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j F��RMIT APPLI�AT�fJN <br /> ' CITY OF EVERETT PER1411T SERVICES <br /> ; 3200 CEDAR STREET, EVERETT, WA 98201 ? 2 ���! 'O O� <br /> 425-257-8810- FAX 425-257-8857 � <br /> i \ <br /> i _ eca�/ (� <br /> i SITE ADDRESS '� PARCEL TAX I.D.S PERMiT x <br /> � �: - ;;�,;�< � Av�- �9os� o�aoo o cn�r� - <br /> ILEGA LO7 NO. BLOCK TRACT � <br /> � OESC. <br /> I OWNER ADDRESS LP PHONE <br /> I .�/^i�c/��,c/� P.rl,O �.- _ ��;:, � �� 4.zs- 3-t�-sso� <br /> /C�.: �dE'RF��. GJ•f. 9�.:oG <br /> j TENANT NAM1fE Z;�NTACT NAME` PHONE <br /> /- 8�- 935- 429 S <br /> IGEN� Ai L f�S'o3 - 708- �7�.,, <br /> CONTRACTOfl ADDRESS LP CONTR.LICENSEM <br /> I ���1��i�i l ic.,�� /��E., /,��'� C-f'9�iA�n Qt� <br /> ; PHONE / - <br /> Cr'•-'- l-�,! - /,�ti2 eF<:�c /,�'c;��ALr 7,�. 9To6o ��/�i'l/.���=�L — ,�-�-�c <br /> i' PROPOSED USE OF BUILDING - Building f'1 Mechanical Addition I NEAT SOURCE <br /> PC-RMIT � Combination �_� Plumbing WORK � Alteration n Electric <br /> � TYPE Demolition LJ Sign TYPE New k{ Ga� <br /> �i Spnnklef Repair/Maim. I lY Other <br /> CONTRACT PRICE OF WORK / ��, CITY OF EVERETT LCCAL SALES TAX CODE IS 3105 <br /> �� � l _� C- '-J '��/�` � <br /> � WORK DESCRIPTION ' `��� � <br /> T�yc�i�%� �"o e,._.•�N���,�� �- F�'E�-� PR���r!�l //l£�L S�,rAGG <br /> � �'rr . .;�,�r.��: //_� Y ' � .-- <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TVPE OF FI%TURE OR ITEM <br /> _ NlATER CLOSET _ A/C-•A/HANDLING UNITS <br /> _ BATHTUB _ FORCED AIR SYSTEt�1S <br /> _ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> _ SHOWER � UNIT HEATERS <br /> _ KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> _ DISHW�SHER _ RANGE HOOD <br /> _ LAUNDRY TRAY WATER HEATEF <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> _ URINAL _ FIR�PLACE INSERT <br /> DRINKING FOUNTAIN GA.SkJREPLACE <br /> _ FLOOR DRAIN _ GAS RANGE <br /> __ BACKFLOW PREVENTER GAS PIP�IG <br /> _ SINK (SERVICE/BAFlR�iOP/E7C.) EXHAUST N � <br /> _ OTHER ^.r QTH�R � f F' �u!�_ <br /> 4�� C�il. i^n, •1s <br /> — �_ � -. . ,�. <br /> — l � _ /i� 'Jt� �n: V?l� <br /> �` <br /> i HEREBY CEP�ITIFY THAT I HAVE PEAD APID EXAIdINED THIS APPUGATION ANO KNOW TNE SAIdE TO BE TRUE AND CORREC7. ALL <br /> PROVISIONS GF LaWS nND ORIDINACES GOVERNING THIS NPE OF WORK WILL BE COIdPUED W1T4 WHETHER SPECIFIED HEREIN OR <br /> 'JOT. THE GRAtJTING OF A PERIAIT DOES IJOT PFESUME 70 GNE AUTHORIN TO VIOLATE OR CANCEL THE PROVIS�ON OF ANV OTHER <br /> STATE OR LOCAL L4W REGUWTING CONSTRUCTION OR THE PERFORIdANCE OF CONSTl7UCTION. THAT I AM AUTHORIZED BY THE <br /> GWNER OF THIS PROPERN TO PERFOR!d THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WiTH THc STATE <br /> CONTRACT�JRS LAW 7827 RCW AND 296.200 W 4C. <br /> �,< �. .. f' ���-._/� :"'� "f�� <br /> i <br /> S�gnaWre of Owner/Contract6f/A� onze Agem ' Date <br /> ' . ,' ,.! ��L <br />