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1 <br /> P�.3MIT APPLICATi ICI. 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 2 3�3 i✓�t 5 � PARCEI TAX I.D.N P MI7� <br /> �✓P✓�G"1f �l�a. 9f��1 OD5 /58�59� 00't00 I�02D�1-0I � <br /> DESC. �OTNO. BLOCK TRqf;T Miley�.aN Gaf� � R � rON p yC�G 4tC0 �Np <br /> �-#5 502 'fOYheP/aT✓��cord�c� �yr�o/K.-r� +�/��a•cplafi ��8' SMm,Ce� <br /> OWNER ADDRESS ZIP PNONE <br /> �aso►, � 7u1« C,�o�{ �323 P��H� St, Er«^�7r' 9'�'�0l <br /> 7ENANTNAME CONTACTNAME�Q���N �tN�N PHONE��C�-l��-l�l�.�7(�`' <br /> �GC9NC� I c�TR S 0 v7 �0� C)LC ��'C y/Cj/�7`Q <br /> CONTRAC70q �� �Q r� Cm�+�pr7)/ ADDRESS y�O/D�3�,� r a� LP CONTR.UCENSEM <br /> ��/l�„i l�as�n � C�rek lQJt c+� �N��Nr 9&TJJ`')'il <br /> PHONE <br /> ���✓� ��� ' ��"�� <br /> PROPOSED USE OF BUILDING BUilding MBchanical Addition MEAT SOURCE <br /> ,5�/� PERMIT Combinadon R1..1 Plumbing WORK B Aiteration [� Etectric <br /> TYPE Demolitlon �,..) Sign TYPE �.,� Now u Gas <br /> Sprinkler IX�RepaiUMaint. U Other <br /> CONTRACT PRICE OF WORK ��- CfTY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK 9ESCRIPTIOI� +evv�pVG� 4N .yY� [t� CU �'���'I' � C[ SN✓` lC RN Ny O �r✓� <br /> offcClyFc�� V►�G'�eN� LG� • �L�1N � CL[ C N�c Y[ � NS� l�`<ri���.oN R✓Ip( SNN�it[eCmLtT1 '+l <br /> J l � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR REM NO. TYPE OF FlXTURE OR REM <br /> _ WATER CLOSET _ A/C-A/HANDLING UNITS <br /> BATHTUB ' ,_ FORCED AIR SYSTE S <br /> i _ LAVATORY(WASH B/A�SIN) _ HEAT PUMP <br /> _ SHOWER _, UNIT HEATERS <br /> � _ KITCHEN SINK 8 DI POSAL _ CLOTHES DRYER <br /> _ DISHWASHER _ RANGE HOOD <br /> _ LAUNDRY TRAY _ WATER HEATE <br /> � _ CLOTHES WASH R _ METAL FIREP CE/STOVE <br /> _ URINAL _ FIREPLACE I ERT <br /> _ DR�NKING FUy TAIN _ GAS FIREP CE <br /> _ FLOOR DRAIN ,_ GAS RANG <br /> BACKFLOW dREVENTER _ GAS PIPIN <br /> = SINK (SERV E/BAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHER _ OTHER <br /> I HEREBY CER�TIFY?HAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVEF`ING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT OOES NOT PhtSUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTIUN. THAT I AM AUTHORIZED 9Y THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MA�E AND I COMPLY WITH THE STATE <br /> CONTRACTO LAW 18.27 RCW AND 296200 WAC. <br /> �-;G��� 9�.���� <br /> Signa�ure of Owner�Co trarTctodAUlhonzed Agent D� <br />