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Pdr�MIT APPLICATIG�.J <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32�70 CEDAR STREET, EVERETT, WA 982p1 <br /> 425-257-8810- FAX 425•257-8857 <br /> SITE ADDRE S / PARCEL TAX I.D.N I <br /> �� � u '!� _ Q. ,e� PERMITM <br /> �-'r�- ��� Mc�2c�q-oi� <br /> IEGA LOT N0. BLOCK Tf1ACT <br /> DESC. <br /> OWNEH AUDRESS <br /> S��rt �[/(/Gl I�� �Q(��I/ // LP PHONE 2 E'—G� <br /> TENANT NAME ' ' "'� �`VG� /O �L� <br /> �_ CONTACT NAME PHONE <br /> 5���- � /�� <br /> CONTRACTOR ADORESS <br /> �P CONTq,LICENSE N <br /> PHONE <br /> PROPOSED USE OF BUILDING Building fl Mechanical <br /> I PERMIT R Combinalion �_� PlUmbin Adtlition HEATSOURCE <br /> S�_ TYPE � Demolilion 9 WORK B Alteratlon I Q Electric <br /> U Sign TVpE B New U Gas <br /> Sprinkler Repei./Meint. L� Other <br /> ICONTRA�T PRICE OF WORK CITY OF EVERE7T LOCAL SqLE3 TA%CODE IS 3105 <br /> WORK DESCRIPTION <br /> z-� � �� <br /> PLUMBING MECHANICAL — <br /> I NO. TYpE OF FU(TURE OR ITEM <br /> N0. TYPE OF FU(TURE OR ITEM <br /> I _ WATER CLOSET A/C—A/HANDLING UNITS <br /> _ BATHTUB Z FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) ,_ HEAT PUMP <br /> � _ SHOWER ! UNIT HEATERS <br /> � _ KITCHEN SINK 8 DISPOSAL � CLOTHES DRYER����G� �w�✓ <br /> , _ DISHWASHER <br /> _ LAUNDRY TRAY RANGE HOOD <br /> � _ CLOTHES WASHER --� WATER HEATER <br /> ._ URINAL _ METALFIREPLACE/STOVE <br /> _ DRINKING FOUNTAIN _ FIREPIACE INSERT <br /> _ FLOOR DRAIN GAS FIREPLACE��`S� <br /> _ BACKFLOW PREVENTER � • GAS RANGE —.s-��c1k'� � •+.� <br /> _ _ SINK(SERVICE/BAR/MOP/ETC.) GAS PIPING <br /> _ . O7HER _ EXHAUSTFAN <br /> — _ OTHER <br /> I HEPEBV CERITIFY;NAT 1 HAVE READ AND EXAMINE�THIS APPIICATION ANO KNOW THE SAME TO BE TflUE AND CQRRECT. ALL <br /> PFOV�SIONS OF LTWS AN�ORIDINACES GOVERNING THIS TVPE OF V�'ORK WILL BE COMPLIED WITH WHETNER SPECIFIED HEREIN OR <br /> N07. 'HE GRANTiNG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OF LOCAI LAW qEGULATING CONS7RUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTNORIZED BY THE <br /> OWNEP.OF THIS PROPEFTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRAG7�pR�S�qyy ip. ND B.20pyy . <br /> C <br /> Signalure ol O eUContractor/Aulhonzed�i gent ����te��a <br />