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� ^RMIT APPLICA�t .,)N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.N P6AMIT K <br /> 4332 Fo U� �x��t4�1�Mc�ozoo400 COo'l('IS-D� <br /> LEGA LOT NO. BLOCK TflACT <br /> oEsc. y. -Z �e -r �ae-� ADP <br /> OWNER ADURESS 7JP PHONE <br /> ku zcE3 6�t-F� <br /> l7a.1 � �lva.we �AMPI 433Z F'oeEST D� Ev�wA 98Za3 YZS z.2o3S3� <br /> TENANTNAME CONTACTNAME PHONE <br /> � <br /> o.�N c-e 7� i �-zs � zo 3s3► � <br /> CONTRACTOR i/�.�..`. 1 DDRESS . NSE N <br /> � '•Y'qGl CC.iI/ <br /> � '�� �f�Z'7 D <br /> PHONE �.1 <br /> � W �P-j�Yi c`� (.0� <br /> PROPOSED USE OF BUILDING Buliding 5� MBCheniCel Addition HEAT SOURCE <br /> r��5`D��E PERMIT �Combination H Plumhing WORK � Alteration � Electric <br /> K TYPE Demolition LJ Sign TYPE New Ges <br /> Sprinkler Repair/Meint. Other <br /> CONTRACT PRICE OF WORK ��7 iJ�'i� _ CITY OF EVERETT LOCAL SALES TAX CO�E�S 3105 <br /> /GO <br /> WORKDESCRIPTION App �'AMI�-`'� RUOM OFFI�-E S(�/4C� /�qJ�j� y��—L RUOM <br /> i�7-A�- A�O iTioN Io7Z 5Q FEET <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FlXTURE OR REM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET A/C—A/HANDLING UNITS <br /> _ BATHTUB FORCED AIR SYSTEMS <br /> _ LAVATORY (WASH BASIN) HEAT PUMP <br /> SHOWER � UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER' <br /> OISHWASHER RANGE HOOD <br /> i LAUNDRY TRAY WATER HEATER <br /> I _ CLOTHES WASHEF _ METAL FIREPU+CE/STOVE <br /> I _ URINAL _ FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPLACE <br /> � FLOOR DRAIN � GAS FiANGE <br /> BACKFLOW PRE`JENTER GAS PIPING <br /> SINK (SERVICE/BAR/MOP/ETCJ � EXHAUST FAN <br /> _ OTHER _ OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED TH�S APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS 0�LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED WITH WHEfHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PEAMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW RE ULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPE TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRA ORS LAW 18� RCW AND 296200 WAC. <br /> ' �.� .h� • 5�i� �2�Z <br /> i Sign r of Ow d tractodAuthorized Agent � Date �\ <br /> I �� <br />