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� <br />PERMIT APPLICATIQN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />SITE ADORESS ��L <br />E]C7 �7l.`,. E'Jc°YCzI f� <br />�E LOT N0. <br />PARCEL TAl( 4.D. fF <br />1 R2ao�5-3- <br />TRACT <br />AODRE93 �OQ rJ•�� <br />�N Uc��lneh7�" ��.�. e�i�N <br />TENA/iTNAME LJ�IS� I N YU�I I CONTACTNAME <br />��t Kor,�,: n �`ou <br />co�rtx�craa rv�,�v -12EE C , 1 r�c, �uortess 333 � o PA� <br />�_fo13 <br />PHONE (�6�2�(�''3GE'Sg F�1�� <br />PROPOSED USE OF BUILDIH6 <br />TAKE. our �15r1t Rot,� <br />TENAuT In,f�Ro�tuiHv <br />PEftM1T M <br />�o co3aa-o <br />7P PHONE ���� <br />v��.'' A7 '353• <br />PHONE <br />F•c Nw( S.Cn� <br />��r, wa q8�3 <br />euiaing Mechankel <br />PERMfi Combinatbn � PlumGng <br />TYPE DOm0lrtlOn Sp� <br />Sprinklef <br />COXTRACT PWCE OF WORK ��QQ� O[7 <br />coNrn. ucenee r <br />fnp,N�� crq8 <br />Addiuon <br />Allerallon <br />New <br />RoPeklMahM. <br />MEAT80URCE <br />�Electrk: <br />ce. <br />ou�r <br />CfTY OF EVERETf LOCAL SALEA TAI( CODl: f$ �905 <br />WORK DESCPoPTION <br />r�� c�.�,- cN�Y �,asT �o l5us�-�i-��� .��iN-�- <br />r��NT r��PR����Lrc-N7�' PRcv�--�f' <br />NO. I TYPE OF FU(TURE OR REM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOYYER <br />KITCHEN SINK h DISPOSAI <br />DISHW0.;HER <br />L4UNORYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICFJ2AR/MOPIETC.) <br />N0. <br />TYPE OP FIXTURE OR REM <br />AlC — AhilW DIING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUlAP <br />UNIT HEATERS <br />CLOTHES DRYER <br />R/WGE HOOD <br />WATER HEATER <br />METAL FIP.EPLACElSTOVE <br />FIREGLACE INSERT <br />GAS FIREPLACE <br />GAS RAIJGE <br />GAS PIPING <br />EXHAUSTFAN <br />i MEREBY CERiTIFV TMAT I MAVE READ N10 E%AMMED THIS APPLICATION AND KNOW THE SAME TO 0E TRUE ANO CORRECT. ALL <br />7ROVI510N8 OF UWS AND ORIDINACES GOVERNINCi THIS TYPE OF WORK WILL BE COMPLIEG WfTM WHhTFfER SPECIFIED HEREIN OR <br />n0T iHE GiWRiNG OF A PERMR DOES NOT PRESUME TO GNE AUTHOFiITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STA7E OR IOCAL UW REGULATING CONSTRUCTION OR 7HE PERFORMANCE OF CONSTRUCiION. THAT I AM AUTHORIZED BY THE <br />OVMEH O TH�S PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH TME STATE <br />COH��LAW iB 27 RCW A�Q YB8200)'YAC. Q <br />� % /I � // 7i/� �J/2�i 7 � <br />i � �F �-fl �.i�.�/'/,. � <br />� . _ . . . . . . _ . . _ . . "_" _ _. _ . <br />