OF WORK � /Cj, �7C��'� CITV OF EVERETT LOCAL SALES TA%CODE IS 3105 <br /> / <br /> WORK DESCRIPTION <br /> � U ,�� � ��'iclu��° /z-��'�z ��_ �� �.� <br /> � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUPE OR ITEM N0. TYpE OF FII(TURE OR ITE�1 <br /> WATEF CLOSET A/C—AlHANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASfi BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DFYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> UFIN.4L FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> I SINK�SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> i _ OTHER _ OTHER <br /> i <br /> I <br /> I <br /> I HEREBY CERI7IFV'HA71 HAVE READ AND EXAh71NE0 THIS APPUCATION AND KNOW THE SAME TO 6E TRUE AND CORRECT. ALL <br /> PFOVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREI�OR <br /> I NOT. THE GPANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRL'CTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br /> OYlN��IS PROPERTY T'''O''',,,///P�RFOFM THE WORK FOR WHICH APPLICATION�S MADE AND I COMPLY WITH THE STATE <br /> CQNTRACTO SWW1B27�YCrynsfD2�200WAC. <br /> � \/j/�L--/. /1 " �/�- �//�� � <br /> , Signa�ure ol Own r/C ntraclor/Aulhonzed Agent Date /� <br /> `_ L <br />