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P��MIT APPLIC�►TIC�J <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.R PERtdR N <br /> ��oq �,ury� q„c. 064►�9�e83oo3-0o DI'D3� <br /> LEGA LOTNO. BLOCK TRACT <br /> oEs�. aq - as� _ _ sE <br /> OWNER ADDRES9 aP PMONE <br /> p,v4{1n,�• �}dal P.o•Bwc 5w7 qE�ol� <br /> TENANTNAME I CONTACTNAME PHONE <br /> corrrnncron �y�,b�r, MecMpnica0,�n�. ��pE� Ro•k5u� 2�9 an co►rrn.uc�• <br /> AulaXn wA 98C41 /wB�+RHtr�319A <br /> PHONE �03•g38 •9780 <br /> PROPOSEO USE OF BUILqNG Building �MeChenical Additbn NEAT SOURCE <br /> PERMR B Combinatlon Plumbing WORK � Alteretbn � ElacMc <br /> TYPE D Dem0lftion Sign TYpE New 6u <br /> �� Spdnkler RapeiNMeint. qMr <br /> CON�RACT PRICH OF WORK �p0�Qp CITY OF EVERETT LOCAL SALES TAX CODE 18 J106 <br /> WORK DESCRIPTION <br /> �IAvn+Sh �+^� �t�*� � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE OR ITEM NO. TYPE OF R%TURE OR REM <br /> WATER CLOSET _ A/C—A/HANDLING UNITS <br /> BATHTUB _ FOI'CED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) _ HEAi PUMP <br /> SHOWER _ UNITHEATERS <br /> I = KITCHEN SINK 8 DISPOSAL _ CLOTHES ORYER <br /> DISHWASHER _ RANOE HOOD <br /> lAi1NDRY TRAY _ WATER HEATER <br /> CIOTHES WASHER _ METAL FIREPLACE/STOVE <br /> i URINAL _ FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ OAS FIREPLACE <br /> i _ FLOOR DRAIN � CiAS RANdE <br /> BACKFLOW PREVENTER _ GAS PIPIN(3 <br /> SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> = OTHER � OT�HE�R <br /> ��T <br /> � I NEREBV CERITIFY THAT I HAVE RcAD AND EJ(AMINED THIS APPLICATION ANU KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> , PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED NEREIN OF <br /> . NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OF CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULAT�NG CONSTRUCTION OR TNE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTFiORIZED BY TNE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> I CONTRACTORS LAW 18.27 RCW AND 298.200 WAC. <br /> � ��,��.Q 9 �fa.k.13, ��d <br /> Si a ure o ner/ onlractor/ uthonzed A en1 ate <br />