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� � <br /> ,— <br /> ��I�MIT APPLICATIOIV <br /> CITY OF EVERET7 NERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �r�e�.l d�, �-rr���� <br /> SITE ADDfiESS R L X I.Q.k PE IT x <br /> 51�9 EV�c�rV Wk`f .�te. �-� I �o�j�_��l <br /> LF-'GA LOT NO. BLOCK TRACT <br /> aesc. aDb—232-►9�d� <br /> OWNER AODRESS LP PHONE <br /> �tr�+`s-�-�n�c�—a-r��_��- � s� �.a�� m�� �s�o <br /> TENANTNAM � CONTACTNAME — -'— PHONE <br /> �DwF�2p �c�ES <br /> YY�.Sch�c� V�U�P�� R.���tt2JcJ1 -¢25-I��F3- 3Sy'� <br /> TCO(�NuTRACTOR Mc ADDRESS LP CONTR.LICENSEN <br /> PHI NE��. AJl4J S� (7� ��vc�l i3�-�-1 � a�� p�n� � Pr�e.� FN�qe� <br /> P.�el�e��e. c.� <br /> PROPOSED USE OF BUILDING fl Building �MeChaniCal yyyyyyyyy���(((���Addilion I HEAT SQURCE <br /> PERMIT K CPmbination Plumbing WORK �Alt�ration � Electric <br /> TYPE �j Demoli!ion Sign 7YPE New Gas <br /> LJ S rinkler iie air/Mainl. Olher <br /> CONTRpCT PRICE OF WORK � '���`Q� CITY OF EVERE7T LOCAL SALES 7AX CODE IS 3105 , <br /> L �JV <br /> WQRK DESCRIPTION � <br /> �V�,S�II� 2 5� a� (5l� .1e[�fers r�r, ra.c.�.cu-� <br /> PLUMBING MECHANICAI_ <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTUSiE OR ITEM <br /> WATER CLOS[T _ A/C–A/HANDLING UNITS <br /> _ BATHTUB _ FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> _ SHOWER _ UNIT HEATERS <br /> __ KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> _. DISHWASHER _ RANGE HOOD <br /> _ LAUNDRY TRAY WATER HEATER <br /> _ CLOTHES WASHER METAL FIREPLACE/STOVE <br /> _ URINAL _ FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN GAS FIREPLACE <br /> _ FLCOR DRAIN _ GAS RANGE <br /> _ BACKFLOW PREVEN?ER _ GAS PIPING <br /> _ SINK(SERVICFJBAR/MOP/ETC.) _ EXHAUST FAN <br /> ._ OTHER _ OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAhAE TO BE TAUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINFCES GOVERNING 1'HIS 1YPE OF WORK 6'�ILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE Ofl CANCEL THE PROVISION OF AhY OTHE <br /> I STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BY THE <br /> � OWNER OF THIS PROPERN TO�EFFORM THE`NOFK FOR WHICH APPLICATION IS MADE AND�COMPLY WITH THE STATE <br /> CONTRAC70RS LAW 18.27 RCW A(JD 296200 WAC. <br /> ' �� q.6�l,P�.l.lt� �l Q��oz <br /> Signature of Own Conlractor/Authorized Agent Date �r'� � / <br /> U" � <br /> `� z. <br /> �_ <br /> ` <br />