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/ <br /> F�=RMIT APPLICATI(� N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425•257-8810- FAX 425-257-8857 <br /> SI7E ADORESS yU� Oi PAqCEL TAX I.D.• <br /> PERMIT N <br /> �3 Gv. S/ O 2 p o.2b ,7-O�S <br /> LEOA LOTNO. BLOCK TRACT � <br /> DESC. <br /> OWNER ADDRESS <br /> bP PHONE <br /> ��L�rnlG. Ca. , /?a Ro�l 3�0� M�S ou -I�� ��n E w� 9�'lzy sJar 2(6 3s( ? <br /> TENANT NAME I OFlTACT NAME <br /> n PHONE <br /> (�o��rlG. L.Ea/V�¢�9 �5r[sh�o2,s�=1 <br /> CONTRACTOR ADDRE88 yLJ=ZL 6 -?t i? <br /> /1d�L�y ��R� nP CONTq,UCENtE/ <br /> PHONE <br /> PROPOSED USE OF BUILDINO I 8ullding MechenlCal <br /> Additlon HEAT SOURCE <br /> PERMIT Combination � plum6in8 1MONK �Ape�atbn <br /> O(r�(C� TYPE Demolitlon D Electrk <br /> Sprinkler 5�9� IYPE Naw U Dae <br /> Hepalr/Maint. U Other <br /> CONTRACT ppICE OF WORK CfTY OF EVERETi LOCAL 8ALE8 TAJ(COOE IS�106 <br /> 3r ooa <br /> WORK DESCRIPTION <br /> ����c.t�r /L�CF�2R-A�G�,rnn c.rN7' (/U iS�+ 51= � <br /> PLUMBING MECHANICAL <br /> NO• TYPE OF Fl7(TUpE OR 1TEM <br /> NO. T1'pE OF flXTUpE OR ITEM <br /> _ WATERCLOSET _, q/C—A/HANDLINGUNITS <br /> _ BATH7UB _ FORCED AIR SYSTEMS � <br /> i _ LAVA70RY(WASH BASIN) _ HEAT PUMP <br /> _ SHOWER _ UNIT HEATEFS <br /> I _ KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> ._ DISHWASHER ; <br /> _ LAUNDRY TRAY — �NGE HOOD � <br /> � _ CLOTHES WASHER — WATER HEATER <br /> _ URINAL _ METAL FIREPLACE/STOVE <br /> ; _ DRINKING FOUN7AIN _ FIREPLACE INSERT <br /> ; _ FLOOR DRAIN — QAS FIREPLACE <br /> _ BACKFLOW PREVENTER — QAS RANOE <br /> ' _ SINK(SERVICEIBAH/MOP/ETC.) — QAS PIPIN(3 <br /> _ OTHER _ EXHAUST FAN <br /> _ 07HER <br /> �_ <br /> i <br /> : I HEREBY CERITIFY THAT I HAVE HEAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COHRECT. ALL <br /> . PROVISIONS OF LAWS AND ORIDINACES GOVEFNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETIiEq SPECIFIED HEREIN OH <br /> NOT. THE GRANTING OF A PERMIT OOES NOT PqESUME TO OIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION Oti TIiE PERFORMANCE OF CONSTqUCTION. THAT I AM AUTMORIZED BY TNE <br /> OWNEH OF THIS PROPERTY TO PERFOqM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> ICONTRA� C�1�.Z�W AN/�WAC. <br /> �� 7//�d'L <br /> i ��re o wner/ antraclop ulhonzed genl ale �/ <br /> � �/Z <br /> I <br /> r <br />