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�, r - i <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810-FAX 425-257-8857 <br /> SRE ADDRE85 PARCEL TAX I.D.• PE IT M� <br /> 2s ���. '39q-(,oOOOZZ000S <br /> LEG LOTNO. B.QLOCK 7RACT <br /> DESC. .f�� ' S Rr� <br /> OWNER AODRE ZIP PMONE <br /> QAUL � �vo� 4eaD �82� �aw�k��Fl� q82o3 �-252'949�1 <br /> 7ENANT N CONTACT FOR PERMIT �� <br /> N IA I 'B�� `DR�-'[Drl 6-32 - CZ <br /> CONTRACTOR„�`,`Q�I���,{ �� � � ^����p� <br /> � �''� e J <br /> �'L S �� / �!� tr <br /> ��E £ Wz_t�i� / ra v <br /> � - ���` l� <br /> _ �,�a <br /> PROPOSED USE OF BUILDNW 6d Building Mechanical Addltfm NEAT SOURCE <br /> PERMIT H Combination � Plumbing WORN � Atteratbn I7 EkctAc <br /> TYPE H Demolitlon l.� Sign TYPE New D Ges <br /> �'MASZ 1 L/ Sprinkler RepaMMaint D dher <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALEE TAX CODE 18 7105 <br /> WORK DESCRIPTION �� <br /> "(�� ir�C\$T� �"CC�Z!'�1 �+"1�U�j 14�E'A 1��L1_ 'BE �'i�`L�� �o'�.� � � <br /> S�c O� '(Id'���ee�� �f�h���1.4 �`l2 SF oF Rx�o�tta�R� uv��at, �RR.�1. Ru- <br /> VJ�.1� SNAu.-'$E �oMTR1M�� Ot l'Cil� Mh�N t`�OC.�p �v�'Cr+F� 1-1F1.�f0�'il� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE OR REM NO. TYPC OF FDITURE OR REM <br /> WATERCLOSET _ AfC—AIHANDLINGUNITS <br /> BATHTUB _ FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER _ UNITHEATERS <br /> �_ KITCHEN SINK S DISPOSAL CLOTHES DRYER <br /> �_ DISHWASHER �_ RANGE HOOD <br /> LAUNDRY TRAY _ WATER HEATER <br /> CLOTHES WASHER _ METAL FIREPLACEfSTOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN � GI1S FIREPLACE i�,JS U,f" <br /> FLOOR DRAIN _ GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BARIMOP/ETC.) ,1_ EXHAUST FAN <br /> OTHER _ OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND E%AMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE N�D Cu'l2RECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPEGFIED HEREIN OF2 <br /> NOT. THE GRANTING OF A PERfA1T DOES NOT PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OFt LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTFIORIZEU BY THE <br /> OWNER OF THIS PROPERTY TO PERFOR THE WORK FOR WHICH APPLICATION IS MA. =AND I COMPLY WITH THE STATE <br /> Cpp� CT 1827 RC .200 WAC. ' <br /> � �, g i 7 ]vv3 <br /> Sgna re o erl n or ri ent �e <br /> IT&CREDIT CARDS ARE NOT ACCEPTED 1/L <br />