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P�.RMIT APPLICATI�,N <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 TAX I.O.k PERMIT a <br /> � :;;< CUa!fE.s �'�E Oc� 39� �sv oi �/ • � l ' l l <br /> LEGA LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PliONE <br /> /�;';;;�;1�� ��n�,��(�S ��33 'C.°�,�tJ Y l��'t= 1Y25� �S'1.. l0 2Py <br /> TENANTNAME I CONTACTNAME PMONE <br /> /�h4v� <br /> CONTRACTOR ADORESS ZIP CONTR.LICENSE M <br /> PHONE <br /> PROPOSED USE OF BUILDING Building f-1 Mechanical Addition NEAT SOURCE <br /> ^ /• � o PERMIT Combinalion f-� Plumb�ng WORK Alteralion Etectric <br /> !y./$:;:l:.i ,J LIh`l.' I-( R <br /> � • TYPE Demolilion LJ Sign 7YPE New (.,.j Gas <br /> '� �' � y . Sprinkler Repair/Maini. L� Oiher <br /> ���"�.d'" /J i'.y;, <br /> CONTRACT PRICE OF WORK CITY OF EVEREfT LOCAL SALES TAX COOE IS 3105 <br /> WORK OESCRIPT70N <br /> � t�Y%(�� f�/�f���,Y=S ���{v�/'�% '� /'� C�r7 �- �N ;� � ili'� . <br /> f <br /> ' PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR REM NO. TYPE OF flXTURE OR ITEM <br /> WATER CLOSET A/C-NFiANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PIIMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYEF <br /> I _ DISHWASHER _ RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAI FIREPLACE/STOVE <br /> URINA(. FIREPLACE INSERT <br /> DR�NKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAWMOPlETC.) EXHAUST FAN <br /> ( OTHER OTHER <br /> I <br /> i I HEREBY CERITIFY'HAT�HAVE REAO AND EXAMINED THIS APPLICATION AND KNOW 7HE SAME TO BE TRUE AND CORFiECT. ALL <br /> IPROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORI;WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A =cRMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PflOVISION OF ANY OTHER <br /> I STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> i OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> i C .JTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> � �,. �,,� /." � �/ � ) ^ <br /> I .�� � �� . ::.�!i.l . ,/. 'J/ ..l,fl�/ ��0 -6'! _'�f-� <br /> i Signature ol Owner/Conlraclot/Aulhonzed Agent ale ,/ <br /> L <br />