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P`�RMIT APPLiCATILN �P <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS , PARCEL TAX I.D.M � PERMIT• <br /> y8U1 � - f � OD(�05'7 - o� - 009- d c�aos -oo <br /> LEGA LOTNO BLOCK TRACT <br /> �ESC. <br /> OWNER n ADDRESS DP PHONE <br /> �1�i1/a��'La� ��i^�eh ��d� ���-� ��v d �/f 48203 C��s�3s,-o�(�b <br /> TENANT NANE I CONTACT NAME PHONE <br /> SAV11C <br /> CONTRACTOfl ADDPESS LP CONTR.LICENSEN <br /> a�1�C-12 <br /> PHONE ��\��S ' QI��e' <br /> c J <br /> PROPOSED US�OF BUILDING BUilding � Mechanical Addi�icn MEAT SOURCE <br /> ��� ' ��.�� PEpMIT �Combmation Plumbing WORK R Alteratioo I n Electnc <br /> 7YPL Dertiolition Sign IYPE � New n Gas <br /> �,� `� Sprinkler Repair/Mainl. D Other <br /> CONTRACT PRICE OF WORK �Z � 1 � CITY OF EVERETT LOCAL SALES TAJ(COOE IS 3105 <br /> ! <br /> WORK DESCRIPTION �U`��i�l� �.,/'GQraqe anGC � rrtc� -L <br /> �� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. 1YPE OF Fl%TURE OR ITEM <br /> WATER CLOSET A/C—A/HANOLING UNIT� <br /> BATHTUB V FORCED AIR SYSTEMS <br /> I LAVATORY(WASH BASIPJ) HEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAI _ CLOTHES DRYEfi <br /> _ DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINK�NG FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> I BACKFLOVJ PREVENTER GAS PIPINu <br /> SINK(SERVICE/BA�/MOP/ETC.) EXHAUST FAN <br /> � OTHER OTHER <br /> I <br /> i <br /> I HEREBY CERITIFY THAI'I HA;�E READ AND EXPMINED THIS APPLICATION AND KhOW THE SAME TO BE TRUE 4ND CORFECT. ALL <br /> PROVISIONS OF 1.1W5 AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHE7HER SPECIFIED HEREIN OF <br /> � NOT. THE GPANTING OF A PERMIT DOES NOT PRFSUAIE TO GIVE AUTHORITY TO VIOIATE OR CANCEI THE PROVISION OF ANY OTHER <br /> I STATE OR LOCAL LAW REGULATING CONSTRUCTION OP THE PERFORMANCE OF CONS'RUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PFOPERTV TO PERFORh1 THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />_ CONT�ACTORS LAW 18.27 flCW.4ND 296.200 WAC. <br /> n / <br /> / <br /> �(�� ,��1 i �t�etic. �-�9•D.a. <br /> � SignaWre ol Owne or,traclor;Authonzed Agent Date '/a <br />