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1 <br /> P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-6857 <br /> SITE ADDRESS p PAFCEL TAX I.D.M PERMIT A <br /> ��ai l ��e- /�c�- No3yalo 000 00 � 00 �' � /O - oo3 <br /> LEGAL L07N0. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS PHONE <br /> �on+J �. SWf�JSuv I 77� I TYE� �D, f�L- T iUA Iy��'-23Z-349 5f <br /> TENANT NAME — I CONTACT NAME ( PHONE <br /> CCN7RACTOR ADDRESS CONTH. LICENSEM <br /> PHONE I <br /> C:�',��,�-��re- <br /> PROPOSED USE OF BUILDING Duilding � Mechanfcal Addition HEAT SOURCE <br /> �,/� PERMIT �f,ombinalion Plumbing WORK � Alteretion n Eleclric <br /> S r/�-- TYPE Demolition Sign TYPE New � Gas <br /> Spfinkler PepalrlMaint. Olher <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCpL SAIES TA%COOE IS 3105 <br /> WORK DESCRIPTION ���' �`� �� n , l,/J _ . 1 �� / �-0�� <br /> � r� cS�,�.���-o <br /> ^ LUMBING CHAN�CAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF fl%TURE OR REM <br /> _ WATER CLOSET _ A/C-A/HANDLING UNITS <br /> _ UATHTUB _ FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> _ SHOWER _ UNIT HEATEHS <br /> _ KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> _ DISHWASHER RANGE HOOD <br /> _ LAUNDRY TFAY � WATER HEATER <br /> _ CLOTHES WASHER ,_ METAL FIREPLACE/STOVE <br /> _ URINAL _ FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN _ GAS FIREPLACE <br /> _ FLOOR DRAIN _ GAS RANGE <br /> _ BACKFLOW PREVENTEA _ GAS PIPING <br /> _ SINK(SERVICE/BAR/MOP/ETC.) � [XHAUST FAN <br /> _ OT ER���.� _ OTHER <br /> i u -7 v'fT <br /> 1 HEREBY CERITIFY THAT I HAVE READ AND EX�MINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl <br /> Pf70VI510NS OF LAWS AND OR�JINACES GOVERNING THIS NPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME'f0 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> ST�TE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS FROPERN TO PERFOHM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH�fHE STATE <br /> CONTRACT.O�/�LA 1827 RCW AND 296200 WAC. <br /> ��� /' - ��,(�"4.(.f�/'v` ��-Z'� � v/ <br /> S1gnaw�C OI UWf7B�/C,On��2C10�/AUIf70�ZCtl Ag�n� D819 n� <br /> v <br />