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� <br /> P RMIT APRLICATIOi� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 42!i-257-8810- FAX 425-257-8857 � <br /> /,��� ��,'� ,-,�� <br /> SITE ADDRESS PARCEL TAX I.D.M PERMIT u <br /> ��a3 ' ,c� � � i . a o 00� � L� a �o0 <br /> LEGA LOTNO. I BLOCK TRACT <br /> DESC. <br /> OWNEH A�ORESS ZIP PHONE <br /> Te f� � r�� y Po ��,� 7i� F1J ����o� S�LS-�zS-,� �3�r9 <br /> TENANT NAME � I CONTACT NAME PHONE <br /> fk H..� �zT ' �/L 2 - ��QG <br /> CONTRACTOR ADDRESS 21P CONTR.LICENSE N <br /> �`f ti ,�l't7 /`�,.>,r1' <br /> PHONE <br /> �( zr- Zs� -36 �y ��' ��,Y �/6 `l's�.t.:• i �yy,�,r� i7s 3.s <br /> PROPOSED USE OF BUILDING }�'Building f� Mechanical ACdition MEAT SOURCE <br /> PERMIT II—°�( COmbinali0n F� Plum6ing WORK Alteralion Electnc <br /> TYPE �..J Demolition LJ Sign IYPE � New � Gas <br /> // �� � .� �� ��t U Sprinkler Repair/Alaint. Other <br /> CCNTRACT PqICE OF WORK 3 � � J�� CITY OF EVEHETT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION <br /> I � �/ / <br /> / (w/ <br /> �r� <br /> PLUMBING MECHANICAL <br /> I NO. TYPE OF FI%TURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> I WATER CLOSET A/C—A/HANDLING UNITS <br /> ; BATHTUB _ FORCED AIR SYSTEMS <br /> _ LAVATOR'! (WASH BASIN) HEAT PUMP <br /> = SHOWER UNIT HEATEFiS I <br /> KITCHEN SNK 3 DI5POSAL CLOTHES DRYER <br /> i _ DISHWASHER _ RANGE HOOD <br /> LAUNDR'/TR4Y WATER HEATER <br /> � ___ CLOTHES WASHLR _ METAL FIREPLACE/STOVE <br /> , URINAL FIREPLACE INSERT <br /> DRINK�NG FOUNTAW .� GAS FIAEPLACE <br /> I = FLOOR DRAIN = GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> �� SINK(SERVICEBAR/MOPiETC.) EXHAUST FAN <br /> �i = OTHER _ JTHER I <br /> I _ <br /> I I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAh1E TO BE TRUE AND CORRECT. ALL <br /> I PPOVISIONS OF LAWS AND OA:DINACES GOVERNING THIS TYPE OP WOPK WILL BE COMPUED WITH WHETNER S?ECIFIED HEREIN OR <br /> i NOT. THE GRANTING OF A PE�h11T DOES NOT PRESUAIE TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHEP, <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION CF THE PERFORMANCE OF CONSTRUCTION. TNAT I AM AUTHORIZED BY THE <br /> i OWNER GF THIS PROPERN TO PERFOR jfHE WORK FOR WHICH APPLICATION IS MADE ANU I COMPIY WITH THE STATE <br /> i CONTRACTO S WW 18.2.' RCW NC! 200 WAC. <br /> � % ' z � oZ <br /> �;�, <br /> iSign�tur olOwn onhactodAuthoryzetl gent Da�e f/L <br /> L , C � <br />