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l t <br /> PE�MIT APPLICATION <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 TAl(I.D.R ' PERMiT M I <br /> �a Co b ooy�'3a93o �aoo Bor�a-c,�c� <br /> LE(3A LOT NO. SLOCK TRACT / ^ A <br /> DESC. 'f- �? � ot �/ �fOhS F�rst fJaC ��'10✓1 <br /> D _VP_f2 <br /> OWNER ADDREY� aP XONE <br /> ��/en S�O r MO� /y�a Col�y r9v�. 9$�0� 42�-�iy� <br /> TENANTNAME I CONTACTNAME PHONE <br /> CONTRACTOR ADDRES9 aP CONTR.LICENSEII <br /> Ca�r l �arsen COn5'fruct�on,�n�, `�5�� GARttc= i6o�t/H <br /> PHONE Ya5 3 v 9'�7��/ /`�3� �Q('i/t e V� -Ual� /�k���e D <br /> PROPOSED USE OF BUIL71N0 Buildinp Mec:heniCel Additlon HEAT SOURCE <br /> PERMIT CombineNon R Plumbing WORK niteratbn RElectrk <br /> �0.f,��� TYPE Demolitlon D Sign TYPE � Nsw �j 6es <br /> Sprinkler Rs{�sirlMelnt. U OIMr <br /> CONTRACT PRICE OF WORK A�P r�x, ��, OC>D.� pT�'OF EVERETT LOCAL MLEY TAI(CODE IS J706 <br /> WORK DESCR�PTON � l <br /> �e.m a�� � �C i 5�T i Y1S c�c�..�:.a�� � GO n 5{�►^uUl <br /> neu� �a.rcL�e, n�x� <br /> PLUMBING ME HANICAL <br /> N0. TYPE OP 17XTURE OR ITEM N0. TYPE OF Fl)CTURE OR ITEM <br /> _ WATER CLOSET A/C—A/HANDLIN�UNITS <br /> _ BA7HTU8 RCED AIR SYSTEMS . . . � <br /> _ LAVATOflY(WASH BASIN) _ HE PUMP - � , <br /> _ SHOWER UNIT TERS <br /> _ KITCHEN SINK&DISPOSAL CLOTH� YFR <br /> _ DISHWASHER .� _ RANGE HOO <br /> _ IAUNDRY TRAY _ WATER HEATER �� <br /> _ CLOTHES WASHER _ METAL FIREPLACE OV��� <br /> _ URINAL �-" ~ �. _ FIREPLACE INSERT /' <br /> _ DRINKING FOUNTAIN �\ _ GAS FIREPLACE j <br /> _ FLOOR DRAIN. " \ _ GAS RANGE � <br /> _ BACKFLOW PREVENTER _ GAS PIPING: <br /> _ SINK(SERVICE/OAR/AAOPlETC.) �� _ EXHAUST�AN \ <br /> _ OTHER _ OTHEA' <br /> _ — "- `\ <br /> _ � <br /> � . <br /> 1 HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TFiUE AND COFRECT. ALL <br /> PROVISIONS OF LAWS AND ORID�NACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH NMETHER SPECIFIED HEREIN OR <br /> NCT. THE GRANTING OF A PERMIT DOES NOT PRF.SUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROYISION OF ANY OTHER <br />� STATE OR LOCAL LAW PEGUTATING CONSTRUCTIUN OR TNE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERIY TO PERFORM THE WCRK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH h;E STATE <br /> CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> Signature o OwnedContractodAuthorized Agent ata 1/eti <br />