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�RMIT APPLICATIVN <br /> C:ITV OF EVERETT PERMIT SERVICES <br /> � 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 �� �v� _� <br /> SITE ADDRESS PARCEL TAX I.D.N � P,ERMn'a <br /> a'b'n � t�,� �'L� 3l� S a'� o � CD3 0 ?--fl 3z <br /> LFGA LOT N0. P.LOCK TRACT <br /> DESC. _�n �_L � � � <br /> �q •j- <br /> OWNER ADDRESS ZIF PHONE <br /> �'/_��-l��/.'�, ,�,- � �(� jYC�I/lPw7T' S'�'�Soi-, Y,3.S=�G'io - � S'73 <br /> TENANTNAME CONT CTNAME PHONE <br /> I�u�D {�/�/=t.S'r�t uc�S- .3YS--�CSaoZ <br /> CONTpACTOR � A�DRESS ZIp CONTR.LICENSE N <br /> �H/i1L-�/`k:.r ���US%�, y��� 3��1f1/![/L✓ �.+--/ � "�(��� <br /> PHONE ' I�/�f/H�fG1��DC�H' <br /> �/.��,- ,-J�n - '7�7? <br /> PROPOSED USE 6F BUILOING Buiiding Mechanical Addilion HEAT SOURCE <br /> PERMIT �Ombinelion R Plumbing WORK Alteralion n Electric <br /> TYPE Demolition d Sign 1YPE ew ��7+((�`'as <br /> �up(�'��; Sprinklor Repair/Mainl. L! Other <br /> CONTRACT PRICE OF WORK � pv 'QQ�� C�TY OF EVERE7T LOCAL SALES TAX CODE IS 3105 <br /> 0 <br /> WORK DESCP.IPTION <br /> �l�G+.SL �c_. �3(0 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR REM <br /> WATER CLOSET A/C—A/HANDLING UNITS <br /> �L-- BATHTUB _ FORCED AIR SYSTEMS <br /> � LAVATORY(WASH BASIN) _ HEAT PUMP <br /> _ SHOWER _ UNIT HEATERS <br /> _1_ KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> c:- DISHWASHER �, RANGE HOOD <br /> _ LAUNDRY TRAY WATER HEATER <br /> ,� CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> _ URINAL _ FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN _ GAS FIREPLACE <br /> _ FLOOR DRAIN GAS RANGE <br /> _ BACKFLOW PREVENTER � GAS PIPING <br /> _ SINK(SERVICE/BARlMOP/ETC.) EXHAUST FAN <br /> _ OTHER _ OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL 8� COMPLIED WITH WHETHER SPECIFIED HEREIN Op <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V�OLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR CAL LAW REGULATING STRUCTION OR THE PERFOPMANCE OF CONSTRUCTION. THAT I AM AUTNORIZED BY THE <br /> OWNER HIS PflOPERN TO FORM FK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONT CT RS LAW .27 RC AND 296200 Cj <br /> 7 i �3 <br /> Sign r ol Ow eqCo Iraclo u [e ate / <br />