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� � � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVER6TT, WA 98201 <br /> 425-257-8(310- FAX 425-257-8857 <br /> SITE ADDRESS ? 7 3 0 C.d L 0� A v c ppRC'cL 7AX�.D.# P�MIT# <br /> �v�=Z..; 7r w•4 9rzo� oucFll3uu3u � 7oo )�-� <br /> LEGAL LOT NO. OLOCK TRACT <br /> UGSC. ' <br /> OWNER ADORESS ZIP PNONE <br /> CN Un �, C, ft-r.�•-i L�G 3Y,}0 Cu� 6y n � Ev��-,-�� wn 9 PZv 1 <br /> TENANTNAME CONTACTNAME <br /> / PHON[ <br /> fLtiti-� Gia ��.rc 2ti,r._. G�., uk.� . ! 4�L5� ZS 'l - � � 7 � <br /> CONiRACTOR H ���i+ ,.-10RTN✓cS`( ADORESS ZIP CONTR.LICGNSEp <br /> PHONE • �L�ti l�N 1 �11�( J � <br /> �LCc� 6ZS� Sioo �Z7 S `iCT�, 5�. S� � Tc.�=_ �ra. tt �5 � �3 <br /> PROPOSHO USE OF BUILDING Building Mechanical Addition HEAT SOURCE <br /> PERMIT � Combinalion�Plumbing WORK � Alterahon Elcaric <br /> DFN.�,4L p�FiC� TYPE Demolition Sign IIYPE New R�-{ Gas <br /> Sprinkle� RepairlMaint. I IJ OtM1cr <br /> CONTRACT PRICE OF WORK ,�� !.�r a�C C CI7Y OF EVERETT LOCAL SAL[S TAX CODE IS 3705 <br /> -1 7 J <br /> WORK DESCRIPTION <br /> rlh+. uFnGz�•t�G r( �.�5-rnaL Ov SE7 UF tVorv- i �.�uh�i�.n�,; > <br /> C A-S T ��. ✓t-<< ,.-.u H l.E.rT'z �.�5 tZeisq��G : <br /> �i ���.ti.7�Si�Z�� (-tr� Lc�.L7r+�K �� �� ILY^.--i Ct1v •�--eG� D . O.S_�i <br /> PLUMBING MECHANICAL <br /> NO. TYP[OF FIXTURE OR ITEM NC. TYPE OF FIXTIIP,�OR ITEM <br /> _ WATERCLOSET NC-NIIANDLINGUNITS <br /> _ LAVATORY(WASH BASIN) _. fORCEO AIR SYSTEMS //I ��� <br /> � SHOWER _ HEAT PUMP / <br /> KITCliGN SINK&DISPOSAL _ UNIi IIEATERS ' A � I <br /> DISIi11'ASHER _ CLOTHES DRYER ��� 3 <br /> LAUNDRY TRAY — �+NGE I100D <br /> CLOTHES WASHER _ �NATER HEATER �� - <br /> URINAL _ METAL FlREPLACE/STOVE <br /> DRINKING FOUNTAIN _ FIREPLACE INSERT <br /> FLOOR DRAIN _ GAS FlREPLACE , <br /> BACKFLOW PREVENTER _ GAS RANGE / , <br /> _ SINK(SERVICE/8AF2/MOP/ETQ = GAS PIPING (� <br /> OTHER � _ EXfiAUST FAN \ h� <br /> _ OTHER - " { <br /> _ _ � nr}, <br /> 6' <br /> I HEREDV CERITIFYTHAT I HAVC READ AND EXAM1IINLD THiS APPLICATION AHD NNOW THE SAME TO OE TRUEAND CORR[CT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVfR��ING TFIIS TYPE OF WORK 1h'ILL OE COMPLI[D WITN lh'H[THCR SP[CIFlE�H[REIN OR <br /> NOL THE GRANTING OF A PERIdIT DOES NOT PRBSUI.IE TO GNG AUTHORITY TO VIOII�T[OR CANCEL THE PROVISION OF ANY OTHEfi <br /> STATE OR LOCl�L LAW R[GUTATING CONSTRUCilO1J OR THE PEHFOR6IANCE OF CONSTRUCTION. THAT�Ah1 AUTHORIZED BV THE <br /> ON✓NER OF THIS PROPERTY TO PERFORAI THE WORK FOR WHICH pppLICATION IS ldADE AND I COh1PLY WITH TH[ST�iE <br /> CONTRACTORS LAV�1R.27 RCW AND 2�JG200 WAC. <br /> �� ��- � <br /> �of Owr�nlractor/Authon�ed Agent Date `/ <br /> 'j` � <br />