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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 ADDRESS /yS� 1 PARCEL TAX I.D.N PERMIT M <br /> ��-�" �IZ�3TNtJT �a`�6 300�oo Q U���-U�Co <br /> LEGAL LOT NO. BLOCI( TRACT <br /> DESC. �,FB Oo D-oo f�A�CNNFi S 3� �ao � � <br /> OWNER ADDRESS 9829 PHONE <br /> �.o�Lay � /L,2i��-%�.E-arss..�o.,�.r� 3Ge-G�g�fy8,3 <br /> TENANT NAME CONTACT NAME PHONE <br /> /1�o.v1� �u� f�ia.�rLs7 yis•337-9�4� <br /> CONTRACTOR ' DDR ICONTR.LICENSEN <br /> AMu,�..��.✓.�=y .F^,.g �� . ,p <br /> PHONE �/.�..--v-�37-6I�9Z �7� �..�765 �LL /�Zt. �Ah'IF,��f✓ 0 99 CK <br /> 7"� <br /> [ iCsa /� <br /> PROPOSED USE OF BUILDINa Building Mechenlcal Addnbn HEAT SOURCE <br /> PERMIT CPmbinetlon R Plumbing WORK � Alle�relbn � Eiectnc <br /> �'� L T'fPE Demolillon � Sign TYPE New Oas <br /> S rinkler Re Ir/Mainl. Othar <br /> CONTRACT PR�CE OF WORK �� CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION <br /> s � � � /� <br /> ��dp ,�f, ��ltfIGTUJ�uY /►i�+CTN ��LO.tI�aR. rPy �p� ) <br /> / ./ <br /> �- $ �d <br /> PLUMB��Ja ME���lLC�L <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FlXTURE OR REM <br /> WATER CLOSET A/C—fVHANDLINO UNITS <br /> BATMiTUO FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> _ DISHWASHER RANOE HOOD <br /> __ IAUNDRYTRAY _ WATER HEATER <br /> _ CLOTHES WASHER METAL FIREPLACE/STOVE <br /> _ URINAL FIREPLACE INSERT <br /> __ DRINKING FOUNTAIN _ RAS FIREPLACE <br /> FLOOR DRAIN QAS RANOE <br /> BACKFLOW PFEVENTER OAS PIPIN(3 <br /> _ SINK(�ERVICE/DARlMOP/ETC.) EXHAUST FAN <br /> OTHEN _ _ OTHER <br /> 1 HEREBY CERITIFV THAT I HAVE READ AND EXAMINED THIS AF'PLICATION ANO KNOW THE SAME TO BE TRUE AND COPRECT. ALL <br /> PR(JVISIOVS OF LAWS AND ORIDINACES OOVERNINO THIS Nf�E OF WORK Wlll BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOf. THE GRANTING OF�PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PRUVISION OF ANV OTHEq <br /> 57ATE OR LOC L LAW HEGUTATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I�M AUTHORIZED BY THE <br /> OWNER OF T PROPERiV O PERFORM TIIE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> i:0 RS LA CW AN 296.200 WAC. <br /> 9-25-2o�e� <br /> Sig ure o �nr/6 ecl ulhorl genl ate <br />