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1 � <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 /> S�TE'ADDRESy � � � PARCEL TAX i.D.I pERMIT�O—�� <br /> �v %�e�"� !.�'I �G UCYf � � <br /> LEQA lOTNO. BLOCK TRACT <br /> DESC. <br /> O R �� ADDRESf aP VfiONE <br /> r� GO 1�/'1c.�.`�',�,�� uc. I'r� 7 0��3 `�l< 35 S^ fL7�/ <br /> NANT NAME I CONTACT NAME p�p� <br /> 1����ile/' <br /> CONTRACTOR ADDRE38 aP CONTp.t,ICEN5E1 <br /> PHONE G�d�t e� <br /> PROPOSED USE OF BUtLDING f'1 Buildnp MechanlCat Additbn MEAT SOURCE <br /> PERMIT �� Cor�ination � Plumbing WORK B Alleratbn f� Eycyrio <br /> TYPE �._l Demolitlon Sipn 7YPE g New �-� Oea <br /> �� Spdnkler qepeidMeint. lB�OH�sr <br /> CONTRACT PRICE OF WOHK qTY OF EVERETT LOCAL{M.Et TAIC L`OpE 1/�10i <br /> WORK DESCRIPTON <br /> ' PLUMBING MECMAWI AL <br /> NO. TYPE OF flXTURE OR ITEM NO. TYpE pP plfTUpE 0111TEM <br /> _ WATER CLOSET _ q/�_qMANDLINa UNITS <br /> _ BATHTUB _ FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) HEAT PUMP <br /> _ SHOWER _ UNIT HEATERS <br /> _ KITCHEN SINK 8 DISPOSAL _ CIOTHES DRYER <br /> _ DISHWASHE(i RANGE HOOD <br /> _ LAUNDRY TRAY WATER HEATEFi <br /> _ CIOTHES WASHER METAL FIREPUCE/STOVE <br /> __ URINAL _ FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN _ 6AS FIREPLACE <br /> _ FLOOR DRAIN (3AS RANOE <br /> _ BACKFLOW PREVFNTER OA3 PIPIN6 <br /> _ SINK(SERVICE/BAR/MOP/ETC.) EXHAUST A <br /> _ OTHER ,� OTHER�_ <br /> � <br /> — _ F.rC�, f?�c �ee� �j�/ e�iest•i,�s <br /> 1 HEREBV CERITIFY THAT I HAVE REAO AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CONRECT. ALL <br /> PROVISiONS OF LAWS AND OFIDINACES GOVERNING THIS TVPE OF WORK WILL BE COMPUED WITH WHETHER SPECIFIED HEREIN OH <br /> NOT. THE GRANT�NG OF A PERMIT DOES NOT PqESUME TO GIVE AUTNORITY TO VIOUT£OR CANCEL TNE PROVISION OF ANY OTHER <br /> STATE R LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUT}IORIZED BY TNE <br /> OWNE OF THI PROPERTY TO PERFORM TNE WORK FOR WHICH APPLICATION IS MADE AND�COMPLY WITH THE STATE <br /> CO T ACTOR 1 .27 RCW AND 286.200 WAC. <br /> � / '.�7•G I <br /> g a ure o w er on ctor/Aut orized gent ete <br /> � <br /> � <br />