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MfiP.-2-20�u4 �9: 10 FROM: , T0�142525?9857 P.2 <br /> 1 <br /> PERMIT APPLIf�AT��.1N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVcRETT.WA 48201 <br /> 425-257-8810-FAY.425-257-885' <br /> SITE ADDRESS �t '' PARCEL TAX I.D.# PERNIT tI <br /> Zo3 Co� � � rt'v� D0�376 2SG/ �'�-� - �D`� <br /> LEGA LOTNO. BLOCK 7RACT <br /> DESC. <br /> OWNER ADUftE9S LP PMONE <br /> Dr 12ccGt�ic� �aGlvtSd� 2�3z C��hv �4z,� l�/ �1'"?� f76 - � <br /> TENANTNAME CONTACTFORP RMR PHONE <br /> ti�� ��.� ��� �1���� ���� qa«49� � ��7�� <br /> C� qH�r�qCT�Op � ADDRESS ZIP CQHiR.LICENSL ft <br /> W t'i�FL f/1� ��t2�`t c���QJ <br /> P�E 2��7� �b � /C � �l°4-f /�fQ'7/Q� <br /> PROPOSED USE OF BUILAING � BUllditlg Mechanical [�Addltlon kiEAT 90URC[ <br /> PERMI7 Com6ination �Plumbfnp WORK DQ Ailerauon D Eledric <br /> �q� �� TYPE Domolitlon Sign TYPE R New Gaz <br /> C� v���,• SprinkJtsr l..! Repalr/Maint ONcr <br /> CONTRACT PRICE OF WORK ��/r„Q� �� CITY Of EVERETT LOCAL SALE9 TAX COUE IS 7�05 <br /> V <br /> WORKDESGR�S��� �Vl �{'CJrr l�-CC'e. —( 7�f ����I (J <br /> � <br /> �c( �fi C�d�-�zv��' <br /> PLUM8ING MECHANICAI. <br /> N0. TYPE OF FIXttlRE OR ITEM NO., TYPE OF FIXtURE OR ITEM <br /> WATERCLOSET(TOILET) A!C-fUHANDLINGUNITS ^ 3 °f'o�, f <br /> BATHTUB FORCEDAIRSYSTEMS 'je�(�o`X'� <br /> IAVATORY(WASH BA31N) _ HFAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> KITCHEN SINK d DISPOSAL _ CLOTHES DRYER <br /> DISHWASHER _ RANGE HOOD <br /> LAUNDRYTRAY _ WATERHEATER <br /> CLOTHES WASHER _ METAL�=1REPlACFJSTOVE <br /> URINAL _ FIREPIACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FLOOR�RAIN GAS RANGE <br /> BACKFLOW PREVENTER Z GAS PIPING <br /> SINK(SERVICE/0AR/MOP/ETC.) _ EXHAUST F.4N <br /> OTHER _ OTHER <br /> I HEREBY CERITIFY THAT I IiRVE READ AND EXAMINED THIS APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. AlL <br /> PROVISIONS OF LA�YS AND ORIDINACL^u GOVERNING THIS TYPE OF WORK WIIIBE C01.1PLI[D WITH WHETHER$PECIFIE�NEREIN Oii <br /> NOT:THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATc OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAI lAW PEGULATING CONSTRUCTION OR THE PEftFORMANCE Of CONSTRUC'ICN. THAT I A�d AUTHORIZED 0Y THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH APPLICATION IS A1ADE AtJD I COMPLY Wlhi 7HE STATE <br /> CONTRAC ORS LAW 18 CW AND 296.200 WAC. �� <br /> t 2� <br /> Slg re wnerlContractndAuthoAz gent a!- <br /> DEBIT&CREDIT CARDS ARE N�JT ACCEPTED <br />