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��RMIT APPLICATIC�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810-FAX 425•257-9857 <br /> SITE ADDHESS PARCEL TAX I.D.I PERMI7 R <br /> �¢0� LJETMo�E � I <br /> IEGA LOTNO. BIOCK TRACT <br /> DESC. <br /> O^WNER / / AUDRESS aP PHONE <br /> f � LlQ/�p�/i-Fl(_ ! :1/L-/� <br /> TENANT NAME I CONTACT NAME PHONE <br /> P,PGUiSo�-� 'J�"1�cK� (�-c(.� - <br /> CONTRACTOR ADDRE53 LP tI�G•SS0?.ZOT <br /> E�e�S� Na4c � A�. 1e�� E.M�e��-cv��D,•. C-�r 45-zo� <br /> P�ONE <br /> l4is� zsz - 3n4 <br /> PROPOSED USE OF BUILOIN6 �\ Building echanical Addubn MEAT SOURCE <br /> A q � PERMIT KI..1 COtnbineli0n PlUmbing WORK RI-(�Alteratbn �I-a:(-Electric <br /> MRQiIALrfRTS .J�-�o�d I TYPE {.,j Demolitlon Sign TYPE �p New �J 6aa <br /> l� Sprinkler IJ HepeidMeint. LJ Othar <br /> CONTRACT PHICE C�WO �Z 1'7��� � CITY OF EVERETT LOCAL SAlE3 TAX COOE 18�105 <br /> � <br /> WORK�ESCR�PTON <br /> FurtutSK ¢ �iuSt�vc,_ (�� STbN �l��lSyST�=w �EMr wjCK/�x0 b�.ccr �� $i�.JiO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE OR ITEM NO. TYPE OF FlXTURE OR ITEM <br /> WATER CLOSET _ A/C-AMANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) � HEAT PUMP <br /> SHOWER _ UNITHEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> _ DISHWASHEF WA ER HEA ER <br /> LAUNDRYTRAY — <br /> CLO'fHES WASHER _ METAL FIREPLACE/STOVE <br /> URINAL _ FIREPLACE INSERT <br /> DRIFiKING FOUNTAIN _ �4S FIREPLACE <br /> FLOOR DRAIN _ GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BARlMOP/ETC.) � EXHAUST FAN <br /> OTHER _ UTHER <br /> �I I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED TMIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL <br /> �� PROVISIUNS OF U1WS AND ORIDINACES GOVERNING THIS NPE OF WORK WILL 8E COMPLIED WITH WHETMER SPE�IfIEO MEREIN OR <br /> � NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO�'IOUTE OR CANCEL THE PfiOV1510N OF ANY OTHER <br /> 'i STATE OR LO AL LAW REGULATING CONSTRUCTION OR THE PERFOFMANCE OF CONSTRUCTION. TMAT I AM Al1TNORIZED BY THE <br /> � OWNER F T IS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITN THE STATE <br /> CONTRA T RS LAW 18. FC ND 2 . WAC. <br /> _ '� / <br /> �l <br /> Signatu e of Owner/ContractodAu rized Agent ate <br />