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l <br /> PERMIT APPLICATION i <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.N P IT a <br /> 4�30 EVs��� w�1•.� C�3d/��"L <br /> LEGA LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADORESS Z1P PHONE <br /> /U,yL�I�.rESr �t.1iL,5-cR 15H�� <br /> TENANT NAME CONTACT NAME PHONE <br /> l�o(���5% !t'1 ►TSc�a�S/�� I �C.Fi= &��Ei� (360) 79y—�fY79 <br /> CONT ACTOR ADDRESS ZIP CONTR.LICENSE M <br /> �1'ou� N�o� i�, �. 9eoo lf�g��. ►�� a� ftPou.,.,�o4ya0 <br /> I PHON�y25) 3y9 - soyy ,M�K«� , wA , 982�5 <br /> ! PROPOSED USE OF BUIL�ING Building n Mechanical Addition HEAT SOURCE <br /> i PERMI7 RI-( Cumbination �_�Plumbing WORK Altarelion R Electric <br /> TYPE �j Demolition RQ Sign TYPE New �j Gas <br /> U Sprinkler RepairR�taint. L� Other <br /> � CONTRACT PRICE OF WOR 2o OO V CITV OF EVERE7T LOCAL SALES TAX COOE IS 3105 . I <br /> i WORKDESCRIPTION 'N.,��` �)/ �.4� l���uS � (NONUMbuT S�G/-� rpNU �(� (�I.ON SrG N <br /> •f <br /> PLUMBING MECHANICAL <br /> INO. TYPE OF�IXTURE OA ITEM NO. TYPE OF FlXTURE OR ITEM <br /> I _ WATEP. CLOSET _ A/C-A/HANDLING UNITS <br /> BATHTUB FORCED Alfi SYSTEMS <br /> I _ LAVATCRY ('NASH 8.4SIN) _ HEAT PUMP <br /> SHOWER UNIT HEATEFS <br /> KITCHEN SINk 3 D�SPOSAL CLOTHES DRYER ' <br /> = DISHWASHER RANGE HOOD 7 �y �"` <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE � <br /> _ URINAL FIREPLACE INSERT `j �� <br /> DRINKING FOUNTAIN _ GAS FIREPLACE <br /> = FLOOR DRAIN GAS RANGE (��/I"� _ L' <br /> BACKFLOW PREVENTER _ GAS PIPING � ` ' !;' <br /> SINK (SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN }� <br /> _ OTHER _ OTHER <br /> i — — <br /> � — — <br /> I <br /> � I HEFEBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 6E TRUE AND CORRECT. ALL <br /> � ^POVISIONS OF L1WS AND ORIDINACES GOVEflNING THIS IYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> I NOT. THE GRANTIMu OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> I SiATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OP CONSTRUCTION. THAT I AM AUTNORIZED BY THE <br /> iOWNER OF THIS PROPERTY TO PEHFURM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITN THE STATE <br /> CONTRA TOFS LAW 18.2 GW AND 296.200 WAC. <br /> ' ���rr� � ,l �lq�o3 � <br /> Sig�o�oWnedCo raa Authonzed Agent Date �L <br /> � �J <br />