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P IRMIT APPLICATIO� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> SITE ADDRESS PARCEL TAX I.D.N PERMIT M <br /> �0�q- t�o�n .��f. rdlrt � �039 Z -Q00 — � � -�OD D ..Q�� <br /> LEGAL LOT NO. BLOCK I TRACT �P u�/ I y GQr 1rn <br /> DESC. =� G� <br /> OWNER ADDRESS PFIONE <br /> �e �-f �P�CIo Mr� GCG I Pv (3�x (07�1 -^1uK, /��o x2� ZS �Y6oS'b' <br /> TENANTNAME <br /> CONTACT NAME PHONE <br /> � �q KP�I; G�� �- v� y�� 6 os� <br /> CONTRACT R ADORE S CONTR. UCENSE• <br /> T'�eKa�} pt�ei�pM��+ Pv �o?c' 6zQ <br /> PHONE T� eKad� 9yz.�y <br /> y� �ti� � 6os �s ✓►�uk;lfc� w�l � � Z � <br /> PROPOSED USE OF BUILDING n Building � Mechanical Addition HEAT SOURCE <br /> PERMIT I"S Combination Plumbing WORK B Altaration � Electric <br /> TypE �'��Demolition Sign TYPE R New Gas <br /> D Sprinkler LJ RepaidMaint Othar <br /> CONTRACT PRICE OF WORK CtTY OF EVERETT LOCAL SALES TA%COOE IS 3105 <br /> WORKDESCRIPTION RfMn�c.� oFo�t �oKSC � O^e qa`a�L <br /> L1 <br /> PL MBING MECHANICAL <br /> NO. TYPE OF FlXTURE OR ITEM NO. TYPE OF FlXTURE OR REM <br /> WATER CLOSF � _ AIC-A/HANDLING UNITS <br /> BATHTUB _ FORCED AIR SYSTEMS <br /> LAVATORY(./ASH 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 /> UR�NAL _ FIREPIACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FLOOR DRAIN _ GAS RANGE <br /> BACKFLOW PREVENTER _ GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHER _ OTHER <br /> 1 HERFBY CERITIFY THAT I HAVE READ AND IXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> pqOVI510N5 OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED MEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TU VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGUUITING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACT S LAW 18•27 fiC'�296200 C• <br /> ,cs /I / <br /> c � / V J� <br /> Sig ature of edContractodAuthori gent Date <br />