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F��cRMIT APPLICATILN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 4c 257-8810—FAX 425-257-8857 <br /> SITE ADDRES� � � � r PARCEL TAX I.D.N � �IT M „ /� � <br /> � S �t�•� �'lD <br /> LEGA LOT N0. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS , ZIP PHONE <br /> (�vri,� (�� u i n� �fol P�c..kS 6J r 9�ao 3 �ras 3s3 �006 <br /> TENANT NAME I CONTACT NAME PHONE <br /> CONTRACTOR aVps n5 '' ADDRESS ZIP CONTR.L�CENSE• <br /> +a���-�-r oll <br /> PHONE yaSas9 �6�y �l�D (JrOQ�lt�0. / LY��� oAvt' � IU S� <br /> PROPOSED USE OF BUILDING Building I") echanicel Additbn HEAT SOURCE <br /> PERMIT R CombineliOn � Plumbing WORK B Allaratbn D Electrb <br /> TMPE B Spnnkle+on LJ Sign TYPE g R����Maint. B �a, <br /> CONTRACT PRICE OF WORK Jr'� O � CRV OF EVERETT LOCAL 9ALES TAX COD[IS�706 <br /> WORK DESCRIPTION <br /> TSta�1 F�PPS wncA � 1 �f�P '0.CE <br /> PLUMBI MECHANICAL <br /> NO. TYPE OF fll(TURE OR REM N0. TYPE OF Fll(TURE OR ITEM <br /> WATER CLOSET A/C—MHANDLINQ UNITS <br /> BATHTUB _ FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> KITCHEN SINK&DISPOSAL __ CLOTHES DRYER <br /> DISHWASHER _ RANGE HOOD <br /> LAUNDRY TRAY _ WATER HEATER <br /> CLOTHES WASHER _ METAL FIREPLACFJSTOVE <br /> URINAL _ FIREPLACE INSEAT <br /> DRINKING FOUNTAIN .�. GAS FIREPLACE <br /> FLOOR DRAIN _ GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TME SAME TO BE TRUE AND CORRECT. AlL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> ST4TE OR LOCAL LAW FEGULATING CONSTR TION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNE SYRO PE ORM ORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CO ACTORS 7 296. 0 AC. <br /> � <br /> Si tu wn d nira odAulhorized Agenl ate <br />