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1 <br /> PERMIT APPLICAZ'ION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-8857 <br /> 1 (�� y q �aa�lo <br /> SITE ADDRESS � ^ � PARCE�y�I.D.• I � PERMi7 t � <br /> ;1 �� � C. � <br /> LEGA LOTNO. B��K ��fi �� � �L��Z3 �-0� <br /> OESC. � L� <br /> OWNER i �� DiE33 DP P��� ZO � <br /> EN N�ME� � 1'n V�L •/J I 11 �1K1 �Il �+ Vl � 3UV �`lU lO`l�J ��Z <br /> 11U ����, <br /> CON CTO�t� � �y �,J��,^ ����� �� �j,d 21P CONTR.LICENSEf�� <br /> ii ri5�i ilY ' K.�C� �W�w'�i�r��3 <br /> HONE� 8�8 q0�3 mova'l� Vearnu�� �2�13 <br /> PROPOSE�F UB ILDIN6 _ TYPE T �L Spr nkle�n n � 5 gmti ng I I�E �N p eolMalm. I NEAT SG�CE <br /> 1 � 1'�� � Ior7 n <br /> ����x�; `x.� ���,� � <br /> F� �� <br /> CONTRACT PRICE OF WORK Z[�1�Ot ' _ GTY OP EVERETT LOCAL SALE8 TAX CODE IS J706 <br /> C.�lJ� Y <br /> RK DESCRIPTION � <br /> ��, � NK,� "��Pe �fra�"iC �R s�rink�.rL,S��S� � N <br /> y�,� �d-�ta��.. t� �u b�,�+�d,;� a�d oc� dr���i�.�a.�,rhu�c 5p���r <br /> 5 <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FII(TURE OR ITEM <br /> WATER CLOSET AIC—A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN S�NK&DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METALFIREPLACE/STOVE <br /> URINAL FIREPLACEINSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP TC.) EXHAUST FAN <br /> � OTHER _ OTHER <br /> I HEREBY CERITIFY THAT 1 I1AV[READ AND EXAMINED TNIS AI'PLICATION AND�NOW THE SAME TO BF TRUE A�'D CORRECT. ALL <br /> PROVISIONS OF IAWS AND ORIDINACES GOVERNING THIS NPE OF WORK IMLI BE COMPLIED IMTH WHETHER SPECIFIED HEREIN UR <br /> NOT. TI1E GRANTING OF A PERMIT DOES NOT PRESUME TO GIV[AUTF.IRITY TO VIOL4TE OR CANCEL THE PROVi510N OF ANY OTHER <br /> STATE Oft LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I P.M AUTHORIZED BV TNE <br /> O ER OF i�H15 P P RTV TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> O� �� 2J'lg_C W A 296200 WAC. �I�� I� <br /> i io <br /> Sig re o Owner/Conlreotor/Authonzed Agent Date I <br /> l <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED �� <br />