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P��MIT APPLICATIC�� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 96201 <br /> 425-257-8810—FAX 425-257-9857 <br /> SITE ADDRESS PARCEL TAX I.D.� PERMIT� <br /> r�or� ft�� MUaQ9-oo <br /> LEGA LOT NO. SLOCN TRACT <br /> DESC. <br /> OWNER ADDRESS Z1P PHONE <br /> �bG,. Re.,��� l��e��s�s Z6ro ���r� A�� Ev���� , 1..k afeZo� <br /> TENANT`NAME \ CONTACT NAME PHONE <br /> �T �w1 FSYA� �rl�Cey r'11�C �2..� �6 /6� �7 1 � <br /> CONTHACTOR ��/L(sf�en Re •riyefcF�pn�ADDRESS �Z� 3 �CtnYp.J�- aP� CONTR.l10ENSEI <br /> rjCw4t1G. �VER6I� �� <br /> PHONE 'L�p�j 763 - � 7`i`I �'b�C �SS�O� <br /> PROPOSED USE OF BUILDING Building 3a'Mechenical Aadi�ion NEAT SOURCE <br /> [� I PERMR R Combinetion K Plumbing WORK �Alferation I I� Electric <br /> O�^�, TYpE Demolition LJ Sign TVPE New gp� Gas <br /> B Sprinkler Repeir/Meint. LJ Other <br /> CONTRACT PRICE OF WORK 'LZ�p�V � CITY OF EVERETT LOCAL SAlE3 TA%CODE IS�105 <br /> WORK DESCRIPTION` , <br /> �,e��o�i. e<1)+lr� �YAC+ Ellvir(�b.} N--,'�� rPv� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF fl%TURE OR ITEM <br /> WATER CLOSET AIC—A/HANDLING UNITS <br /> BATHTUB FORCED AIR SVSTEMS <br /> LAVATORY(WASH BASIN) 1 HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK d DISPOSAI. CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> i i.AUNDRY TRAY WATER HEATER <br /> i CLOTHES WASHER METAL FIREPLACE/STOVE <br /> '� URINAL FIREPLACE INSERT <br /> . UFiINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER 3 GAS PIPING <br /> SWK(SERVICE/BARlPAOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HERE6Y CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT. AlL <br /> PROVISIONS OF lAWS AND ORIDINACES GOVERNING THIS NPE OF WORK WILL BE COMPLIED WITH WHETHER SFECIFIf_D HEREIN OR <br /> NOT. THE GF7ANTING OF A PERM�T DOE$NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAI LAW REGUUITING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOR12'e0 BY THE <br /> OWNER OF THIS PFOPERTY TO PERFOFN TfiE WORK FOR WHICH APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br /> CONTRACTORS W 1827 C'�Y ANO 296.200 WAC. <br /> , ���� <br /> Signa e oi ontractor/Authonzed Agent Date <br /> �Jv <br />