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PE�'MIT APPLICATIOf`' <br /> E,, CITY OF EVEREIT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> -�- l(��� k rr' S <br /> SITE ADDRESS PARCEL TAX I.D. # PEFiMIT x <br /> ly�a SE �� ��- I�.t� � s�� -�� <br /> LEGAL LOT N0. BLOCK TRACT <br /> DESC. Z(g-J <br /> OWNER i ADDRESS jPHONE <br /> �'s�t�-�-� C�m�� � 20� l 1 �� �i rch S� <br /> ���ANT NAME CONTACT NAME PHONE <br /> -��a.;� -�- <br /> CONTRACTOR �� ��C�� i ADDRESS : CONTR. LICENSE # <br /> Comr�rcaD�l , � ' � P�X ��� '�AmmG�Pi3�mm <br /> PH N� �Ig q �i -t- �r',Ncm� c,�t� G��3: 2- - 5 - <br /> PROPOSED USE OF BUILDING �Building � Mechanical Add�tion HEAT SOURCE <br /> ` PERh11T Combination Plumbing WORK �Altera;ion [� Electric <br /> TYPE Demolition Sign TYPE New D Gas <br /> Sprinkter RepairlMaint. �� Other <br /> CONTRACT PRICE OF WORK 2 Z CITY OF F`JERETT LOCAL SALES 7AX CODE IS 3105 <br /> WORKDESCRIPTION �i�'� �`, /S�r^� <br /> ������ � ��� ��� � � , <br /> / <br /> .�� ,� :«(�[�f� <br /> PLUMBING MECHANICAL <br /> NO. IYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEh1 I <br /> � <br /> WATER CLOSET A/C—A/HANDLING UNITS <br /> BATHTUB FOFCED AIR SYSTEMS 1 <br /> _ LAVATORY (WASH BASIN) HEAT PUMP ���V'f <br /> _ SHOVJER UNIT HEATERS ^ �' � <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER �� � <br /> _ DISHWASHER RANGEHOOD ����- �.(��r <br /> LAUNDRY TRAY WATER HEATER 1 �'�J <br /> _ CLOTHES WASHER _ hiETAL FIREPLACE/STOVE � �l,v � <br /> _ URINAL FIREPLACE WSERT 1� •� OI <br /> DFIINKING FOUNTAIN GAS FIRcPLACE �^. ; 1 <br /> , _ F L O O R D R A I N _ G A S R A N G E �1� ^ <br /> _ BACKFLOW PREVEN�ER GAS PIPING `(v� N \ <br /> _ SINK (SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN �� ��1 ' <br /> _ OTHER _ OTHER�__ � <br /> � <br /> II HEREBV CERITIFY THAT I HAVE RF11D AND EXA�dINED THIS APPLICATION ANC KNOW THE SP.P.tE TO BE TRUE AND CORRcCT. ALL I <br /> PROVISIONS OF LAWS AND ORIDINACES GOVEF?!WG TNIS TYPE OF WORK 4YILL 8E COMPLIED VJITH WHEfHER SPECIFIED HEFEIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOV.TE OR GANCEL THE PROVISION OF ANY OTHER <br /> STATE OR IGCAL LAW REGULATWG CONSTRUCTION OR THE PERFORPdANCE OF CONSTRUCTION. THAT I A�d AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORPd THE VJORK FOR WHICH APPLICATION IS 1.1ADE R.ND I COAIPLY WITH THE STATE <br /> CONT AS LAW .27 C4V AND 256200 WAC. <br /> Iv <br /> iSignatu e o v:ned ntractor/Aulhonzed Agent Date <br />