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� •; <br /> � � P�C�MIT APPLIGATION <br /> CI7'Y OF EVERETT PERMIT SERVICES <br /> 3200 CEDAP STREET, EVERETT, WA 98201 <br /> 425-257-8870— FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMI <br /> 1��0 0� � �1 ,r �� D v oi3 <br /> LEGAL LOTNO. B CK TRACT <br /> DESC. a �U� <br /> OWNER ADURESS 21P PHONE <br /> � � ��,,� � ��5a 2�e r�o� La�e � 4 s�3,3�so6�� <br /> TENANT NAME CONTACT FOR PERMIT PH kE <br /> �s�lc'�����(°`-- " �03 ��3� a�y cv <br /> �vl�� a ' �� 5�?,����� <br /> PHoi�e2�ld 9h� C.9{�f�� GQ. 6(fi0 S�wqs� Lan� zi� cp���.uc�.5�/ � � <br /> / <br /> so3,3�5 oG�3 {°rr l � 0 , ��`f �'w" �'� �'/'�,. � <br /> PROPOS/E D USE OF BUILDING Building Mechanical Addition HEAT OURCE <br /> C��// /U��,G �r PERMIT Combinalion R Plumbing WORK�Alleralion I �Electric <br /> � �✓ TYPE Denlolition d Sign TYPE New Gas <br /> 0 �',� � Sprinkler I Repair/MainL Other <br /> CONTRf.CT PRICE OF W RK Q�>��J�� CIN OF EVERETT LOCAL SALE..TAX CODE IS 3105 <br /> L <br /> WOP.K DESCRIPTION <br /> C19���vr �Je/v Ur Ii; ' S%r� a�t� Si�/ ll�i�/Iv�i�'P��, <br /> /h f�{'lQV C, 7�.�,, Grii�� �j� ��hi�f�j a/ �1r�Uh' 4•9Jje, <br /> PLUMBII�G MECHANICAL <br /> NO. NPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET AIC—A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) HEAT PUMP <br /> _ SHOWER � UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAU!JDRY TRAY WATER FiEATER <br /> C�_OTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> _ BACKFLOIN PREVENTER � GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTH[R <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AIJD KNOW THE SAME TQ BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WO4K WILL BE COMPLIED WITH WH�THER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT FRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF IS PROP TO PERFORM HE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WI i H THE STATE <br /> CONT W 827 CW AND 29 . 0 . . <br /> J.l(/� <br /> Si atur o �d ac u Rori ed Agen� 6ate � `I� <br /> � DEBIT & CREI�fT CARDS ARE N07 ACCEPTE6 <br />