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PERIVIIT APPLICATIOnI <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-?_57-8857 ' <br /> SITE ADDRESS PARCEL TAX I.D.M PE MIT x <br /> G D Ca�Sy /�VFi'/�� Q3 ( - 439 •�i7 -Daol —�.� <br /> LEGA LOTND. BLOCN THACT <br /> DESC. �7� l8�/Y Z� '�j' Pa�� o� eu�f�r� <br /> OWNEF ADDRESS ZIP PHONE <br /> ,�Y�f�E(I n�eks � ��. oo�r bOZ IE l�Jlllf�Gf[6, Bu�D. �v,ERErt, 98�3 �zS-z5t -637G <br /> TENANTNAME CONTACTNAME PHONE <br /> �vER�ir f,�r�rs q Rc� �,rrr i��c �-�+us,��N 42S- ts7-B378 <br /> CONTRACTOH . �� AUDRESS ZIP CONTR.LICENSE N <br /> PHONE �! `I� �I '' " U ��� <br /> PROPOSED USE OF PUiLDING I Duild�ng f�Mechanical , Addition HEAT SOURCE <br /> �7"f O�f�� � i �rr,v� N�i� PERMIT Combinalion rJ Plumbin WORK nueration Eiectric <br /> 1I � J e � <br /> OCIu('/FNCY Ndi ia Kx4ri�L ?) �PE Demolilion t� Sign Tvre • New Gas <br /> Sp�inkle� Repair/Mainl. Other <br /> CONTHACT PRICE OF WORK CITY OF EVERETT IOCAL SALES TA%COOE IS 3105 <br /> WORKDESCRIPTIDN �r��IyTRGCr �{/yNQ/Lil�� d /f/�P �R�NOfi,�1L5 j0 /rX�Sr ST/��R "'� '2(9. ri,f' <br /> �O N5 rP 4�r N�✓ Jf MJ01 U}('l� R�5 j Ko0�+1 I rv �X 15 t �fi iel�Fy�F, �G�1,eAE� K�rtNkN <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FIXTUHE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> ATER CLOS[T A/C—A/IiANDLING UNITS <br /> � B THTUB FORCED AIR SYST�AhS <br /> {_ LA TORY(WASH �ASIN) HEAT PUMP <br /> SHO R 'Z '� ITHEATEAS <br /> � KITCH SINK 8 DISPOS _ CL THES D ER <br /> � v DISHWA ER _ RA HO D <br /> LAUNDRYi AY WATE ATER <br /> CLOTHES WA H META EPLACE/STOVE <br /> URINAL FIR AC NSERT <br /> DRINKING F N IN G FIREP E <br /> FLOOF D IN AS RANGE <br /> BACKF 'PREVE ER GAS PIPING <br /> SINK ERVICE/9AR/ PlETC.) EXHAUST FAN <br /> _ OT R OTHER <br /> � • <br /> I I HERE87 CERITIPY THAT i HAVE RC-AD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl <br /> PROVISICNS UF LAWS AND ORIDINACES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OP <br /> IJOT. THE GRANTING OF A PERI.�IT DOES 1JOT PRESUME TO GIVE AUTNORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW PEGUTATING GONSTRUCTION OR THE PERFOFMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWIJEF OF THIS PROPERTY TO PERFORM TN[WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONT(iAC O LAW 7 27 RCW AND 296.200 WAC. <br /> ���� _� �- � -z2- o3 <br /> Signature ol O�edContractor,'Authonzed Agenl Date � <br /> Z <br />