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� <br /> 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 AUDRESS PARCEL 7AX I.D.N PE i� <br /> 2�1�� Clev�.l�eQ Ave.i�� C2� 5I�B53.�o�� oo �Zl� -C) <br /> LEGA OT NO BLOCK � TRAC7 MIf // �d �N� T�Pporeµ CO. � <br /> oesc. S. k��� lot Z��I �3 2. F1,EtT AdpitTcAl <br /> OWNER � a 1 l ADDRESS ZIP PHONE �u\ �"� <br /> M�-• �� r�,� • U/asl�{ l�aakwarrG� ����( Clu�luuQ �ve . �'ven.tt 9�P�o� z3$'z.�,� <br /> TENANT NAME I COMACT NAME PHONE <br /> CONTRACTOR 1[-rqY0.. COI�S OY� ADDRESS�O/09 /�c/IWA7wD�4 QdI� LP CONTR.LICENSEI <br /> a � 0. ,.a.hc . Sno hoMia�. w� 98y7G /KF»d/1-GRObbPP <br /> PHONE <br /> 3100- `��-woo <br /> PROPOSED USE OF BUILOIN6 N(�uilding Mechonical Adlilbn HEA7 SOURCE <br /> PERMR �_� Com6lnelbn R Plumbing WORK �Alte�aibn I7 Elecuk <br /> ���C �'�/ RMIs�� r''°E �.r Demolitton D Sign TYPE New (ies <br /> � Spdnklat RepaidMaint B o,�, <br /> CONTRACT PRICE OF WORK � 7�i/� CITY OF EVERETT LOCAL 8ALE8 TAI(CODE IS 9105 <br /> / 7 <br /> WORKDESCRIPiION - -- � E'- Nd'R17Q� - OM� pa/L� D� ��1 <br /> /Q[�QlT70N � rau '�u�5 MuSC �1A� <br /> Q., Q�XrafiAy Founala�;f�ivn , CvsTOAttr w�.wis i� �►o,v�rle'Kai. <br /> � � S t" S.F. fLOA Z �/�! c <br /> ' PLUMBING MECHANICAL <br /> N0. TYPE OF flXTURE OR ITEM NO. TYPE OF Fll(TURE OR ITEM <br /> WATER CLOSET A/C-MiANDLIN(3 UNITS <br /> _L BATHTUO � FORCED AIR SYSTEMS <br /> � LAVATORY(WASH DASIN) _ HEAT PUMP <br /> SHOWER UNIT HEATEHS <br /> KITCHEN SINK 8 DISPOSAL T CLOTHES DRYER <br /> � DISHWASHEfi � FlANOE HOOD <br /> LAUNDRY TRAY � WATER HEATER <br /> � CLOTHES WASHER _ METAL FIREPIACE/STOVE <br /> _ URINAL FIREPLACE INSERT <br /> __ DRINKING FOUNTAIN OAS FIfiEPIACE <br /> _ FLOOR DRAIN 3A5 RANdE <br /> _ BACKfLOW PREVENTER �iAS PIPINO <br /> _ SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN 'n <br /> _ OTHER_ _ OTHER <br /> I HEHEBY CERITIFV THAT I HAVE READ AND EXAMINED TI115 APPLICATION AND KNOW THE SAME TO BE TRUE AND CORAECT. ALL <br /> PROVISIONS OF U1WS ANU ORIDINACES GOVERNINQ TNIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEO HEREIN OH <br /> NOT. TH[GRAN7ING OF A PERMIT DOES NOT PRESUME TO OIVE AUTHORITY 70 VIOLATE OR CANCEL THE PROVISION OF ANV OTHER <br /> STATE OR LOCAL LAW AEGUUITING CONSTHUCTION OR TH[PERFORMANCE OF CONCTRUCTION. THAT I AM AUiHOPIZED BY THE <br /> OWNER OF THIS PROPERIY i0 PE O M THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS 1�� .200 WAC. <br /> ignelure o w d o reclor u hodte gant g�g �Il <br />