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PL.�MIT APPLICATI4. J <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS P RCEL TAX I.D.ff P tiM17 k <br /> i�d� E� ��Gu�oz L� oo �3 3 ti o000 �I ac� �' - �� <br /> LEGA LO_T,NO. BLOCK TRACT <br /> DESC. U <br /> 7WNER ADURESS LP PMONE�3�_p�� <br /> R o(I � � L°�l-�LS a� !/Qo� L%d6�ncao� L� , ���+F-rtl, t.�►�- y�zd3 <br /> TENANTNAME CONTACTNAME ONE <br /> U �1--- I `� �v�t_ � -8�$ <br /> CONTRACTOR ADORESS LP CONTR.LICENSEN Ol <br /> 5�L� � <br /> PHONE ,^�� �� <br /> !kl/ <br /> PROPOSED USE OF BUILDING �uilding fl Nechenical Addition HEAT SOf URCE <br /> PERMI7 Combination �-� Plumbing WORK Alteratbn Eiectric <br /> TYPE Demolitlon LJ Sign IYPE New Gas <br /> �.�,(P Spnnkler Rapair/Maint. Other <br /> CONTRACT PRIC�'�dFWORK CITV OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION <br /> ���� �Z�."f' t��}', <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FI%TURE OR ITEM NO. TYPE OF FlXTURE OR ITEM <br /> N.'ATER CLOSET _ A/C—A/HANDL�NG UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> = LAVATORY(WASH BASIN) HEA't'PUMP p <br /> SHOWER UNIT HEATERS ��•��r'i <br /> = KITCHEN SINK 8 D�SPOSAL _,Q, CL�THES DRYER <br /> — DISHVJASHER \. fi" RANuE HOOD <br /> LAUNDRY TRAY �V WATER HEATER <br /> CLOTHES VJASHER METAI FIREPLACJSTOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> I = BACKFLOW PREVENTER = GAS PIPING <br /> SINK (SERVICE/BAR/MOPlETC.) EXHAUST FAN <br /> OTHER _ _ OTHER <br /> � _ <br /> i — _ <br /> � — — — <br /> I _ — <br /> I <br /> ' I HEFEBY CEHITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PRJVISIONS OF W WS AND ORIDINACES GOVERN�NG TNIS 7YPE OF WOFK W�LL BE COMPLIED WITH WHEfHER SPECIFIED HEREIN OR <br /> � NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> � ST4TE OR LOCAI LAW REGULATING CONSTRUCTION OR TNE PERFORMANCE OF CONSTRUCTIGN. THAT I AM AUTF!ORIZED BV THE <br /> I OWNER OF THIS P N TO PERFORM THE WORK FOR WHICH APPLICATION IS MA�E AND I COMPLY WITH THE STATE <br /> CO TRACTOR 1 . 7 W AND 296.200 WAC. <br /> I r� ' % � �� -(/�, -p7i <br /> Sig awre o nerlContrac�oNAulhonzed Ageni ate � <br /> I Z <br /> I <br />