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; . <br /> -- , --- <br /> � PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 ,/� <br /> 425-257-881 U- FAX 425-257-8857 }' <br /> SITE ADDRESS �7OZ T��R 4�O PARCEL TAX I.D.# PERMIT A <br /> ✓ !-✓ir. 9P,td/ .;a�qos 3 c� o0 o,,ti o0o i�, � r � c,:_� <br /> LEGAL LOTNO. BLOCK TRACT 3 <br /> DESC. <br /> OWNER ADDRESS �9�v �Mdq� �/E PHONE t�/�S, <br /> �iltt� UF EVF.�ET7'" �✓EXE7'T' l,�st. 98.Z0/ I 159—f1;38 <br /> TENANT NAME � CONTACT NAME I/_�+,1 PHONE <br /> .�/bNow+iSf-!� ev. cz�cq� <br /> �MERyE,cI�O :Scls�wt ���G S�D'�"f � `fy3-9�`Io <br /> CONTRACTOR � �� �� � ADDRESS CONTR.LICENSE M <br /> PHONE DETF.I.N/i.uEl� /� <br /> 7�r: T E � <br /> PROPOSED USE OF BUILDING � Building � Mechanical � Addl�ion HEAT SOURCE <br /> tf�� �M�VN�.f�t) PERMIT Combinalion Plumbin� WORK Allemlion D Eieclric <br /> TYPE Dernolition Sign TYPE New U Gas <br /> �N�yL Sprinkler Repoir/Maint. U Uiher <br /> CONTRACT PRICE OF WORK �� �, � CITY OF EVERETT LOCAL SALES TA%CODE IS 3105 <br /> WORK DESCRIPTION ��� �` , �1� /��,— <br /> f'er 11 A�1tJ� � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FI7(TURE OR ITEM <br /> WATC-R CLOS[T _ NC–A/Hl1NDLING UNITS <br /> ��THTUD FORCED AIR SYSTEMS <br /> LAVATORY(WA51��ASIN) _ HEAT PUMP <br /> SIiOWER UNIT HEATEHS <br /> KIICHEN SINK& DISPOSAL CLOTHES DHYER <br /> UISHWASFIER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CI.OTH[S WASIiER METAL FIREPLACE/STOV[ <br /> URINAI FIREPLACE INSERT <br /> DRWKING FOUNTAIN GAS FIREPLl�CE <br /> FLOOR DRAIN GAS RANGE <br /> 6ACKFLOW PREVGNT[Fi GAS PIPING <br /> SINK(S[f9VICE/DAR/MOP/ETC.) _ EXHAUST FAN <br /> p�F��� _ OTHEH <br /> I IIER[OY CERITIFY THAT i HAVE READ AND EXAM1IINED TNIS APPUCATION AND KNOW THE SAME TO BE TRUE AND COFR[CT. AI.L <br /> PROVISIONS OF IJ�WS AND ORIDIN�CES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETIIEFl SPFCIFIED fiEREIN OR <br /> NOT THE GRANTING OP A PEHMIT D065 NOT PNESUM6 TO GIVF AUTHORIN TU VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTIO�OR THE P[flFORMANCE OF CONSTRUCTION. THAT I Ah1 AUTHORIZED BY THE <br /> OWNER OF THIS PHOPERTY TO PERFORM THE WORK FOR WHICN APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 10.27 RC1N�ND 29G200 WAC. j�J <br /> O�L( _L�'�i� ``",,� � i <br /> (� - <br /> Signature ol Owned�rac�or uthonzed ,�ent Dn (� �v � <br /> i��'9. �� �2 <br />