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�cRMIT APPLICAT�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> / 3200 CEDAR STR�:ET, EVERETT, WA 98201 <br /> � 425-257-8810--FAX 425-257-8857 <br /> SITE ADDRESS PApCEL TAX I.D.A PERMIT• <br /> �� w I ✓�3r o-oo� <br /> IEGA LOT NO. OLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS aP PHONE <br /> E�R.�'7� SIV./�P�IPS <br /> TENANTNAME ,• I CONTACTI�IAME PHONE <br /> �'��N A��IS 2-53.833. 24�8 <br /> CONTRACTOR ADDRESS LP CONTR.IICENSE/ <br /> FlP� 5�/STEMS Ic.lEST Zl9 �D-onrTnc�E R-0. N•�ST� 6 9go+7 Fi�.Eswi i4a61 <br /> PHONE <br /> 3 Z46 <br /> PROPOSED USE OF BUILqNa Building I"1 Mechanical f1 Addkbn HEAT SOURCE <br /> PERMIT B Combinalion H Plumbing WORK ��qlterotbn (� Elxhk <br /> TYPE � Demolilion �� Sign 7YPE �,:� New '�� n p�e <br /> V�Sprinkler LJ Repair�M1laint. d pp�r <br /> CONTRACT ppICE OF WOqK � -�IQ� CITV OF EVERETT LOCAL SALES 7AX COOE 19�106 <br /> WORK OESCRIPTION <br /> / INSTaI.I� p�1a�o� aEVis'E �jc1ST1�� SPR.�N��Fj�„ S�IS-�M <br /> �, TD G�nIFn21v� � N�W IF�JANT Wr►I.LS � GNUNC� S . <br /> PLUMBING MECHANICAL <br /> NO• TYPE OF Fl7CTURE OR ITEM NO. TYPE OF FlXTUqE OR ITEM <br /> _ WATER CLOSET _ A/C-AlFiANDLING UNITS <br /> _ BATHTUB _ FORCED AIR SYSTEMS <br /> I _ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> _ SHOWER _ UNIT HEATERS <br /> _ KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> i _ DISHWASHER _ RANGE HOOD <br /> _ LAUNDRY TRAY ,_ WATER HEATER <br /> I _ CI.OTNES WASHER _ METAL FIREPLACE/STOVE <br /> _ URINAI _ FIREPLACE INSERT <br /> i _ DRWKING FOUNTAIN _ CiAS fIREPIACE <br /> _ FLOOR DFAIN _ GAS RANOE <br /> _ BACKFLOW PREVENTER _ GAS PIPIN(3 <br /> � SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> � OTHER SPtaNCi P4.I��S ,_ OTHER <br /> I — <br /> � . <br /> � I HEREBY CEFiITIFY 7HAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF�OWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WI?H WF{�ER SPECIF�ED HEREIN OR <br /> ' NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO OIVE AUTHOPITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> SiATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THqT I AM AUTHORI2ED BV TFiE <br /> �� �`iER OF THIS PROPERTY TO P RFORM TNE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> ' fRACTORS LAW iB.27 ND 296.200 WAC. <br /> i <br /> I Signature of Owner/ tr todAuthonzed Agent t� �ete �X�� <br /> � I , IL <br />