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. , i� <br /> � � PE.�^MIT APPLICATIO�" 'r�� <br /> ,; <br /> CITY OF EVERETT PERMIT SERVICES . <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 . <br /> SITE ADDAESS PARCEL TA7C I.D.N pEqM17 M <br /> � N�� D�v o 5'S o0 00�t• o �/°o�/���j' - 03/ <br /> LEGA LOT y0. BLOCK TRACT � � <br /> DESC. 5 • . <br /> OV �� � Gf+i�ISfiiF m�5m�a.Es92/�!!/ rt(i�� �� . �YV��� E �—�� {� <br /> v <br /> TENANT NAME . CON7ACT FOR PERMIT PHONE <br /> � � ?�m� �r►a� , k�+f-rrr�t' �"�t'�6 ! <br /> CONTRACTOR ADDRESS - ZIP CONTR.LICENSE N <br /> � PHONE � �����G'� �7C� L'✓. � ����G���� . <br /> � <br /> PROPOSEOUSE•OFBUILDING pERMIT �SprinRleatlon � Plumbinlge' WORK �RdPalelfl�a'nt HEA7SEUAR�C�E <br /> TYPE Demolition Sign TYpE New j�{[Gns <br /> 'L.f o�ner <br /> CONTRACT PHiCE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3f 05 <br /> WORKDESCRIPTION �I��DY� O� y.�� <br /> -`�.•, vi�lSt7�J(r' lJA't�-Iq�y� � N�Gy I9zJDlT7oh/ —>/ F <br /> �O �/201JT Po�1ToN Ofi �/r�-lSyy/Vb- HSafS� //VGG�lI�/N(�- 2 GiE-� <br /> ���� . <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FUCTURE OR ITEM N0. TYPE OF FIXTURE OA ITEM <br /> WATER CLOSET /// A/C–A/HANDLING UNITS <br /> BATHTUB (� � FORCED AIR SYSTEMS ��l.� <br /> , '�' LAVATORY(WASH BASIN) r)J� _ HEAT PUMP <br /> � SHOWER 1 _ UNITHEATERS <br /> KITCHEN SINK&DISPOSA� _ CLOTHeS DRYER <br /> DISH'VASHER RANGE HOOD <br /> _ LAUNDRY TRAY � WATER HEATER lTifC(/ <br /> CLOTHES WASHER _ METALFIREPLACE/STOVE <br /> URINAL _ FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN _ GAS FIREPLACE <br /> _ FLOOR DRAIN � GAS RANGE <br /> _ �ACKFLOW PREVENTER � GAS PIPING � �D7� ��, <br /> _ SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN ���/ <br /> OTHER _ OTHER <br /> I HEREBY CEPITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE Ti7UE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRAN"fING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCELTHE PPOVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFOFM THE WORK FOR WHICH APPLICATION IS MAOE AND I COMPLY W�TH THE STATE <br /> CONTRACTORS LAW . W pIJD 296.200 WAC. <br /> Signat e o wner/Conlractor/Authorized Agenl le � I/ <br /> DEBIT & CREDiT CARDS ARE NOT ACCEPTED � <br />