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P�.r�MIT APPLiCATIC. � <br /> � CITY OF EVERETT PERMIT SERVICES <br /> �'"' 3200 CEDAR STREET, EVERETT, WA 98207 <br /> 42@-257-8810- FAX 425-257-8857 <br /> SI7E ADORESS PARCEL TAX I.D.R RMI7 M <br /> S G S v�S� vG D 6 U D o <br /> IEGA LOT NO. BLOCK TfiACT �"�i .rj'�� J7' / , <br /> DESC. �O {� • �[�L /�- �4 ��HL.S <br /> OWNER ADDRESS aP PMONE <br /> �i L <br /> ��/Ll/` • �c��lU 'G;10,//i,!/C� �v.��'/�o>7 £s t;��'ll�F�1�i� '�s576 <br /> TENANTNAME CONTACTNAME PHONE � <br /> �/�C,�,U7- I .�� l // ,�C� , � <br /> CONTRACTOR AODRESS ZIP CONTA.UCENSEI <br /> PHONE �/ l �/ �V�U�"lV ���y'V ✓��/ � C�� �/�\ L U� G �'f'S <br /> PROPOSED USE OF BUILDING Building f'1 Mechanical Addition HEAT SOURCE <br /> I PERMIT Combinalion �_� Piumbing WOFK RI..1 Altaration Electric <br /> ,., � TYPE � Damolilion �� Sign ITYPE �,..J New Gas <br /> °prinkler L� Repair/Meint. Other <br /> CONTRACT PRICE OF WORK � v , .� C�TY OF EVERETT LOCAL SALES TAX COOE IS 0105 <br /> WORK DESCRIPTION <br /> �S/�G ��� ��� ����5 � <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF Fl%TURE OR REM N0. TYPE UP flXTURE OR ITEM <br /> I = WA7EF CLOSET _ A/C—0.'HANDLING UNITS <br /> BATHTUB _ FORCECI AIR SYSTEMS <br /> I = LAVATORY(WASH BASIN) _ HEAT P'JMP <br /> SHOWER _ UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> I = DISHWASHER = RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> _ CLOTHES WASHER METAL FIREPLACE/STOVE <br /> i = URINAL _ FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FLOOR DRAIN _ GAS FANGE <br /> � _ BACKFLOW PREVENTER _ GAS PIPING <br /> _ SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> ' _ OTHER _ OTHER <br /> � I HEREBV CEPITIFY 7HAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUIE AND CORRECT. ALL <br /> PFOVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> . NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOWTE OR CANCEL THE M'ROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I A�I AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITi I THE STATE <br /> iCONT�CTOFj.S LAW]9�Q7 RCW ND 296200 WAC. � ��_ / ,� <br /> F( 9 �J <br /> Si nalure o ned onhacTor nzed A ent ete <br />