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1 <br /> � PERMIT APP��CAT�UIV <br /> � CITY AF EVERETT PERMIT SERVIGES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �e rqr t� <br /> 425-257-8810— FAX 425-257-8857 r 1 <br /> �����I� / <br /> SITE ADDRESS PARCEL TAX I.D.x PERMiT M <br /> �'o��: �'`6 M ozas -�� <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER AUDRESS ZIP PNONF <br /> �L�l"ScR'v9l�i�.91L� <br /> TENANT NAME CONTACT NAME PMONE <br /> ScAR�ic c os �i2�.✓� I GaCl���S �yls) 3i� - 6�/99 <br /> CONTRACTOR ADDRESS ZIP CONTR.UCENSE M <br /> �7L(�'Re�r s?.S.l�r�E�'/IZ /�/ E. �iti.rE Uie3✓ ,O/l. EUEti GSSo�ZoT <br /> PFiONE <br /> �s� - 3ir5� <br /> PROPOSED USE OF BUILDING I Building f"1 Mechanical Atltlition HEAT SOURCE <br /> PERMIT RI....( Combination �Piumbing WORK Al�eration Eiectric <br /> TYPE G..,� DemoliUon �� Sign IYPE �ew �Gas <br /> �f� U �prinkler L.� qepair/Mainl. L��Other <br /> CONTRACi PRICE 6F WORK Lis-.O � , C�TY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 7 <br /> WORK DESCRIPTION <br /> G�s .ai���� � �.��s� .q��� . n1.�o ��n��� <br /> ,� �i <br /> l , ' PL�IMBING—4 %< < ' ` ' "' MECHANICAL <br /> NO. TYPE OF FlxTURE OR REM N!i. TYPL OF FlMURE OR ITEM <br /> WATER CLOSE' A/C—A/HANDUNG UNITS <br /> BATIiTUB _ FORCED AIR SYSTEMS <br /> LAVATORY(WASH f3ASIN) HEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> KI7CHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> _ DISHWASHER RANGE HOOD <br /> LAUNGRY TRAY Z WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL _ FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> _ FLOOR DRAIN GAS FANGE <br /> _ BACKFLOW PREVENT�R �� GAS PIPING TOi74L <br /> SINK(SERVICE/BAR/MOP/ETC.) E:(HAUST FAN <br /> _ OTHER _ OTHER <br /> I NEREBY CERITIFY THAT I HAVE READ AND EXAMINED THI.�APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIOMS OF l,1WS AND ORIDINACES GOVERNING TH�S T'PE OF WORK WILL BE COMPLIED WITH WHEfNER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOR�TY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OF LOC W FiEGUTATING CONSTRUCTION OR THE PERFORMANCE OF CONSTPUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER IS P PERTY TO PEAFORM THE WORK FO�6YHICH APPLICATION IS MAOE AND i COMPLY WITIi THE STATE <br /> CON CTORS W 18.27 RCW AND 296.2 AC. <br /> ` S-/� ' d�� <br /> Signature ol wnerlCoNractoUAuthonz Agent Date <br /> ;�Y'\ �f��:i ���, (...^ <br />