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� - P�F�MIT APPLIi..4Tl(S�� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRE::.'T, EVERETT, WA 98201 <br /> 425-257-8610- FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.M PERMIT n <br /> '.Z.2 I S- I'1�Gv��1� �.'v�tk Narlcr...: o � - 286� - 3-ob�- ��03 � '�f3tm�C�.� <br /> LEGA LOT NO. BLOCK TRACT <br /> DESC. ,�Sc"�= ATTr} !tE'p — <br /> OWNER A�DRESS ZIP PHONE <br /> � �CcJM '� La�uNMar Lie - 93�9 ��y1K/v�� J.G4J �. �M+.I.adf (�{JL4 98 �ZV <br /> I <br /> TENANT NAME CONTACT NAME PHONt <br /> 'Puse�- S� d CHe� y �s�a NiiQ�- �eu., ec.l� � ts� 3-7 3-9z3o Xs7 <br /> C�CTOR ADDRESS LP CONTR.LICENSE M <br /> l7A w2RL Lc�S pv F.s{c <br /> r I p,� ���� <br /> PMONE �y,�tiw r(a�,fy.;� <br /> PROPOSED USE O/F BUILDING ,n[ 9uilding fl MeChaniCal I� Addition HEAT SOURCE <br /> A���•OH V'F o-µ '��`"�F PERMIT �� Combination F_� Plumbing WOFK 4_�� Alteration Electric <br /> �� �r.,�,., � 5{,,,f:..., � TVpE �l Demolition IJ Sign 'fYPE �j New Gas <br /> � ���� c�� �w�� U Sprinkler U Repair/Maint. Other <br /> CONTRACT PRICE OF WORK �'' C�s8S CITY OF EVERETT LOCAL SALES TA%CODE IS 3105 <br /> WORKDESCRIPTION A�; F:o... �+� O� tJkl'' a"1''q'i"`` t� �C.� w.I �fuw�► � <br /> � � KZ� � 'I� <X'5�+�.. e ti�/��a C.�-L S'I+4NC� � <br /> �t{d: H..,.., oC ��'�'-ol r.i.K:�#- C4' x 3 1 l <br /> PLUMBING MECHANICAL <br /> NO. I TYPE OF FIXTURE OR REM N0. TYPE OF flXTURE OR REM <br /> WATER CLOSET A/C-A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER __ UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAI CLOTHES DRYER <br /> i _ DISHWASHER _ RANGE HOOD <br /> � LAUNORY TRAY _ WATER HEATEFi <br /> I CLOTHES WASHER _ METAI FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> EACKFLOW PFEVENTER GAS PIPING <br /> ;INK (SERVICE/BAR/MOP/ETCJ _ EXHAUST FAN <br /> OTHER OTHER <br /> ' 1 HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS ANO ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A FERMIT DOES NOT PRESUME TO GIVE AUTNORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW FEGU�TING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PEFFORM THE V�ORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> � CONTRACTO S LAW�.27 RCW AND 296200 WAC. <br /> i �' .,.�� (o� �3�O Z_ <br /> , Sig f ol Ow o racror/Authonzed Agent Date � <br /> Z <br />