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��.� "II <br /> ' ,��� . ��� - . <br /> P. �RMIT APPLICATI� N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE A�DRESS PARCEL TAX I.�.# PERMIT x <br /> is`00 I�v!'�� ,-R S�r /�"�I� `O�� <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> PR ��rT� n� � (��1EI.OPMEN7' �qOo SwST��-�-V� q�72.o1 <br /> TENANT NAME CONTAC7 NAI'dE PHONE <br /> SE�A-w.l-Y G�E'ORC�,� FRAN�1� <br /> CONTRACTOF ADORESS ZIP CONTR. LICENSE X <br /> MER�r 1-�C-CN�NiC�L 9b3i.� "yE �S3RD ANf iv� �jgpyZ K�RrrKl -�b3Ch <br /> PHONE <br /> �4z�-�6�-�Z�A <br /> PROPOSED USE OP BUILDING BUilding (}�MeChaniCal Addition HEAT SOURCE <br /> PERMIT g Combination '���Plumbing WORK �Iteration ,�c <br /> TYPE D DemUlilion LI Sign TYPE ew �YGas <br /> U Sprinkler RepaiUMainL �J 6ther <br /> CONTRACT PRICE OF WORK � Z �7 CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WOFiK OESCRIPTION <br /> i r.>�TA L�. 3 C�q� Fta�D �IS iT rFfiA-7E-(2S� T-5?i3-'T', � e�/?S P� P iN �, <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUPE OR ITEM NO. 1YPE OF FIXTURE OR ITEM <br /> I = WATER CLOSET _ A/C—?JHANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> I __ LAVATORY (WASH BASIN) _ HEAT PUMP <br /> _ SHOWER yZ_ UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER I <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER META�FIREP�ACE/STOVE <br /> URINAL FIREPLACEINSERT <br /> DRINKING FOUNTAIN . GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER 200 - GAS PIPING <br /> _ SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTNER <br /> I <br /> I HEREBY CERITIFY TW1T I HAVE FEAD AND EXAh11NED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF L1WS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL 6E COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERWIT�OES NOT PRESUAIE TO GIVE AUTHORITY TO VIOWTE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LA'N FEGUWTING CONSTHUGTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> � OWNEF OF THIS PROPERN TO PERFORM THE WORK FOR WHICH APPLICATION IS M11ADE AND I COPdPLY W�TH THE STATE <br /> ! CONTRACTOPS LAW 1827 RCW AND 296.200 WAC. <br /> i �C'.Q-�}'Q (��1� ,l�i I ���q�0 �- <br /> SignaWre of er/CoNraclodAulhorized Agent ale � � 1�� <br /> L_ � <br />