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F �RMIT APPLICATK"�,N �L� ��'��� ''�""'�'� <br /> CITY OF EVERETT PERMIT SERVICES a' o2°s -a �� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-Bd57 <br /> SITE ADURESS �L PARCEL TAX I.D.• P�E/RMIT k <br /> �G C'� � f 1..� �}' /�,e /� -7�00� <br /> LEGA LOT NO. BLOCK 1'RpCT <br /> DESC. <br /> OWNER ADORESS LP PMONE <br /> 7ENANTNAME CONTACTNAME PHONE <br /> �e�.�so�7 �b�k +3�1�-/dr•��PM� �5h !v� G.1� /�'e �Go�� . y �s� <br /> CONTRACT R ADDRESS LP CONTN.UCENSEI <br /> �o ��� Pi��,S;. z�� . � z � <br /> � 5 5 � � oi� 4NJI�G ^I�AOI�CG�.�`, c..�oi�'� Pro37 <br /> PXOfI� 66� Ct "`lt�a.s3 s �' o�mlSh C..)o� `lYi�L�U <br /> ( .5 <br /> � <br /> PROVOSED USE OF BUILDING I Building I�1 Mechenical !� ACdition MEAT SOURCE <br /> r,�o�f�,. ( �(}� /3 � G�,� PERMIT B Combination LI�� Plumbing WORK ['�Alteraibn [� Electric <br /> TYPE B DemoliNon u 51gn 7YPE B New I u Gea <br /> Sprinkler Repeir/Maint. U OMer <br /> CONTRACT PRICE OF WORK GTY OF EVERETT IOCAL SAlE3 TAX CODE IS�105 <br /> WORN DESCRIPTION p J A /� <br /> Z nSf-r- �� Yl/�-w P�✓.n�oL,+, �n1- IJc,/�- i'd:.M ondl Mc�7 S;n � . <br /> PLUMBING � 1 MECHANICAL <br /> NO. TYPE OF Fll(TURE OR REM FlO. TYPE OF AKILRE OR fiEM <br /> � WATER CLOSET _ A/C—AMANDLING UNITS <br /> BATHTUB _ FORCED AIR SYSTEMS <br /> � LAVAiORY(WASH BASIN) _ HEAT PUMP <br /> _ SHOWER _ UNIT HEATERS <br /> _ KITCHEN SINK 8 DISPOSAL _ CLOTHES OHYER <br /> _ OISHWASHER RANGE HOOD <br /> _ LAUNDRY TRAY Z WATER HEATER <br /> _ CLOTHES WASHEii _ METAL FIREPIACE/STOVE <br /> _ URINAL _ FIREPLACE INSERT <br /> _ DRINKING FOUNI AIN _ GAS FIREPLACE <br /> _ FLOOR DRAIN _ �AS RANGE <br /> BACKFLOW PRE:'FNT _ GAS PIPING <br /> � SINK(SERVICE/BAR�Q ETC.) _ EXHAUST FAN <br /> � OTHEfi N/o � W. !•r T�� �C _ OTHER <br /> _ �.... <br /> � — <br /> iI HEREBV CER�TIFY THAT I HAVE READ AN�EXAMINED THIS APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF L4WS AN�ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPIIED WITH WHETHER SPECIFIED MEREIN OR <br /> NOT. THE GRANTING OF A PERMIT�OES NOT PRESUME TO GIVE AUTHOHITY TO VIOIATE OR CANCEL TME PROVISION OF ANY OTHER <br /> I STATE OR LOCAL LAl'I REGULATIN CONSTRUCTION OR THE PERFORMANCE OF CONS?RUCTION. THAT I AM AU R10RRED BY TFIE <br /> , OWNER OF THIS PROPERTY TO P FORM THE WORK FOR WHICH APPLICATION IS MADE AND I CGMPLY WITH 7HE STATE <br /> � CONTRACTORS LA 18.27 RC D 296.200 N'AC. <br /> � Signature wned ontrect r/AuthonzedAgent ^ �e� Oz <br />