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PE'r�MIT APPLICATIOi� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 /�,,�rn�J�. ��� <br /> J <br /> SITE ApDRESS -, PARCEL TAX I.D.� PE�t7 �� <br /> 4Q,`1,q �' r�r1 `�.'t�I�tt <br /> LEGA LOTNO. BLOC TRACT <br /> DE_� <br /> OWNER AOORESS / ZIP PHON <br /> ��n Co �1r�lx.�� 1�3�o �, Cr.e�k ��11 u�•. Ct�o� � ` ' ��a -9 Yo <br /> TENAPIT NAME CONTACT NAME�6U PHONE <br /> S�vQs�-anrn rin , 1�an ���- �I�(��- <br /> CONTRAC OR /�, � � ADORESS n ZIP CONTR.LICENSE N <br /> PHO�`�'.,`� l-�C1-�� �r C� S��� � ^J� 1 l� ��K��-�-C75��L <br /> �-�3-?1'7a.-�"b�o� C��..11���n �s� cl�c�I <br /> PROPOSED USE OF BUILOING Bll'lldif7] �Mechanical Addilion HEAT SOURCE <br /> PERMIT B Combinalion Plumbing WORK�Ileralion �lectric <br /> TYPE D Demolilion Sign TYPE New as <br /> U Sprinkler RepaidtdainL Other <br /> CONTRACT PRICE OF WORK '�� U,'1 CITY OF EVERETT LOCAL SALES TA%COOE IS 3105 <br /> LJ <br /> WOflK DESCRIPTION ,�.���1 Cy�� 5-�1 ��yLf,��,\,.� _l ���lu�i_ �cJ <br /> v< <¢ C�.C,C� <br /> (�%�soc , cG-�c..��l� . <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE Ofi ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATEA CLOSET I A/C —AlHANDI.ING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY (WASH BASIN) HEAT PUMP <br /> � _ SHOWER _ UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> I = DISHWASHEF _ RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACElSTOVE <br /> URINAL FIREPLACE INSERT <br /> i DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> _ BACKFLOW PREVENTER I GAS PIPING <br /> SINK (SERVICE/BAR/MOP/ETC 1 0� EXHAUST FAN <br /> OTHER _ OTHER <br /> I HEREBY CERITIFY'HAT I HAVE FiEAD AND E;(AMINED THI.S APPIICATION AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br /> PROVISIONS OF L:1W5 ANU OFIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPf.IED WITH WHETHER SPECIFIED HEPEIN OR <br /> NOT. THE GRANTING OF A PE!�iMIT�OES NOT PFESUA1E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> S7ATE OR LOCAL LAW FEGU:ATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OVJNE F THIS PROP TY TO PERFORM THE WORK FOR WHICH APPLICATION IS h1ADE AND I COMPLY WITH THE STATE <br /> , C T CTORS W . F�W AND 29fj2Q0 WAC. <br /> , ' . \� <br /> 5' nat re o wne ontr� t r Aulh,u�i ez d Agent Date �/ <br /> ( l�i <br />