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( <br /> PER11A11' APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 96201 <br /> 425-257-8810—FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.R PERMI7 e <br /> � -S � 1 � ��r �VC £-W r Q� �Q-Q�Z- <br /> LEGAL LOT NO. B40CK TRACT <br /> DESC. <br /> OWNER ADDRESS n(�U3 PHONE <br /> ' L;,,2�6�r� 2s /y w�tlYi� �7d �v ��S- y38 - 8619 <br /> TENANT NAME I CONTACT NAAAE PHONE <br /> CONTRACTOR n� �^ ��` � ADDRESS ��M Nb CONTR.LICENSE I <br /> K J ��, ,� ,^,,t«,i n <br /> PHONE � S CO Nf.. � g�Q I'� <br /> .S6c� 3�d7� 63o� o2`7S N h4cnnio5 k�' �JZ9Z <br /> PROPOSED USE OF BUILDINCi Building Mechenical nadiuon HEAT SOURCE <br /> PERMIT � Combinetbn � Plumbing WORK � Alteration � Eiecuk <br /> TYPE Demolition Sign TYPE New Oee <br /> Sprinklet RepalrlMeint. Olher <br /> CONTRACT PRICE OF WORK `J O J O CITY OF EVERETi LOCAL SALES TAx CODE IS�tOb <br /> WORK DESCRIPTION <br /> R<.,»��-1 b.� � c� ; � <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF fll(TURE OR ITEM H0. TYPE OF FlI(TURE OR ITEM <br /> ! WATER CLOSET _ A/C—A/HANDLIN(3 UNITS <br /> BATHTUB _ FORC�D AIR SYSTEMS <br /> �—� LAVATORV(WASH DASIN) HEAT PUMP <br /> � SHOWER _ UNIT HEATERS <br /> / � KITCHEN SINK 8 DISPOSAL _ CLOTHES D(iYER <br /> _ DISHWASHER _ RANGE HOOD <br /> LAUNDRY TRAY _ WATER HEATER <br /> � CLOTHES WASHEH _ METAL FIREPLACE/STOVE <br /> � URINAL _ FIREPLACE INSERT <br /> __ DRINKING FOUNiAIN _ (3AS FIREPLACE <br /> _ FLOOR DRAIN _ GAS RAN�E <br /> BACKFLOW PREVENTER GAS PIPINC, <br /> != SINK(SERVICE/BAR/MOP/ETC.) � EXHAUST FAN <br /> _ OTHER _ OTHER <br /> I IIEREBV CERITIFY THAT I NAVE READ AND E%AMINED THIS APPLICATION AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALl <br /> PROVISIONS OF LAWS AND ORID�NACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED NEREIN OR <br /> NOT. TI1E GRANTING OF A PEFMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOUITE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2E0 BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK fOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 286.200 WAC. <br /> � � LO ^ I1• Ol <br /> SignaNre ot OwnedqefitrectodAuthonzed Agent ate <br />