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( r�ERMIT APPLiCA� iON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 QO7 <br /> 425-257-8810-FAX 425-257-8857 �G��� <br /> SITE ADDRESS PARCEL TAX I.D.li PERMIT <br /> S z T t� G�oy�i�q�oy�oz �Z <br /> LEGA LOT NO. BLOCK TAACT <br /> DESC. E /yD�L�ss 5 B7-9i� Le/y /�aroc /,6Gr,�u�'a �4c,eEs <br /> OWNER AODRE33 aP PNONE <br /> e�R,� �J,�� t.��sa� S'�z �J�T l�� c-rTit.t� �eos y .;s3 s� <br /> TENANT NAME CONTACT FOR PERMIT PMONE <br /> I �e�a� o,c.,� lJc-�� �5�1.��3s,3-s3b 9 <br /> CONTRACTOR ���� ����,�,�/ ADDRESS 3S4'J NE/BZ sT. aP CONTR.UCENtE• <br /> PMONE SEA7IZE, L✓A y'�js3^ <br /> ��) swo-7a� <br /> PROGOSED USE OF�UILdNO I �YBuilding Mechanical AddRbn MEAT SOURCE <br /> PERMIT �-� Com6inetian Plumbing WORK Alteretion Electnc <br /> �ETz1C�lE0 GR246E- K <br /> TYPE �__� Demolition Sign IYPE Nsw �Gas <br /> CA+e ��iNd L� Sprinkler RepsirMMlnt. ph«,o�,v <br /> CONTRACT ppICE OF WORK 33�Q70 CT'OP EVERETT LOCAL SALES TAX CODE IS 7106 <br /> WORK DESCRIP710N <br /> ��/.CE /�'A^'��qnp� Arn CpNs.RK/ /LlXJ F)'z A�/7kd�£D 6fl�PA� /75 SrJflA.h/ O�J A7lAli17E4 <br /> BU/GO✓w/6 f�S, �Aedi FifMEj <br /> �XI5T7.vG cqx.f�_f /s rry[776iEiJ As A i✓o�✓- (d.✓Fc��+�/G Su�u�i.✓G �l�fMCBA^03-cl�7� <br /> �'��) <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE OR ITEM N0. TVPE OF FlXTUqE OR REM <br /> WATER CLOSET A/C-A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL C�OTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPUICE <br /> FLOOR DRAIN GAS RAN(3E <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICElBAR/MOP/ETC.) EXHAUST FAN <br /> �L OTHER OTHER <br /> I HEREBY CERITIFV THAT I HAVE READ AND EXAMINED THiS APPLICATION AND KNOW TME SAME TO BE TRUE AN�CORHECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS NPE OF WORK WILL BE COMPLIED WIT}I WMFI}1ER SPEC�FIED MEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PRGPERTY TO PERFORM THE WORK FOR WHICN APPLICATON IS MADE AND I COMPLY WITH T}IE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> �l���— �/�Y03 <br /> Signeture of OwneuCoNractor/Authonzed Agent ete l�� I <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br />