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P�RMIT APPLICATIC)N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> SITE ADDRESH PARCEL TAX I.D.R PERMIT 1t <br /> 90� aq�,f� A�c - O�o1 <br /> LEGAL LOT NO. BLOCK TRk�T <br /> DESC. <br /> OWNER � ADDRESS IPMONE <br /> l�i��/S. S�euc,s 9G �1 /'oc,�',i ,ga�e °�as- 3�1?•s�7 > <br /> TENANT NAME I CONTACT NAME PHONE <br /> � <br /> CONTRACTOR FU�S�i L•R�l/1 Sia 1 r ADDRESS CONTR.LICENBE 1 <br /> !/e4t �A/C / ���� /����� � Liyw �� EUF�GSSG�dGT <br /> PHONE y�s_a5a- 3�iy Eucrcly 4i/I 9frac,, <br /> PROPOSEO USE OF BUILDINfi Building ,�q,Mechanical nAddnbn HEAT SOURCE <br /> ��s '. PERMIT R Combination ❑ Plgmbing WORK [� Alteretion D Electric <br /> TYPE [� Demolition U Si n TYPE D Nxw C] Gas <br /> U Spirnkler � RepairMeint. U Other <br /> CONTRACT PRICE OF WORK /O.� 3 CITY OF EVERETT LOCAL fALEf TA%CODE IS 910b <br /> WORKDESCRIPTION Znyia �� G9b �rrnr fo /Il.w i9o�o�if�o.-� , <br /> 4�r/ ,�yfo // No�„cov„a<�'s F:� p/occ. <br /> PLUMBINCi M_�MANI AL <br /> NO. T'PE OF FlXTURE OR ITEM NO. TYPE OF FlIfTURE Oq iTEM <br /> WATER CLOSET A/C-A/HANDIING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVA'�ORY(WASH BASIN) _ HEAT PUMP <br /> � SHOWER UNIT HEATERS <br /> KITCNEN SINK 6 DISPOSAL , CLOTHES DRYER <br /> D:SHWASHER RANGE HOOD <br /> LAUNDRY TRAY ^ WATER HEP.TER <br /> CLOTHES WASHER META�FIREPLACE/STOVE <br /> URINAL _ FIREPLACE INSERT <br /> DRINKING FOUNTAIN N GAS fIFiEPLACE <br /> FLOOR D�AIN _ GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHER _ OTHER <br /> I HEREBY CERIT�FY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE GAME TO BE TR�JE AND CORHECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVEiiNING THIS TYPE OF WORK WILL BE COMPLIED WITH WMETHER SPECIFIED HER�IK�OR <br /> NOT. THE GFAN7ING OF A PEFMIT DOES NOT PRESUME TO GIVE AUTHORITV Tq VIOLATE OR CANCEL THE PROVISION OF AN'!OTHEFi <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTMORIZED BY TME <br /> OWNER OF THIS PROPERTY TO PEAFORM THE WOFK POR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> C7� M�� f-O-�'���. �/��G�O� <br /> Sign ure o(OwnedContrector/Authonzed Agent ate I <br />