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PEF�MIT APPLICATIO�N <br /> CITY OF EVERETT PERMIT SERVECES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TA7(I.D.N I PERMIT M <br /> �itCo(�w�„� �� ��:� A __ �o�ia-ol3 <br /> LEGA LOT Nq. BLOCK TRACT <br /> DESC. <br /> OW ER ADDRESS ZIP PHONE <br /> �zr <br /> ri.:.� (-� � ��2✓l {ae� �ocl(� ���v,,,..��LG�A- �vk, wh 4FZoJ J4�-670.6 <br /> TENANT NAME CONTACT NAME PHONE <br /> I C V-e,.� l-�o I�e�6e�-�C -{Z.f- 34�- 6�0� <br /> CONTR�j} ADDRESS ZIP CONTR.UCENSE• <br /> PHONE <br /> PROPOSLD USE OF BUILDING Building 17�MecheniCel Addition HEAT SOURCE <br /> PERMIT Combinelion �_� Plumbing WORK Alleration [� Electnc <br /> TYPE Demolilion �� Sign TYPE �New u Ges <br /> �C�.S�• Sprinkler RepaidMeinL U Other <br /> CONTRACT PRICE OF WORK . CITY OF EVERETT LOCAL^aALES TAX COGE IS 3105 <br /> WORKDESCRIPTION (,,.��-. �y�.t,�����Q`\ w �;�,i,� y�S �C,P� <br /> �°p r,.�:`..� U' � ✓ <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE OR REM NO. TYPE OF FlXTURE OR REM <br /> WATEA CLOSET _ A/C—AlHANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> _ SHOWER _ UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> DISHWASHER _ RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL _ FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPIACE <br /> FLOOR DRAIN S RANGF <br /> BACKFLOW PFEVENTER GAS PIPING+ ��cr�.oc.,Fec- <br /> SINK(SERVICE/BAR/MUP/ETC.) _ EXHAUST FAN <br /> OTHER _ OTHER <br /> I HEREBV CERITIFY THAT I HAVE FEAD AND EXAMINED THIS APPLICATION AND KNQW THE SAME TO BE TRUE AND CORPECT. ALL <br /> PROVISIONS LAWS AND OFIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE G ANTING OF A PERMIT DOES NOT RESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHEF <br /> STATE OR CAL LAW REGULATING CONST CTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER TNIS PROPERTY T OR HE WORK FOR WH�CH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTR S LAW 18.27 R .200 WAC. <br /> f,� �L �o/ <br /> Signalure of ner! nt actor/A orized Agent ate <br />