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PE'� ,MIT APPLICATIO� . <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRE�_T, EVERETT, WA 98201 <br /> 425-257-8810 - ��X 425-257-8857 <br /> SITE ADDRESS , PARCEL TA%I.D.N PE iT M Q <br /> - (J �c/� <br /> IEGA LOT N0. BLOCK TRACT <br /> �ESC. <br /> OWNEii^O ADDRESS ZIP PHONE <br /> / / � <br /> `/ CONTACT NAME 1 PH�-3� Z,G� OCp gZ <br /> C�TENANT NAME ��S 1 l� ���I C. �Z <br /> � T <br /> CONT CT R � �4� ti� '�.�� AODRESS'�4N�nCF 5���� �Q�ICONTR.LICENSEM <br /> h }{ <br /> 3(v0 - Z53-b�SfL <br /> PHONE <br /> PROPOSED USE OF BUILDING fl Building Mechanical Addition HEAT SOURCE <br /> PERMIT K Cambination RI--( Plumbing WORK Altera�ion R Electric <br /> TYPE �.( Demolilion LJ Sign TYPE New �.._j Ges <br /> U Sprinkler Repair/Maint. U Other <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK UESCRIPTION �'f-�� a �M �Q�� .�� '�I� � <br /> ��1�G�,.�LLK .c�,. �Gc <br /> � <br /> ' PLUMBING MECHANICAL <br /> NO. TYPF OF FI%TURE OR REM NO. TYPE OF Fl7(TURE OR REM <br /> WATER CLOSET _ NC—A/HANDLING UNITS <br /> BATHTUB _ FORCED AIR SYSTEMS <br /> �AVATORY(�VASH BAS�N) _ HEAT NUFAP <br /> SHOWER ._ UNITHEATEhS <br /> KITCHEN SINK S DISPOSA� _ CLOTHES DRYEii <br /> DISHWASHER ,_ RANGE HOOD <br /> I � LAUNDRY TRAY = WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STO'JE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN ,_ GAS FIREPLACE <br /> FLOOR DRAIN _ GAS RANGE <br /> BACKFLOW PREVENTER _ GAS PIPING <br /> I SINK (SEfiVICE/8.4R/MOP/ETC.) _ EXHAUST FAN <br /> OTHER _ OTHER <br /> I — <br /> I HEFEBY CERITIFY 7HAT I HAVE READ AND EXAMINED THIS APPIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> � PROVISIONS OF WWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHEfHER SPEC�FIED HEREIN OR <br /> INOT. THE GRANTING OF H PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OH CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LO Al LAW REGULATING CO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT i AM AUTHORIZED BY THE <br /> OWNER OF T IS P OPER O E 0 THE WORK FOR WHIGH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> i CONTRAC S W 18 W .200 WAC. <br /> � _ � d� //�� <br /> Sig W t wner/C n ractor/ onzed AgeN 81e � <br /> �% <br /> �_ <br />