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I�RMIT APPLICATl�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.1 PERMIT M <br /> o i cd 1 , rnoaio-a3s- <br /> LEGA LOT 0. BIOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PNONE <br /> ��-, ��os��� io i� ��J�Y �e qf��( yZ�zs�-6�G� <br /> TENANi NAIdE �. I CONTACT NAME PMONE <br /> CONTHACTOR ye1 ADDRESS ZIP CONTR.LICENSE N <br /> PHONE (�Z -�i 'YZZ Y-7 VU <br /> PROPOSED USE OF BUILDING Euilding I") Mechanical Additlon MEAT SOURCE <br /> n PERMIT � l:ombination H Plumbing WORK B Alleralion � Electric <br /> KPS��lc TYPE Demolition LJ Sign 7YPE D New Gas <br /> Sprinkler U AapaidMeint. Other <br /> CONTRACT PRICE OF'NOAK �Z���: CITY OF EVEHETT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION "� <br /> �(�� �P � LbM✓C✓finh � D� 1 /Gqs � <br /> n�Q.� L��-�f �e0��/P S`�/� T� 1 ��'JfC GIP�IIKN�PS <br /> l � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FlHTURE OR ITEM <br /> � WATERCLOSET A/C-A/Hl+NDLINGUNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAI CLOTH'�ES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WAT'=R HEATEF <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GF,S FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> _ BACKFLOW PREVENTER rj� F;AS PIPING <br /> _ SINK (SERVICE76AR/MOP/ETC.) '_XHAUST�F7A�N <br /> OTHER � OTHER ��n -C r <br /> — I . <br /> I HEREBY CERITIFY THAT i HAVE READ AND EXAMINED THIS APPLICATION ANU KNOW THE SAME TO BE TRUE ANO CORRECT. ALl <br /> PFOVISIOVS GF 11+WS AN�ORIDINACES GOVERNING THI6 TYPE OF WOFK WILL BE COMPUED WITH WHETHER SPECIFIE�HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT�OES NOT PRESUME TO GIVE AUTHORITf TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> S7A7E OF7 LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTMORIZEO BY THE <br /> OWNER OF THIS PROPERN TO PERFOPM THE WOF,K fOR WHICH APPLICA i ION IS MADE AND I COMPLY WITH THE STATE <br /> CONFAA S W�8. W AND.296.200 WAC. <br /> � `� � �d�z�rl�o�z � <br /> Signawre �vnedContraclor thonzed Agent ate <br />