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P..RMIT APPLICATI(�.� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET. EVERETT, WA 98201 <br /> 425-257-8810-FAX 425-257-8857 <br /> SITE ADDRESS P.4RCEL TAX I.D.0 PERMiT M <br /> a h �g'��/l' Oo�3 �� �O <br /> LEOA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADORESS 71P PHONE <br /> �S� LP ��- Po � s.39 � ��� <br /> TENANTNAME ,� I CONTACTNAME PHONE <br /> CONTRACTOR/'��n� �" -�7'�c ADDRESS��s�� I9 �S� �P CONTR.Llf,'?NSE N <br /> �... 1 <br /> PHONE � �_ <br /> PROPOSED USE OF BUILDING Bullding f") Mechenicel Atldltion MEAT SOURCE <br /> PERMIT � Combinelion �_� Plumbing WOHK � Alterallon n Eleclric <br /> TYPE Demolilion �� Slpn TYPE New ❑ Dae <br /> Spnnkler RepalrlMelnl. � Olher <br /> CONTRACT PNICE OF WORK CITV OF EVERETT LOCAL SALE9 TA1C COOE 18�tOE <br /> WORN DESCRIPTION <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF RXTURE OR REM NO. TYPE OF flXTURE OR ITEM <br /> WATER CLOSET _ A/C—A/FiANDLINO UNITS <br /> � BATHTUB _ FORCED AIR SYSTEMS <br /> � _ LAVATORY(WASH BASIN) HEAT PUMP <br /> � _ SHOWER _ UNIT HEATERS <br /> KITCHEN SINK d DISPOSAL CLOTHES DRYER <br /> _ DISHWASHER _ RANGE HOOD <br /> LAUNDRYTFAY WATER HEATER <br /> � CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URItvA� FIREPLACE INSERT <br /> DRINKING FOUNTAIN OAS FIREPLACE <br /> FLOOR DRAiN �AS RANGE <br /> BACKFLOW PREVENTER GAS PIP'N(3 <br /> SINK(�ERVICE/BAR/MOP/ETC.) _ E7(HAUST FAN <br /> OTHEF OTHER <br /> I HEREBV CERITIFV?HAT I HAVE READ AND E%AMINED THIS APPLICATION AND KNOW THE SAME TO 8E TRUE AN�COFRECT. ALL <br /> PROVISIONS OF LAWS AND ORIC+INACES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED HEREIN OR <br /> N9T. THE GPANTING Of A PERMII"�OES NOT PRESUME TOOIVE AUTHORITY TO VIOLATE OR CAMCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS?ROPEFTY TO PERFORM THE WORK FOR WHICH APPLICA"i ION IS MADE AND 1 COMPLY WITH THE STATE <br /> CON ACTORS lAW .2i C 298.200 WAC. <br /> ' .� <br /> gna re r' er� onlr ct i nzed gent ate <br />