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--t ', <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 /> , � 3n� 'O�� <br /> fiITE ADDRESS PARCEL TA7(I.D.N pERM1T M <br /> '151y T`l� KO�� v� -b:�a- <br /> LEGAL LOTNO, BLOCK iRACT _ �Q�.���. <br /> DESC. � "�}1C �( A-G�L�FYC1 . 'T�WJC,T-'S <br /> OWNER ADDRESS ZIP , ONE <br /> ruN`z�fJ Fb�41E� U-G (',O. �Q�c. I�a�-I"1 U�tlLt� C�L-�k UUK1 �l �iog2.-_ ZL�-49$- � <br /> TENANTNAME CONTAI'TNAME � PHONE <br /> �R�M� q�i ��� I <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE� <br /> PMONE�^�`� y� ���`_ <br /> L3./ Ki <br /> PROPOSED USE OF BUILOING BUilding 17 Methenical nAddition HEAT SOURCE <br /> PERMIT �CombinetiOn H Plumbing IWORK � Altorntion I �EWctnc <br /> TVPE Demolilion LI Slgn 7YPE Now Gns <br /> Sprinkle� Repair/Maint. Olhcr <br /> CONTRACT PRICE OF WORK CI7Y OF EVERETT LOCAL SALES TAIf CODE IS 3105 <br /> WORK DESCRIPTION <br /> LbNs�v�T ►a�W i59� S.F• Mil�-c�-rRy� S/�'y[� -Ff�ry��y v2�si� — <br /> PLUMBING MECHANICAL � <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET A/C–AMANDLING UNITS <br /> BATHTUB / FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> � SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL � CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> C�J LAUNDRY TRAY WATER HEATER <br /> T CLOTHES WASHER METAL FIREPLACE/STOVE <br /> � URINAL FIREPLACE�NSERT <br /> DRINKING FOUNTAIN Z GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> � SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED 7HIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPIIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. 7HE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTXER <br /> STATE OR LOCAL LAW REGULATING CONSTRUC710N OR THE PERFORMANCE OF CONS7RUCTION. TMAT I AM AUTHORIZED BY THE <br /> OWNER OF IS PROPERN TO PERFORh1 THE WORK fOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRA S LAW 1827 RCW AND 296.200 WAC. <br /> -- ��- zl����3 <br /> Signature of OwnedConVeclodAuthonzed Agenl Cete <br /> — ' a�� <br /> �/Z <br />