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I��.�MIT p►PPLICATIC�_ i <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDA�i STREET, EVERETT, WA 98201 <br /> 425-257-88i0- FAX 425-257-8857 I <br /> SITE ADDRESS PARCEL TAX I.D.tk PERMIT a <br /> 33d1 � o ei'��� 3�S-�b' - �v/o-c,�-,mC QDaL` �-oo� <br /> LEGA LOTNO. BLOCK TPACT <br /> DESC. /(D� // � 2 <br /> OWNER A��RE55 21P PHONE <br /> ��SG' CO/1��L'fc�s'�_.35�/ �C✓�yYlP(� /4!/c �I��R�7T ��� G/�S' `JS% -r'l'S"/ <br /> TENANTNAME I CONTACTNAME PHONE <br /> �7ose C�, o2r�As i ;��'�� c'_wNTrzE��s _��r�s`�-1r�s/ — <br /> CONTRACTOfl :RESS ZIP CONTR.LICENSE p <br /> PHONE <br /> PROPOSFD USE OF BUILDING I i BUilding � A�ochanical �ddi�ion HEAT SOURCE <br /> I PGR�dIT �� Combinalion Plum6ing WORK Alteratior � [� Electric <br /> S�/J TYPE Demolition Sign IYPE New � Gas <br /> ��� Sprink;er Repairihlaint Other <br /> CONTqACT PRICE OF WOflK � CITY OF EVERE7T LOCAL SALES TAX COOE IS:i105 <br /> IJ <br /> WORK DESCRIPTION <br /> ����� �o -� <br /> I PLUNIBING MECHANICAL <br /> NO. TVPE OF FIXTURE Oq ITEM N0. I TYPE OF FIXTURE OA iTEM <br /> ; WATERCLOSET _ A/C—A/HANDLINGUNITS <br /> �'� BATHTUB . P9RCED AIR SYSTEMS <br /> i _ L.AVATORY(W.4SH BASIN) _ HEAT PUMP <br /> SHOWER UNIT HEAiERS <br /> I = KITCHEN SINV,8 DISPOSAL = CLOTHES DRYER <br /> DISHWASHF.A AANGE HCOD <br /> � _ LP,UNDRY i RAY _' WATER HEATER <br /> � _ C:.OTHE£�WASHER _ METAL FIREPLACE/STOVE <br /> . I;fiINAL FIREPLACE INSERT <br /> DRINKING FOUNTAW GAS FIREPLACE <br /> FLOOR CRAIN GAS FANGE <br /> BACKFU)1N PRE'JENTER GAS PIPING <br /> SINK (SeRVICEl13AR/MOPlETC.) _ EXHAUST FAN <br /> OTHEF' _ _ OTHE!� ___ <br /> — --- — — I <br /> -- — — — I <br /> � ;HEREBY CERITIFY THAT I HAVE REAO AND EXAMINED THIS APPIICATION ANO KNOW THE SAh1E TO BE TRUE AND COFRECT. ALL <br /> {=AOVISIONS OF LlWS AND OqIDI�'ACES GOVFRNING THIS NPE OF WORK WILL BE:OMFLIEC 1NITH'NHEfHER SPECIFIED HEREIN OR <br /> NUT THF GR4NTINii OF A^�R.'.tiT DOES NOT PRESUhtE 70 GIVE AUTHCRIN TO VIOLATF.OF CaNC�L THE P(iCVIS10N O°ANY OTHER <br /> � STATE CR IOCAL l Ab1'qEGULATING CONSTRUGTION OR THE PERFORh1ANCE OF CONSTnUCTIO'V. THAT I AM AUTHGtiIZED 9V THE I <br /> �� p4V•VE�i OF THIS`'MQPERN TO PERFORhi THE SVORK FOR WHICH APPLICATION IS M11A�E ANt�I CO\1PlY WITH THE STATE <br /> COhS(RACTORS L1VV 18..^.�?R�W Ai:C 296.200 WAC. <br />•` � D 6/-o � <br /> ,/�' `-.,�--�, �= <br /> S�R�aWre of O:vnedCcnlracror/AWhorized Agenl Dale � � <br /> � ' � <br />