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P��MIT APPLICATIQ�I <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!.D.N PERMR M <br /> /o i l'� i�w��0�1-- ����. � - oo c� c c� �(o -c�3 <br /> LEGA LOT NO. BLOCK TRACT �� oo� 3 � <br /> DESC. <br /> OWNER A RESS LP PHONE <br /> 93�z- �w3•���8 <br /> /�aMR �I.�j LLL I'}c� 323S�`'fwE SE. 'Bo-nt��� �,.�n. y2f <br /> TENANTNAME I CONTACTNAME PHONE <br /> /�0/�-t2 Firoi. �l2>• '}'/3 • /�IS <br /> CONTRACTOR a,D M1Z 'rLN-� • ADORESS �P CONTR.LICENSE M <br /> � 1�o3L35�` Avc. SE. /�.DIFIRCLb3L�1 <br /> PHONE �i�44.U- wA. 9�^y.712_ <br /> UZS �43•z�$� <br /> PROPOSED USE OF BUILOING fi1 BUilding rx1 MeChBniCel I� Addilion HEAT SOURCE <br /> PERMIT �q Combinatian Fr� f�umbing WORK K Al�eralbn Eiectric <br /> S �n TYpE {._j Demolilion Ll Sign 7YPE a� New Ges <br /> �� L� Sprinkler LJ Fiepair/Maim. Other <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br /> WORKDESCRIPTION �vN�e`Rut.'� NFnN SF.R. <br /> �I�� C.� � �Lv V <br /> k> <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF Fl7(TURE OR ITEM NO. TYPE OF FlXTURE OR REM <br /> �_ WATER CLOSET O A/C—A/HANDLING UNITS <br /> I �_ BATHTUB �_ FORCED AIR SYSTEMS <br /> � LAVATORY(WASH BAEiN) O UN T HEP LRS <br /> 2 SHOWER <br /> �_ KITCHEN SINK 8 DISPOSAL _L CLOTHES DRYER <br /> � DISHWASHER 1 RANGE HOOD <br /> � o �p,UNDRY TRAY • o WATER HEATER <br /> I1 CLOTHES WASHER � METAL FIREPIACE/STOVE <br /> U URINAI FIREPLACE INSERT <br /> , o DRINKING FOUNTAIN � GAS FIREPLACE <br /> U FLOOR DRA�N GAS RANGE <br /> O BACKFLOW PREVENTEfl � GAS PIPING <br /> I b SINK(SERVICE/BAR/MOP/ETC.) �_ EXHAUST FAN <br /> i � OTHER _� OTHER <br /> I <br /> �HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND OR�DINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> i STO TE OR LOCAL ILAW EGULATING COONS RUCTION OF THE PERFORMAN E OF CO STRUOCT ON.CTHAT AM A�UTHORI ED BY h{E ER <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WH�GH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CO TRACTORS LAW 18.27 FiCW AND 296.200 WAC. <br /> �a. to , 97� <br /> SignaW e ol OwnedContrac r/Authonzed Agent 81e N �- �7 � �la <br /> I <br /> � <br />