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� cRMIT APPLICATI.�N <br /> CITY OF EVERETr PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADORESS PARCEL TAX I.D.R � PERMIT� <br /> o � s � a�s� <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS aP PMONE � <br /> T NANT NA E � J�� �� `���N�u-��r �'y�n I PHONE �� <br /> CON'RACTOR . c ADORESS DP COHTR.UCEHSEI <br /> �/ � �� w000 PP(l. 33v N. ��/,wr <br /> PMONE ��aO� R%�� W p19 9o�v <br /> ZS' .3 - o <br /> PROPOSED USE OF BUILDING BUllding r1 MechBnical I Addition HEAT 90URCE <br /> PERMIT RI-1 Combination H Plumbing WORK RI-.( Alterotion R Electric <br /> 5!�' /� TYPE �.] Derholition LJ Sign TYPE �..j New 4./ (3es <br /> � 1\ L� Sprinkler U Repair/Meinl. LJ Othsr <br /> CONTRACT PRICE OF WORK CITV OF EVERETT LOCAL SALES TAX CODE IS�106 <br /> WOR�K qESCpRIPJ'ON <br /> <<�-�'`�( ��''Q�'` C o o .�1 . <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE OR ITEM NO. TYPE OF Fl1(TURE OR ITEM <br /> M�ERC,LOSET _ NG—AMANDLIFIGUNITS <br /> BAi+ITUB _ FORCEd AIR SYSTEMS <br /> LAVA70RY(WASH BASIN) — H�P <br /> _ SIiOWER UN1F�iEATERS <br /> _ KLT�HEN-S1NK 8 DISPOSAL _ CL07HES DRYER <br /> DI6HWA3'Ff�R — R����� <br /> LAI�fiYTRAY _ W.�*�+^+-^TER <br /> _ CLOTHES WASHER _ ME7Al-FIREPLACE/STOVE <br /> �,�. _ FIBiAb4GE IN&EFT <br /> DHINKINGFOUNTAIN _ OA9-FMiEPt710E <br /> FLflOR DRAIN — ��� <br /> BACKFLOW-PFEVENTER — G�� <br /> SINK(9ERVICE{BAR/MOP/ETC.) _ EXHAUST-FAN <br /> OTHER _ OF1iER <br /> I — <br /> I — — <br /> � � <br /> i <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TME SAME TO BE TRU[AND COFRECT. ALL <br /> IPROVISIONS OF U1WS AND ORIDINACES GOVERNING TMIS TYPE OF WORK WIIL BE COMPIIED WITH WNETHER SPECIFIED NEREIN OR <br /> NOT. THE GAANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOUTE OR CANCEL TME PROVISION OF ANY OTHER <br /> ' STATE OR LOCAL LAW REGULATING CONSTRUCTION OR T}tE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTMORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PEFFORM TNE WORK FOR WHICH APPIICATION IS MADE AND I COMPIY WITH THE STATE <br /> CONTRAC RS LAW 18.27 RCW AND 296200 WAC. <br /> ' ' �r,+-, �i��,/ z o o z— <br /> U <br /> SignaW of wnedConlradoUAulhonzed Agen e��— �a <br /> .�--� <br />