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'� `ER�IIIIT APPLICA� . �N � <br /> 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.# P MIT a <br /> �53a ��I1 - � �✓ (aa - G�.3 <br /> LEGA LOT NO. BLOCK TRACT <br /> DESC. s'� S <br /> OWNER ADORESS ZIP PHONE <br /> CHbu(� Y �o0 2_k7�� 33"�' � � St�� !,� C�,���� <br /> TENANT NAM11E CONTACT NAME HONE <br /> M�G�� b2r��� I �'02 �� JZoNHovb� 4Zs l�b-o5a� <br /> CONTRACI'OR ADDRESS ZIP CONTR.LICENSE N <br /> PHONE �!-i.Ji ��/ /������%C-/,.C�CO� <br /> PROPOSED USE OF BUILDING Building Mechanical Addiiion NEAT SOURCE <br /> F��;— ��—yyi� PERMIT Combinalion � Plumbing WORK B Alteralion n Electr�c <br /> �C�� . /"�IJ� � TYPE Demolilion Sign IYPE R New r5 Gos <br /> ��//;J/l,/�/V J Sprinkler V PopaiNF.tainl. ���Other <br /> CONTRACT PRICE OF WOFiK ����� CITY OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br /> LYORK DESCpIPT10N <br /> j Z oS S� /NT�+�e./o2 i�a���v7' /MP2v✓c,7r�c:�x-f� Co�v VE�i <br /> eu22�-�.r� u�lc.�� epA� 70 �z�s1"���xr�` <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF F�XTURE OR ITEM N0. TYPE OF Fl%TURE OR ITEM <br /> WATERCLOSET _ A/C—AlHANDLINGUNITS <br /> BATHTUB _ FORCED AIR SYSTEMS <br /> I LAVATORY(WASH BASIN) � _ HEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> TCHEN SINK 8 DISPOSAI _ CLOTHES DRYER <br /> I _ DI WASHER _ RANGEH000 <br /> I _ LAU FIY TRAY � WATER HEATER <br /> _ CLOTH WASHE _ METAL FIREPLACE/STOVE <br /> _ URINAL _ FIREPLACE INSERT <br /> � DRINKING F NTAW _ GAS FIREPLACE <br /> � FLOOR D N _ GAS RANGE <br /> BACKF W PRE NTER _ GAS PIPING <br /> SIN E V CE/B M /ETC.) _ EXHAUST FAN <br /> � O ER /J _ OTHER <br /> � <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND C�RRECT. ALL <br /> PROVISIONS OF WWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE C01.1PLIED WITH WHEfHER SPECIFIED HEFEIN OR <br /> NOT. THE GRANTING OF A MIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIO:ATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE UR L L LAW R U TING CONSTRUCTION OR THE PERFORAIANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE i <br /> OtVNE S PF PE TY O ERFORM THE WORK FOii WHICH APPLICATION�S MA�E AND I COMPLY WITH THE STF,TE <br /> C0� S LA 1 .27 ' D 296.20016AC. <br /> �" � dS o� <br /> Si e ol wn nComractonAuthonzed Agem ate n� <br /> I`L7 <br />