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�£RMIT APPLICAT�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STAEET, �1/ERETT, WA 98201 <br /> 425-257-8810-FAX 425-257-8857 <br /> SITE ADDRESS A PARCEL TAX I.Q.A� P�R MR x J� <br /> 1,L `eZ0 �`1IL► N �0. # Tt I �JJGZ'DI(l <br /> LEOA LOT N0. BLOCK TpACT <br /> DESC. 1 � 3 <br /> OWNER �M/_ LF Il1 ADDRE88 aP MWNE <br /> V` <br /> lS(ov _ �do �tve �G "# tao ��IIR�,tio.., � �goo� 4h-Sb2_ �oiS1 <br /> TENANTNAME nCONF.CCTNAME P ONE <br /> P�" n!aw. C��a c� I 0 �a,'�' 1�1 � G. �0 6 - 3 6l . S��s R <br /> cLw. k4c <br /> CONTqACTON '�'R���� IrS�a(I s,SN AODRE�O EV�.�.y�,¢.� W}�,.� aP ��.UCENSE� <br /> PHONE o1��f - B S I - 6 �Z � L <br /> GUNa�� �A � s 10 <br /> PROPOSED USE OF SUILDING Building Mechanical (�} Additbn HEAT SOURCE <br /> PERMR B Combinatbn � Phimbing WOHK D ANeratlon I7 Elecvic <br /> TYPE � Demolidon Sign 7YPE � New D (� <br /> Sp�inkler RspaldMeint D Olher <br /> CONTRACT pq�CE OF WOHK LYTY OF EVERETT LOCAL SALES TAl(COGE IS 9106 <br /> WORK DESCRIPTION =^S�a�� n f �d-,L S �'S N A P�� . 1� � � <br /> �• l \il O '►T <br /> PLUMBING MECHAWICAL <br /> NO. TYPE OF FlXTURE OR ITEM NO. TYPE OF FlXTURB OR ITEM <br /> _ WATERCLOSET _ A/C-A/HANDLINCiUNITS <br /> _ BATHTUB _ FORCED AIR SYSTEMS <br /> __ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> _ SHOWER _ UNIT HEATERS <br /> I _ KITCHEN SINK&DISPOSAL _ CLOTHES DRYER <br /> _ DISHWASHER _ RANGE HOOD <br /> _ IAUNDRYTRAY _ WATER HEATER <br /> _ CLOTHES WASHER _ METALFIREPLACEJSTOVE <br /> _ URINAL _ FIREPLACE INSERT <br /> _ DRINKINCa FOUNTAIN _ GAS FIREPI.ACE <br /> _ FLOOR DRAIN _ GAS RANCiE <br /> _ BACKFLOW PREVENTER _ GAS PIPINQ <br /> _ SINK(SERVICEBAR/MOP/ETC.) _ EXHAUST FAN <br /> _ OTHER _ OTHER <br /> —i — <br /> �I <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPUCATION AND KNOW THE SAME TO BE TRUE AND C09RECT. ALL <br /> PROVISIONS OF U1WS AND ORIDINACES dOVERNINO THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER gpECIFlED HEREIN OR <br /> NOT. THE GRANTNG OF A PERMIT DOES NOT PRESUME TO OIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATINO CONSTRUCTION OR THE PERFORMANCE OF CCNSTRUCTiON. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERN TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CON ACT RS LAW 27 RC AND 296200 WAC. <br /> � � i � � � <br /> Sic�nature o wneN ontractar/Authonzed Agent e e �/� <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br />