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P��MIT APPLI�ATIG�►*� <br /> CIl'lf OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8870- FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.N r pMi7 w <br /> /0.5.30 (.J�-sh,n �-n W <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER AD�RESS ZIP PHONE <br /> `)e�ome, �Sf-e��e /OS.�C) f�q5�11nr� WA-� <br /> TENANTNAME I CONTACTNAME PHONE <br /> CONiRACTOR ADDRESS LP CONTR.LICENSEN <br /> Nw �ner9�� Se✓v��es.TNc /2-�F3?_/-�un� �j�j �£72 �$�� NW�ts,tqq9�f1� <br /> PHCNE <br /> PROPOSED USE OF BUILOING Buildi�g Mechanical Addilion MEAT SOURCE <br /> PERMIT R CPmbinalion Plumbing IWORK R A�IPra�ion I (7 Electri: <br /> TYPE �� Demolilion Sign TVPE D New �r Gas <br /> C S rink�er U He air/MEinl. LJ Other <br /> CONTRACT PRICE OF WORK �- 'S. /c�r CITV OF EVERE7T LOCAL SALES TAX COOE IS 3105i <br /> 0 <br /> WORKDESCRIPTION�NS,� - !' n� �r �,n�� ��n � /RC� �I$-{'1✓� <br /> r�iY fi� �j � � � �as rurnac'� <br /> � ���?¢h�-�-� <br /> � PLUMBING MECHANICAL <br /> I NO. TYPE OF FIRI'URE OR ITEM NO. TYPE OF Fl%TURE OR ITEM <br /> WATERCLOSET � A/C—AlHAND�INGUNITS <br /> � BATHTUB � FORCED Alfi SYSTEMS <br /> � � LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSA� _ CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNORYTRAY _ WATER HEATER <br /> CLOTHES WASHER _ METALFIREPLACE/STOVE <br /> URINAL _ FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK (SERVICE'BAR/MOP/ETC.) _ EXHAUST FAN <br /> _ OTHER _ OTHER_ <br /> I HEFEBY CERITIF'f THAT I HAVE R[AD AND EXAMINE[i THIS APPLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL <br /> PROv�S�ONS OF LawS nND OF�DINnCES GO�'ERNING 1�HIS TYPE OF WORK WILL 6E COMPLIED WITH WHETHER SPEr,IFIED HEREIN OR <br /> NOT. "HE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PfiOVIS10N OF ANY OTHER <br /> STATE OF LOCAL LAW REGULITING CONSTFUCTION OR THE PERFORMANCE OF CON6TRUCTION. THAT I AM ACTHORIZED BY THE <br /> OWNER OF THIS PPOPERN TU PERFORM THE WORK FOR WHICH APPL�CATION IS�AADL?AND I COMPLY WITH THE STATE <br /> CCVTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> ��!% C . ���-�-�-�-- _ <br /> ignature of O�vnenContractouAuthonzeC Agent Cate <br />