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_, � <br /> P RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR S'i REET, EVERETT, WA 98201, 425-257-8810 <br /> eu,vu...Y� a�. � 9/sl�� <br /> SITE ADDR�SS PARCEL TAX I.D.A PERMIT# <br /> y ; yiz000z. oi op Gv� � ava-o <br /> LEGAL LO 0. BIOCK TRACT <br /> DESC. O O Z, <br /> OWNER ADDRESS � PHONE <br /> �'�t� �cC,� �s 4�3 y Co_���� � <br /> TENANT NAME i CONTACT NAME PHONE <br /> 7�1�, �el Fie, �-v4�t�es ��z5-zsg- i 31 1 <br /> CONTRACTOR � ADDRESS CONTR. LICENSE• <br /> 1�-��lC C-,R�1c� <br /> PHUNE L -'Z�I�—�3� � z �z � Qu�K - (��F710£�SSN <br /> PROPOSED USE OF BUILDING wlding R _Mechanical Addition HEA7 SOUqCE <br /> PERMIT Combination �'*lumbing WORK Alteration Electric <br /> ��E "'I��'��' TYPE DemoliUon U Sign TYPE �New �"Gas <br /> �-D�,b i Sprinkler Repair/MaiN. Other <br /> CONTRACT PRICE OF WORK Z�j(R� CfTY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORKDESCRIPTION t4�P �a �' �D � (A.IP Zs C� 5,{�.eo rF Ca[uSNeO .P�lc, � ��'� 7'� <br /> PAC. -ry?Scits . l^lot,�c �p �wf-'s�'ou-rs TD S�pL; C �{fn 5d�'c--X C.r�cr LttipNyz <br /> ((1a'RA�tiE "1D ?�.u.��81 N l� • C U 1-�S Tl2 Ll!.� (o�lv� EiOK W/ NKlJ �LIASsYYL 3',P,�•� �V(%, <br /> 7,.rj r''''o�e2 I N?. o F ��Y i sr. M.K Ta e�d-'a7r� !Nr• 5� i�e a r�s[= Ta Ne`L� .c1 fi3rN2 d�,Q� <br /> PLUMBING �l� MECHANICAL <br /> NO. TYPE 0�FIXTURE OR ITEM NO. TYPE OF FlXTURE OR ITEM <br /> � WATER CLOSET _ A/C-A/HANDLING UNITS <br /> I BATHTUB _ FORCED AIR SYSTEMS <br /> �_ LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER Y UNIT HEATERS <br /> KITCHEN SINK&DISPOSAL .�. CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> � LAUNDRY TRAY = WATER HEATER — C�715 <br /> CLOTHES WASHER METALFIREPIACE/STOVE <br /> _ URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FLOOR DRAIN _ GAS RANGE <br /> BACKFIOW PREVEN'CER GAS PIPING <br /> �f� SINK(SERVICE/BAR/MOP/ETC.) �. EXHAUST FAN <br /> _ OT�-IER � _ OTHER <br /> .Or•! r;� o � ^ C/ ,�� ' <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION�IJD KNOW THE SAME TO BE TRUE AND CORRECT, ALL <br /> PROVISIONS OF WWS AND ORIDINACES GOVERNING THIS TYPE OF WOPK WILL BE COMPLIED WITH WHEfHER SPECIFIED MEREIN OR <br /> NOT. THE GRANTING OF A PERMIT UOES NCT PRESUME TO GIVE AUTHORIiY TO VIOLATE OR CANCEL THE PROVISION OF ANV OTHEP, <br /> STATE OR LOCAL LAW REGULiTING CONSTRUCTION OR THE PERFORh1ANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORRS THE WORK FOrI WHICH APPLICATION IS MADE AND I C061PLY NRTH THE STATE <br /> CONTRACTORS L,•1W 18.27 RCW AND 296.200 WAC. <br /> �,� <br /> ;,� �r�� � /Z -i 9-�i <br /> Si nature ol OwnerlContractodAuthoriz d Age Date �r <br /> r <br />