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I�cRMIT APPLICAT�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 9E201 <br /> 425457-8310— FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.N PERMIT M <br /> - Z- - Z ��'�� 5o3c5-cso� <br /> LEGA LOT NO. 9LOCK TRACT <br /> DESC. <br /> OWNER ADDRESS 21P PMONE <br /> ���A � ,r� / �� � �� e �S� S� �.����a�o- 3 �.�9� <br /> TENANTNAME I CONTA ME PHONE <br /> COM�` pp/�CJ N YO�I %Ow /�.ri/I�GY,�/f'/�vu.�c..�� ZIP C��/O�7�D� <br /> N" /,�,� / 1 p <br /> PHON(.�"Ia� J�'I S�� !��"((.cKi�CYO �� -/� <br /> PROPOSED USE OF BUILOING � Building �"') MeChenlCal Addition HEAT SOURCE <br /> PERMIT Combination n Plumbing WORK Alleration R Electric <br /> TYpE Demolitian io�Sign TYPE New �,] Oaa <br /> Sprinkler RepaiuMaint. U Other <br /> CONTRACT PRICE OF WORK �� p�i�� CfTY OF EVERETT LOCAL SALES TA%COOE IS 3106 <br /> iI Y <br /> WORK�ESCRIP710N / / / / /J �� �� �c � <br /> �Z ��l��( G7OL�c'�E' TCC C�l( /��� ��//LllN�lf�'PGY �/zc� cS/c�[i1 <br /> cJ <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR REM N0. TYPE OF flXTURE OR REM <br /> WATER CLOSET A/C—A/HANDLING UNITS <br /> BATHTUB FORCED AIF SYSTEMS <br /> I _ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> , KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> � _ �ISHWASHER _ RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> I _ CLCTHES WASHER _ METAL FIREPLACE/STOVE <br /> URINAL _ FIREPLACE INSEAT <br /> � DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK (SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFY THAT 1 HAVE FEP,O AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECf. ALL <br /> PROVISIONS O�LAWS AND OFIDINNCES GOVEFNING THIS TYPE OF WORK WtLL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> � NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW FEGUTATING CONSTRUCTION Ofi THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTFACTOfiS LAW 18.27 RCW AND 296.200 WAC. <br /> Q�- c�e � ��-�3 <br /> � Signature of OwnedCont todAuthonzed P.gent Date � <br /> 'lz <br />