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� <br /> � � PERM�T APPLICA� ION <br /> El, C1TY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> - - I�oa�l - o0 <br /> SITE ADDRESS jSnO ��`�^u S `� PARCEL TAX I.D.k PERMIT# ! <br /> M���.I�l. C(LEE K� PARIGWh�J � NAROEic g �r u b Z 9 S�� 3 ��3r <br /> LEGAL LOT N0. BLOCK TRACT <br /> DESC. Ff SL-Awhy T2kc-r j � 900326�001 <br /> OWNER i ADDRES� P02il�i-Ip OIL ��ZcI ; PHONE <br /> Pa,���o� � DEVELoPMF�Ti �'��d S��J����ST STM /}�t ���lOj <br /> TENANT NAME CONTACT NAME i PHONE <br /> ( <br /> CONTRACTOR ! ADDRESS ICONTR. LICENSE# <br /> pA?rz,or F�r� P�c7�t.TroiJ ; ,Z7o7 �oTN �,,t E I <br /> PHONE Z53 � `)Z6- Lz9c j TAc.cNtA ►^�A 9gy2y i PRT2�FP�99C-F <br /> PROPOSED USE OF BUILDING Ruilding � Mechanical Addition HEAT SOURCE <br /> PERMIT � Combination Plum6ing WORK � Altera�ion � Electric <br /> w!{�E�{C� J�F TYPE Demolition Sign TYPE New Gas I <br /> Sprinkler RepaidMaint. Other <br /> COi�TRACT PRICE OF WORK � L�G� L'A�C1 CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION /N 5iA'�-L N G IJ �-�F-T F�R-E S p/zwKt-E2 5 yS I Er'1 • <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR 17EM <br /> WATER CLOSET A/C-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 /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN � GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHER _ OTHER <br /> I HEREBY CERITIFY THAT I HAVE FFAD AND EXA611NED THIS APPLICATION AND KNOW THE SAM11E TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OP L�WS AND ORI�IPlACES GOVERNING THIS NPE OF WORK VVILL BE COh1PLIED WITH VJHEfHER SPECIFIED HEREIDi OFi � <br /> NOT. THE GRANTING OF A PERMIT OOES NOT PFESUM1tE TO GIVE AUTHORIN TO VIOL;ITE OR CANCEL THE PROVISION OF ANY'JTHER <br /> STATE OR LOCAI LAW REGULITING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM1I AUTHOPIZED BY THE <br /> �"'NER OF THIS PROPERN TO PERFORIA THE WORK FOR WHICH APPLICATION IS MADE ANO I COMPLY WITH THE STATE <br /> i RAGTORS LAW 1027 RCW AND 296.200 WAC. <br /> � <br /> �y„�,� SJ�— !l - L� - o Z ��c�. <br /> Signalure o Owned ontracrodAuthorized Agent Date <br /> �L�'�J �i� E-��EC <br /> f <br />