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� <br />�J <br />PL�MIT APPLICATI�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 <br />(v7oo fF,4rtv5s�,J 2D <br />LE6P LOT NO. oLOCK <br />OESC. <br />t�F rleq{'� <br />TENANTNAME <br />PARCEL TAX I.D. A <br />L <br />7RACT <br />�SOS 1"'�ftif Sc� <br />CONTACTNAME <br />PERMR <br />PHONE <br />-oo� <br />�urz,F �c,a--r Co�r��✓6s r„lc I <br />CONTRACTOR ^� ADORESS aP CONTR.UCENSE• <br />?aoF�s.ss��,��� 1—LUMfi�i%2S� r,rc. �o ��x a��r C�r�a�r��. qqo,y paor�i�p*.f9BPG <br />PMONE <br />y�s' —3'33 —y15 3 <br />PROPOSED USE OF BUILDING <br />CONTRACT PRICE OF WORK <br />PERMIT B <br />TYPE D <br />U <br />f B�DOc9.�� � <br />Building Mechanical <br />Combinatiun Plumbing <br />Demolitlon Sign <br />Sprinkler <br />WORKDESCR�PTION �tir�PClT4 PLun�d�„�G <br />N0. � TYPE OF FlXTURE OR REM <br />f WATER CLOSET <br />BATHTUB <br />� LAVATORY (WASH BASIN) <br />SHOWER <br />�,�, KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNuRY TflAY <br />_ CLOTHES WASHER <br />/ URINAL <br />__(_ DRINKING FOUNTAIN <br />� FLOOR DRAIN <br />� _ BACKFLOW PREVENTER <br />� ( SINK (SERVICEBAR/MOP/ETC.) <br />i _ OTHER <br />Additiat I MEATSOURC6 <br />WORK Alteretbn Q Elettric <br />TYPE New �] Oas <br />f;epeiNMeint. U Other <br />CRV OF EVERETT LOCAL 9ALE9 TA% COOE IS J10b <br />Fort %6n/hNT r.�,�RNrti►��T �fr2oc+at5 <br />MECHANICAL <br />NO. � TYPE OF RKRIRE OR ITENI <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATFAS <br />CLOTHES DRYER <br />RANGE HOOD <br />WAT[R HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />OAS FIREPIACE <br />GAS FANGE <br />GAS PIPING <br />cXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT I NAVE REAp AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHE7NER SPECIFIED HEREIN OF <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TC GIVE AUTMORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TNE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WIT}i THE STATE <br />CON�CTORS LAW 7@.27 RCW AND 296.200 WAC. <br />-01 <br />