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P�RMIT APPLICATIC .� <br /> GiTY OF EVERETT PERMIT SERVICES <br /> 320� CEDAR STREET, FVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 i <br /> SITE ADDRE3S �y PARCEL TAX I.D. li PERMIT M / <br /> �/ � Fd« /r�� �A/ �/o `� � � ob/00 ��10 - �� <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS LP PNONE <br /> � P��c� �ra �r� G��N `�? r 7v� —7963 <br /> TEN T NAM CONTACT NAME /' PHONE <br /> G .S'rr� hl�iL� I �9 � /r S,�r �-�� 72� — �''f(r _ /S2 <br /> C01 RACTOR ADDRESS ZIP CONTR. LICEIaSE N <br /> f�8�✓e r�E ,P.r,,,. �i�.� N�rfr9 d� ���Pj,�g�e <br /> PHONE <br /> pr� �s� k �s�- �s- - �� yssYo �6ovg;ePx� oB <br /> PROPQSED 'JBEOF�UILDING BUilding D MeCheniCal Adtlitiun HEATSOURCE <br /> PERMIT R Combinetion �aLPlumbing WCI1K�Alleration Sfa Electric <br /> TYPE D Demolition "p'Sign 7YPH New K Gas <br /> D Sprinkler ' Repa CMainL V Other <br /> CONTRACT PqICE OF WORK Q S .J V CfTY OF EVERETT LOCA�SALE�-;.w CODE IS 3105 <br /> !/ <br /> WORK DESCRIPTION n <br /> G/)S ��� /nC �/r jj -- „Cd0 /�t <br /> � �� ' <br /> l <br /> S, h l�s > <br /> IPLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR REM NO. P,'PE OF FIXTURE OR REM <br /> I ,_:� VVATER CLOSET _ NC —A/HANDLING Ut�ITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> I � LAVATORY(WASH BASIN) _ HEAT PUMP <br /> I ._ SHOWER _ UNIT HEATERS <br /> � KITCHEN SINK 8 DISPOSAI. _ CLOTHES DRYER <br /> _ DISHWASHER RANGE HOOD <br /> I _ LAUNDFY TRAY � WAT cR HEATER <br /> � _ CLOTHES WASHER METAL FIREP;ACE/STOVE <br /> I _ UFlINAL FIREPLACE iNSERT <br /> i DRINKING FOUNTAIN GAS FIREPLPCE <br /> i .� FLOOR DRAIN � GAS RANGE �I' <br /> _� BACKF�OW PREVENTER GAS PIPINC <br /> � SINK(SERVICE/BAFUMOPlETC.) EXHAUST FAN <br /> � _ OTHER _ OTHER <br /> I — <br /> � _ — <br /> I HERE6Y CEFITIFY THAT I HAVE READ AND E?CA(dINED THIS APPUCATION AND KNOW THE SAME TO BE TqUE AND COFRECT. ALL 'I <br /> IPROVISIONS OF LA WS AND ORIDINACES GOVERNING THIS 7Yf'E OF WORh WILL BE COMPLIED WITH WHETHEfl SPECIFIED HEREIN Oq I <br /> NOT. THE GRANTING OF PERMIT DOES NOT PRESUME TO GIVE AUTHpqITY TO VIOLATE OR CANCEL THE PFOVISION OF ANY OTHEfi <br /> STATE OR LOCAL LAW GU G CONSTRUCTION OR THE PERFURMANCE OF CONSTRUCTIOtv. THAT I AM AUTHORIZED BY THE <br /> IOWNER OF THI R O P[RFORM THE WORK FOR WHICtI APPLICATION IS MADE AND I COMPIY WITH THE STATE � <br /> CONTRACTO LA . 7 RCW AND 296.200 WAC. <br /> ' /� y V� <br /> SignaWre o nei/ContractodAuthorized Agent Cate <br /> ; , a� D <br /> � <br /> � <br />