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� <br /> P�.RMIT APPLICATI��V <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425•257-8857 <br /> SITE ADORESS s.r PARCEL TAX I.D.N PERMIT K <br /> � � - 1 ��(e S.� Mo�s-�s <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRE55 ZIp pHONE <br /> es ar� Q� - S+ �� . �l 3�55- 0 7� <br /> TENANT NAME I CONTACT NAME PFiONE <br /> CONTRACTOR n /� /� ADDRESS Lp CONTR.4CENSEM <br /> PHONE (�fl�-���""'�" . <br /> PROPOSED USE OF BUILDING I Building I"1 Mechanical Addition ME.4T SOURCE <br /> PERMIT Rl...1 Combinetion �� Plumbing WORK RI.�1 Alleralion Electric <br /> SL� 7YPE �j Demolilfon L/ Slgn TYpE u New I �Ges <br /> � U Spnnkler U Rapair/Maint. U Other <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX COOE IS 3106 <br /> WORK DESCRIPTION I� , <br /> C/�(J�-l�[ `/� �C�– !� LW �`"C./ <br /> � � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTUHE OR REM NO. TYPE OF FlXTURE OR ITEM <br /> I _ WATER CLOSET ,_ A/C–AMANDLING UNITS <br /> _ BATHTUB _ FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> _ SHOWEA _ UNIT HEATERS <br /> _ KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> _ DISHWASHEF _ RANGE HOOD <br /> __ LAUNDRYTRAY _ WATER HEATER <br /> _ CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> i _ URINAL FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN � GAS FIREPLACE <br /> _ FLOOR DRAIN _ GAS RANGE <br /> I _ BACKFLOW PREVENTER GAS PIPING <br /> I _ OT ERERVICE/BAR/MOP/ETC.) _ FXHAUS7FAN <br /> _ OTHER <br /> I _ <br /> � — — <br /> i • <br /> � I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> � PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS NPE OF WORK WILL BE COMPLIED WITH WHETHER SPEC�FIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISiON OF ANY OTHER <br /> STATE OR LOCAL LAW AEGULATING CONSTRUCTION OR THE PEPFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br /> � OWN TNIS PROPERN TO PEFFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> i CO RA OFS LAW 782 CW AND 296200 WAC. <br /> � 5- D �� <br /> Signai re OwneUCo tractodAuthonzetl Agem Oate <br />