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� <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERViCES <br /> 3200 CEDAR STREET, EVERETT, WA 9B'_�Ot <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAl(I.D.1 PE ti� <br /> ��v P fic�v�ue. //Z''� <br /> LEOA L07N0. BLOCK TRACT <br /> DESC. �j� �32 ^�7�. <br /> OWNER ADDRESS aP PMONE <br /> �2ou KJl�xc; ,��,sys� i 3 2i ��7 A+�rr*�ue. <br /> ��s, w�, 9e2�i �u'. u�. �(vas <br /> TENANTNAME CONT CTNAME pHp►� <br /> �`,(►`xJ �-ei(1•�C• I/rN�L�i�l[Ady.1�C �y'1lt�iTH4zi /!O(' l�i2..0 1 I I <br /> CONTRACTOR L �p.n �N,�� ��` ADDRESS aP CONTR.LICENBE• <br /> �— rl •• I IOrsL Ic11F► �lflT.�'7' p <br /> PHONE 7�.�,��.4JI�IS `�NO�"I'MtSF1 iVM LS290 IL��L�'L7Z� <br /> PROPOSED USE OF BUILDINO uilding Mechanical Addition HEAT SOURCE <br /> �/] T]� PERMIT Combinalbn Plumbing WORK Alters�fon [� Electrb <br /> ` 1'��I'�1^� TYPE Demolitlon Sign TYPE New �j qaa <br /> Sprinkler RepslNMeint. U p�her <br /> CONTRACT PRICE OF WORK ������ qTY OF EVERETT LOCAL BALE8 TAIf CODE IB�106 <br /> WORK DESCRIPTION <br /> ���.,Acc: L�uSn^� un�l�,2. acc�w+. �r.� T'� f�''f►n�N ur+-�ua2.ct�'R�!- <br /> At.o�Y�w�(N ,+�uAtL'�'J M�n�uL R.t..�/a57� <br /> ' PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR REM NO. TYPE OF FlXTURE OR ITEM <br /> WATEfiCLOSET _ A/C—AIHANDLINQUNITS <br /> ATHTUB _ FORCED AIR SYSTEMS <br /> � L VATORY(WASH BASIN) _ HEAT PUMP <br /> _ SH WER _ UNIT HEATERS <br /> _, KITC N SINK 8 DISPOSAL _ CLOTHES DRYER <br /> _ DISHW HER RANOE HOOD <br /> _ LAUNDR RAY _ WATER HEATER <br /> _ CLOTHES HER _ METAL FIREPLACE/STOVE <br /> _ URINAL _ FIREPLACE INSERT <br /> _ DRINKING FOUN N GAS FIREPIACE <br /> _ FLOOR DRAIN _ pAS RANaE <br /> _ BACKFLOW PREVENTE _ (iAS PIPINO <br /> _ SINK(SERVICE/BAWMOP/ C.) _ EXHAUST FAN <br /> _ OTHER __ OTHER <br /> I HEREBV CERITIFY THAT I HAVE READ AND E%AMIPiED THIS APPLICATION AND KNOW THE SAME TO BE TqUE AND CORRECT. ALL <br /> PROVISIONS Of-LAWS AND ORIDINACES GOVEHNIN�3 THIS TYPE OF WCRK WILL BE COMPLIED WITM WHETHER SPECIFIEO HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TJ 61VE AUTHOR�TY TO VIOLATE OR CANCEL THE PROVISION OF ANV OTHER <br /> STATE OR IOCAL LAW REGULATINO CONSTRUCTION OR THE PERFOHMANCE OF CONSTRUCTION. THAT I AM AUTHOR�ZED BV TNE <br /> OWNER OF THIS PROPERN TO PERFORM TNE WORK FQR WHICH APPLICATON IS MADE AND I COMPLY WITH THE STATE <br /> CON RA TOR AW 18.27 RCW AND 288.200 WAC. <br /> II�l4�o1 � <br /> ' �g lur ol Owner/ onlrador uthorized gent ele � <br /> z <br />