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i <br /> PERMIT APPLICATION ' <br /> � CITY OF EVERETT PERMIT SERVICES � <br /> �J"" 3200 CEDAR STREET, EVERETT, WA 98201 <br /> �-- <br /> 425-257-8810-FAX 425-257-8857 <br /> Q�,,� �I I - 0(3 <br /> SITE ADDRESS PARCEL TAX I.D.! PERMI7� <br /> I�Iq �uckeY' Ov 4 g oqo0 �Q�i-o�l <br /> LEGA LOTNO. F� ho` BLOCK ACT L <br /> DESC. I D o� „ 3?O t� of E�r�cfr <br /> OWNER 1�I�qupep,su�kn r aP PHONE <br /> �•� <br /> Ca�vfe f C-, as}� ��y 1�0 ��x i�-3o Evc✓�eFf, Ul�} 9gzo6- iz.3o <br /> TENANT NAME COHMCT NAME P1WNE <br /> Co,�� � Go�s�-u �a59 �.arole ��y9 C �ta5) aSk- iz�; <br /> CONTRACTOP �� , ADORESS LP CONTR.LICENBE• <br /> G;�>��� D�. � (��v�,�►�) <br /> Wi�tn :u s ' c15 ��1)�Vz ' ' N'{ <br /> PHONE <br /> C t{"�5 �5�s-I u-t5 <br /> PROPOSED USE OF BUIIDINd Building Mechanlrsl Addillan MEAT SOURCE <br /> PERMIT Combinalion Flumbing WORK Alteratiai o1�[ Electric <br /> Ga�,� � TYPE Demolilion � Sign T'PE New �j Gas <br /> 5 Sp�lnkler Repair/Mainl. U aner <br /> CONTRACT PRICE OF WORK. n0� a*y Y f� 2O CRY OF EVBRETT LOCAL 8ALE8 TAX CODE 18�105 <br /> WORK DESCRIPTION <br /> auild neu� 2-tar SoraSe <br /> PLUMBING MECMANICAL <br /> NO. TYPE OF Fl%TURE OR ITEM NO. TYPE OP FlXTURE OR ITEM <br /> WATER CLOSET !VC—A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH OASIN) _ HEAT PUMP <br /> SHOWER UNIT HEATEFiS <br /> KITCHEN SINK 8 DISPOSAL _ CLOTHES ORYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> � CLOTHES WASHER METAL FIREPIACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACc <br /> FLOOR DRAIN 6AS RANOE <br /> BACKFLOW PREVENTER QAS PIPIN6 <br /> SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHER OTHER <br /> 1 HEREBV C[RITIFV THAT 1 HAVF READ AND EXAMINED THIS APPLICATION AN�KNOW THE SAME TO BE TRUE AND CORRECT. ALl <br /> PROVISIONS OF IAWS AND ORIDINACES GOVERNIt:6 THIS TVPE OF WOPN WILL BE COMPLIED WITH WHETHER SPECIFIED NEREIN OR <br /> NOT. THE GRANTING OF A PENMIT DOES NOT PRESUME TO OIVE AUTNORITV TO VIIX ATF OR CANCEI THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGU V+TING CONSTRUCTION OR THE PERFOPMANCE OF CONSTRUCTION. TMAT I AM AUTHOR12E0 BY THF <br /> OWNER OF THIS PROPERN TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITM THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> ( /�'� �/ �Q'��/'� � <br /> Signafiure ol wner/ actor/�thorized gent ate <br /> 'la <br />