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_ -� ' <br /> , � PERMIT APPLICATION <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.D.1 RMR N <br /> . � <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. � � '�"J� <br /> OWNER ADDRESS aP PMONE <br /> �2w►aU.x.e �,uc�I«..cc�r� 13u cv�-Ps'( A��. �ibzv� 4Ls� Zur• 4�,3 <br /> TENANTNAME I C�CT� PHONE <br /> �W� CE��- s Zc�• 4�G?�aD�3 <br /> CONTRI�CTOq (� ADDRES3 ZIV COHTR.IICENSE R <br /> � . , �°y <br /> N—�' 1 f <br /> PHONE <br /> pROPOSED USE OF BUILDING (� Building � Mechanical AddNbn HEAT SOURCE <br /> PERMIT �� Combination Plumbing WORK � Alteratbn D Eleclric <br /> ��« 7YpE j_� Demolition Sign 7YPE New �oes <br /> IJ Sprinkler Repeir/Me�n�. D Other <br /> CONTRACT PRICE OF WORK '�Z��l�� CITY OF EVERETT LOCAL 8ALE8 TAX CODE IS�106 <br /> WORK DESCRIPTION <br /> "j7�.+/k�i' �►����oua���(G�9�-�) �"'"1�+�- r�cM,�u p�w�f j►�= Fru.�r t�- 'C '�n. <br /> 1�W Wuvt�tu+u't A*�rJ Gtx/.fl�,`t �t�(1o'� ia'i ftluvi✓JL�ttt l�l/uA�l'�p�b'J��.-�`�' ' <br /> J�Nt�Fc G'M�+/�•.s <br /> ' PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM N0. TYPE OF Fl%TURE OR REM <br /> WATERCLOSET " A!C-AMANDLIN4UNITS <br /> ^ BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) _ HEAT PUMP <br /> -- SHOWER UNIT HEATERS <br /> �- KITCHEN SINK 8 OISPOSAL ^ CLOTHES DRYER <br /> DISHWASHER -- p4NOE HOOD <br /> �' LAUNDRY TRAY = WATER HEATER <br /> ^- CLOTHESWASHER � METALFIREPLACE/STOVE <br /> '�' URINAL FIREPLACE INSERT <br /> � DRINKING FOUNTAIN GAS FIREPLACE <br /> " FLOOR DRAIN " GAS RAN(3E <br /> � BACKFLOW PREVENTER � GAS PIPING <br /> jfL SINK(SERVICE/BARlMOP/ETC.) = EXHAUST FAN <br /> OTHER _ OTHER <br /> 1 HEREBY CERITIFY THAT I NAVE PEAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF 11�WS AND ORIDINACES GOVERNING TF115 TYPE OF WORK WILL BF COMPLIED WITH WHETNER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTFiOR1iY TO VIOLATE OR CANCEL THE PROVISION OF ANY'OTHER <br /> STATE OR LOCAL L�W REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF TIiIS PROPERTY TO PERFOHM THE WORN FOR WHICH APPLICA710N IS MADE AND I COMPLY WITH THE STATE <br /> CO,�TR ORS LA�W AND 296200 WAC. <br /> V <br /> h���IGI <br /> Si�neture ol Owner/Conlractor/ ulhorized gent ale �I� <br />