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�=RMIT APPLICATI���N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-887 0 - FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.�! PERMtT• <br /> a5/3 �[� ua E aasi�8sa�oo So�4-o3 <br /> LEOA LOTNO. BLOCK 7RACT <br /> oesa � !� lD 582 . I � � �S <br /> OWNER ADORESS LP , PHONE <br /> �AMES ��OO,�IZ� z5J 3 �LEU�}IND �i�/ `� �52-� <br /> TENANT NAME y S � n�R <br /> I CONTACTNAME PHONE <br /> 5'i4iYE A� ow,c��L sqry� <br /> CONTRACTOR /'� _ ��Q pDORE53 <br /> CiL�] Z1P CONTR.UCEN9E M. . <br /> PHONE <br /> ^�.PrROPOSED USE OF BUILDINri �ullding MechBnicel Addlllon NEAT 80URCE <br /> a.c�'��G A��('T! CI�/ PERMIT � ) Combinellon R Plumbing WORK �Al�eretb� fl Eiectri� <br /> TYPE g Demolilion p Slgn TYpE New K oea <br /> Sprinklar Revelr/Maint. LJ Other <br /> CONTRACT PRICE OF WORK CfTY OF EVERETT LOCAL SALE9 TAX CODE 18 7105 <br /> WORK DESCHIPTION ��� ��� TO l�fjR� DF �[ISE OF Z <br /> 56�� <br /> PLUMBING MECHAN! ';AL <br /> NO. TYPE OF fll(TURE OR REM NO. TYPE OF Fl7(TURE OR ITEM <br /> _ WATER CLOSET _ q/C—A/HANDLING UNITS <br /> _ BATHTUB _ FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> _ SHOWER _ UNITHEATEqS <br /> _ KITCHEN SINK 8 DISPOSAL _ CIOTHES DRVER <br /> _ DISHWASHER _ RANGE HOOD <br /> _ LAUNDRY TRAY _ WATER HEATER <br /> _ CLOTHES WASHER _ METALFIREPLACE/STOVE <br /> _ URINAL _ FIREPLACE INSEHT <br /> _ DRINKING FOUNTAW _ QAS FIREPLACE <br /> I _ FLOOR DRAIN _ OAS RANOE <br /> _ BACKFLOW PREVENTER _ GAS PIPIN(3 <br /> _ SINK(SERV�CE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> _ OTHER <br /> _ OTHER <br /> I — - <br /> I HEREBV CERI7IFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO COFRECT. ALL <br /> INOOTVTHE GRAN NG OF A ERIM T DO S NOTEPRESUMEI O 6P E AUT}iOFITY TO VIOIATELOR CAINCEL THE ROVISION OF ANYEOT EH <br /> STATE Oti LOCAL LAW R'cGULATING CONSTRUCTION OR TFiE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS P�R TO PEFFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> T CTORS LA 8. W 96.200 <br /> r a wne onlract /Authonze gent e�e v� <br /> I t/a <br />