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E cRMIT APPLICATiJN <br /> CITY (?F EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> SITE ADD�iS� � �M� � �PC�ARCEJ�Tl4i 1-D.#, � �� ^' , PERMIT� <br /> � 5; ti— p-z,6'�1 � �l�-D� I <br /> LEGA �/y_T NO. BLOCK TRAC � �y ./�,� <br /> DESC. �,17 Z� 3 � ���'(1 CI1 �UC.lW� <br /> OWNER AO�R SS ZIP PHONE 2� <br /> N�� s���u� � � �v �����r� ��. ���� y�� 2�=��r� <br /> TENANT NAPdE CONTACT NAME PHONE <br /> Gw�� <br /> CONTRACTOR AOORESS ZIP CONTR.LICENSE N <br /> PHONE v �v N� <br /> PROPOSED USE OF BUILDING Building f"1 Mechanical Addi�ion HEAT SOURCE <br /> PERMIT Combination �-� Plumbing WORK Alteration � Electric <br /> F � �--� <br /> �� (,, � TYPE Demolilion LJ Sign IYPE New Gas <br /> S 'Y � ���L Sprinkle� Repairi�daint. Other <br /> CONTRACT PRICE OF WORK /J //L �� CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br /> WORKDESCRIPTION �7��/��N � �"�'. UF S�/((„ VNn ��% L/ -}/- <br /> 1"L 71 I <br /> (�i�.�siN �t Hws� f1C('(�- 3 Et� �3 1 c,� <br /> �'u���� � �" �• C�NcR�� cN/��-� �v��Dlr✓� F<< Si�D W��� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUFE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> j _ WATEN CLOSET A/C-A/HANDLING UNITS <br /> BATHTUB � FORCED AIR SYSTEMS <br /> _ LAVATORY (WASH BASIN) _ HEAT PUMP <br /> SHOWER UNIT HEAiERS <br /> KITCHEN SINK 8 DISPOSAL = CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY = WATER HEATER <br /> � CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> 'I = DRINKING FOUNTAW T GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOWPREVENTER GASPIPING I ����1'No�.t� H���-�H <br /> � SINK (SERVICE/BAFUMOP/ETC.) � EXHAUST FAN � <br /> OTHER OTHER <br /> — — <br /> I — — — <br /> I I HEREBY CERITIFY' AT I HAVE FEAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br /> PROVISIONS OF AIJD ORIDINACES GOVEPNING THIS TYPE OF WORK WILL BE COMPIIED WITH WHETHER SPECIFIED HEFiEIN OR <br /> � NOT. THE GR�A TI G O ERMIT DOES NOT PRESUIv1E TO GIVE AUTHOFITY TO VIOIATE OR CANCEL THE PROVISION OF ANY OTHER <br /> � STATE OR LQCA W EG LATING NSTPUCTION OR THE PERFOR ANCE F CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> I OWNER THI PROPE TO P O�E WORK FOR WHICH AP LICATI IS MADE AND I COMPLY WITH THE STATE <br /> CON7 A TOR LAV✓1 B2 R AN 96.200 WAG p� � � � <br /> �i� <br /> !� <br /> i �Si awre of OwnedContractodAulhorized Agent ate <br /> i(a <br />