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PCRMIT APPLICATId^.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 1'A7f I.D.A PERMIT• <br /> laI F . L ��j -�v�eE�T 9zan2 G3� 2 Soo1 C�zas��t� <br /> IEdA LOT NO. 2 BLOCK TRACT <br /> DESC. � �71Zd7.-tD�O CJCr2 <br /> OWNEH ADDRESS wS- ��2 21P PNONE Q25 � <br /> �� 9Po3� ��o- �SS <br /> 7Vo�'i��ff �-fa��c5 �31�� q r►�v���,�� si�F.�-� � <br /> TENANTNAME I CONTACTNAME PXONE I <br /> CONTRACTOR ADDRESE aP CONTR.IICENSE� <br /> fvo2;��N /-���s i'3(.�i� �Muk��r*'-�o S�i E.c1�� �3� A�o2T�1jF983sK <br /> PHONE �S- 22Z <br /> �izs- ,�I o a43S <br /> PROPOSED USE OF lUILqNG Buildiny � Mechanical d1Nbn HEAT SOURCE <br /> PERMI7�Combinetion Plumbing WORK IUteretbn �lechic <br /> TYPE Demolilion Sign TYPE New as <br /> �j�(Z Sprinkler RepeldMeint. Other <br /> CONTRACT PNICE OF WORK �nr�J!_D — CITV OF EVERETT LOCAL SALES TAX CODE IS 7106 <br /> (// <br /> WORK DESCRIPTION <br /> A/E�U �€ Ncv�s�'���naN w��� � S17N6� G-� S•�c� <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF Fl%TURE OR REM NO. TYPE OF R%TURE OR REM <br /> WATER CLOSET A/C-A/HANDLING UNITS <br /> � BATHTUB 1 FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOW ER UNIT HEATERS <br /> = KITCHEN SINK 8 DISPOSAI �_ CLOTHES DPYER <br /> � DISHWASHER � RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> � CLOTHES WASHER _ METAI FIREPLACE/BTOVE <br /> URINAI _ FIREPLACE INSERT <br /> DRINKING FOUNTAIN QAS FIREPLACE <br /> FLOOfi DRAIN OAS RANQE <br /> BACKFLOW PREVENTER � GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) � EXHAUST FAN <br /> OTHER _ OTHER <br /> I <br /> ' I <br /> � <br /> I HEREBY CERITIFV THAT I HFVE READ AND EXAMINED THIS APPIICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL i <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHERIER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO 61VE AUTHORITY TO VIOUTE OR CANCEL TME PROVISION OF ANY OTMER �I <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AU7HORIZED BY THE i <br /> i OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY IYITH THE STATE ' <br /> CONTRACTORS LAW iB27 RCW AND 296200 WAC. i <br /> �� .�����...,_..., s f�c��i <br /> Signa�e ol wner/ ontractod utho�z yant ^ at�— <br /> ��2 � <br /> � <br />