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i,�,il �/.�� i I . ,.t - <br /> � . <br /> ' 1:.. +,..�i�L.'4Ai�� . Y�`..i��i:✓�`._"."i �� '.'�:.. . �._ <br /> PLF�MI�` �4f�PL.I�A�'li�N ; <br /> �. CITY OF EVERcTT PEE�MIT SEFiV�CES � <br /> 320C CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 � <br /> P�a�u. � <br /> SITE ADDRESS \ pARCEL TAX I.D.t` ' P�AMIT x_ � 3 <br /> �Y 3�� I-���ll, yr' 3787 �a oo/ oa C_-0o�' - o <br /> LEGA LOTNO. BLOCK TRACT <br /> DES0. S��' O�" f7�� - <br /> 0 NER AODRESS ZIP PHONE <br /> �R ��,�...�,�,�, r� -�,� P°3Q�y �v�,-,�� �'1u3 vz? '!L z �J'.'�I' <br /> TENANT NAi�IE I CONTACT NAME PHONE <br /> CONTR,B TO . � ADDRES�' ZIP CONTR.LICENSE R <br /> �� ,� �.k����-.,�: ,L,.� �p i���ri �3 Vo y �d��s ��1f�1- -z'o,�l�Tc <br /> PHONE �j�, � �� L j��l �-t/(I'�'� <br /> 7 <br /> PROPOSED USE OF BUILOING I Builrling MechaniCal Addition HEAT SOURCE <br /> l PERMIT � COmbination � Pl9mbing WORK � Alterotion � Elec«�c <br /> ��� TYPE Jem�litl0n Si n TYPE New Gas <br /> Sprinkler FepairlMaim. Ouier <br /> CONTRACT PRICE OF WOHK CIT"OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK OESCRIPTION � <br /> (�...,�f,Y.�o� SF2 � l� 7 S <br /> ZO°`Zz 13L1�1 �2t' <br /> PLUMBING MECHANICAI. <br /> NO. TYPE OF FIX7URF OR ITEM NO. TYPE OF FIXTUFE OR REM <br /> J INATER CLOSET A/C–A/HANDLING UNITS <br /> � BATHTUB � FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> _'L SHOWER UNIT HEATERS <br /> � KITCHEN SINK&DISPOSAL � CLOTFIES DRYER <br /> I 1 DISHWASHER _� RANGE HOOD <br /> LAIJNDRY TRAY _L WATER HEATER <br /> � CLOTHES WASHEF METAL FIREPLACE/STOVE <br /> URINAL FIFlEPIAC� INSERT <br /> DRINKING FOUNTAIN GAS FIRcf�LACE <br /> FLOOR URHIN � GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPW3 <br /> _ SINK(SERVICE/BARMOP/ETC.) � EXHAUST FAN <br /> OTrIER OTHER <br /> -- — I <br /> I HEREBY CEHITIFY THAT I HAVE READ AND F.XAMINED THIS APPLICATION ANO KNOW THE SAh7E TO BE TRUE AND CORRECT. A�L <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS NPE OF WORK V/1LL BE COM1IPUED WITH W4EfHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF:.PEFA7IT DOES NOT PRESUh1E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY 07HER <br /> STATE O(i LOCAL LAW ReGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> �R OF T S OPEi;II'TO PEAFOFM THE`NONN FOR WHICH APPLICATION IS h1A�E AND 1 COMPLY WITH THE STATE <br /> 1 AC� Id27RCW 'D29Fi.200WAC. I <br /> /� `� ' 0�" <br /> ignature ol O ner/Coniractor/Aulhorized Agent Date �' <br /> � I <br /> r� <br /> y/ ?FI,�"A�`— a^'�N� "�t�'Cg . � 1� <br /> k ,Y�, ..�F �: f'4ff-y�iw �� �,��}'� � � �af�aT ., ��� ��� <br /> �x . �:, n' � ' e � . <br /> Yc... �� . �, .. .�. <br />���� :� .._:t'uw._. . _ . I�� rn " ..4U.. �. �� � �' � � <br /> f «,�I y � ��.."�� � �+4.*�i4� <br />. '�- .'�`�"' <br />