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a: :RMIT APPLICATi� N � <br /> CITY OF EVERETf PERMIT SERVICES I <br /> I <br /> 3200 CEDAR STREET, EVERETT, WA 98201 I <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS pARCEL TAX I.D.N PERMiT+r <br /> aa3a ��,��roe,�- E�e,� t .��� -� <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRE55 ZI? PHONE <br /> �im l,(�Pt�h�Dre �L eona t7awscr�l �a3nn'lar�rar.4lre 9�ao3 ya5 -� y�-591�_ <br /> TENANTNAME I CONTACTNAME PHONF. <br /> SLI F�U�' �][t.l� �YO/)Q y� •�, �Ji�llr <br /> CONTRACTOR AODRESS LP CONTR.LICENSEN <br /> PHONE <br /> PROPOSED USE OF BUILDING 8uilding f� Mechanical Addition NEAT SOUP.CE <br /> PERh71T Combination 4�Plumbing WORK Aiteration 1n.L Electric <br /> i � � d�ir7 TYPE Dem0lilion LJ Sign TYPE New p¢Gas <br /> � ��� Sprinkler Repair/Maim. U O�her <br /> I CONTFACT PRICE OF WORK ^� �O� CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> l <br /> WORK�ESCRIPTION <br /> !C J <br /> f✓S L'�-'� �c <br /> ' PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF Fl%TURE OR ITEM <br /> _ WATER CLOSET NC—A/HANDLING UNITS <br /> BATHTUB T FORCED AIR SYSTEM3 — <br /> LAVATORY (WASH BASIN) _ HEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAI. I CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY J_ WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACElSTCVE <br /> URINAL _ FIREPIACE INSERT <br /> DRINKING FOUNTAW _ GAS FIREPLACE <br /> FLOOP.DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> � OTHER _ OTHER_ <br /> � 1 HEREBY CEFITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF W WS AN�OFiIDINACES GOVERNING THIS TYPE OF WORK WiLL BE COMPLIED WIT4 WHETHER SPECIFIED HEREIN OR <br /> � NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PROVISION OF ANY OTHER <br /> ' STATE OR LOCAL LAW REGULATING CONSTRUCTIUN OR THE PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERN TO PERFORM THE WORM FOH WHICH APPLICATION IS MADE ANO I CJMPLY WITH THE STATE <br /> CONTRA TORS LAW 16.27 RCW AND 296.200 WAC. <br /> L�t�t-�-� f,��>1:���e, .�-5-0� <br /> Sgnature ol O�vner/ ontractor/Authonzed Agenl Date <br />