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RPR-�:0-20C1`; 09:58 FRDM: � T0:14252576857 P.2 <br /> � — ' <br /> PERMiT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET. EVERETT, WA 98201 <br /> 425-257-8810- FAX,_25-757-8857 <br /> SITE ADORESS PARCEL TAl(L�.N aERM17 s_ ` �' ��7 <br /> 2131 (�ruY� �'u-�, Oo q / �/32a/ �Lb !`��� �r'�`� '�•6 <br /> LEG LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADD SS _r/ ZIP PMONE <br /> '177�d'�' �•y qe�Z�3 I �r.cv�.� f}V.Q �1/.P�'�tT' Q�l <br /> � TENANTNAME CONTACTfORPERMIT PHONF. <br /> s�-�. � ��d� yZs � zd 32.� <br /> CON C70R ADDRESS ZIP CONTR.UCENSE• <br /> W'��'f1 �l'tA.�A[� �V1CQJ ,�,,✓ �/�Jy/�.19�/ <br /> rNo� 7$2- 7cU ?��k� `1h�'� �'�" `�c��k'/9 � <br /> PROPOSED USE OF BUILDING Bullding Mechcnical I Additlon HEAT SOURCE <br /> PERMR Combinatlon Plumbing WORK Alte�ation [�, Eledric <br /> �^„ /1��rc� TYPE � Demolitlon Sign TVPE New ,�y Gas <br /> /►'�+^�!"ri 1 L� Sprinkler RepaiNMaint. L•7 Other <br /> GOYTRACT PRICE OF WORK ��� �' CITY OF EVERETT LQCAL SALES TA%CODE IS 7105 <br /> WORK DESCRMTION <br /> g�r v� y�.r G�,4�-� l���, c�E��� <br /> PLUMBING MECHANiCAL <br /> NO. TYPE OF FIXNRE OR tTEM NO. TYPE OF FIXTUAE OR ITEM <br /> WATER CLOSET(TOILEI) A/C—AIHANDLING UNI7S <br /> BATHTUB FORCED AIR SYSTEMS <br /> IJIVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER � UNITHEATERS <br /> KITCHEN SINK 3 DISPOSAL CLOTHES ORYEP. <br /> DISHWASHER RAPIGE HOOD <br /> LAUNDRY TRAY = WATER HEATER <br /> CLOTHES WASHER METAL F�REP!ACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> ORINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SEHVICFJBAR/MOPlETC.) EXHAUST FAN <br /> OTHER OTHER <br /> 1 HER'cBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl <br /> PROVISIONS OF IAWS AND ORIDINACES GOVERNING TNIS TYPE OF WORK WILL BE COMPLIED WITH WHETMER SPECIFIED MEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOUTE OR CFNCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAI LAW REGULA7ING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. TFiAT i AM AUTHORI2ED BY THE, <br /> OWN[R Of THIS PROPERTY TO PERFORM TH[WORK FOR WHICH APPLICATION IS MADE AND I COMP�Y WITH THE STATE <br /> CONT CTORS lA .27 RCW AND 298.20 <br /> �4 �°� �� ar <br /> SI a re o Owner Contractnr A nzed Agenl ate <br /> DEB�T 8 CREDIT CARDS ARE NOT ACCEPTED <br />