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� _RMIT APPLICATI`�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 <br /> SITE ADORE� pARCEL TAX I.D.11 P RMfT� <br /> ? C� G P �'439/l0(0l00/ 5-D// <br /> LEGA LOT� O. BLOCK TRACT <br /> �ESC. <br /> OWNER n AODHESS LP PMONE <br /> P-1- Grr.r�n�x 17`�n rs ��.0 ��D�32� /Y��r� 9$0.3� 925 709-?G�oZ <br /> �T'���Nc A�� ��C� ��� I CONTACTNAME PHONE <br /> J X <br /> �c� �r�� � <br /> CONTRACTOR AODRESS LP CONTR.LICENSE• <br /> PHONE � <br /> PROPOSED USE OF BUILdNG I Building I") Mechanical I AddRlon ME4T SOURCE <br /> PERMIT ��mbinalion H Plumbing WORK Alteration [� Electric <br /> TYPE (�e.molition �� Sign TYPE New u pas <br /> 5prinkler Rapeir/A7eint. U Other <br /> CONTRACT PRICE OF WORK `�j�� CtTY OF EVERETT IOCAL SALES TA%CODE IS J705 <br /> /� <br /> WORK DESCRIPTION <br /> PLUMBING i MECH.INICAL <br /> NO. TVPE OF IIXTUHE OR ITEM ` N0. TYCE OF flXTURE OR fTEM <br /> WATEP CLOSET '� _ NC—Ni�ANDLING UNITS <br /> i BATHTUB _ FORCED n1q SYSTEMS <br /> � _ LAVATORY(WASH BASIN) _ HE.4T PUMP <br /> I SHOWER _ 'JNIT HEATERS <br /> i = KITCHEN SINK 8 DISPOSAL _ �:LUTHES DRYER <br /> DISHWASHER ' _ RANGE HOOD <br /> i _ IAUNDRY TRAY _ WATER HEATER <br /> i _ CLOTHES WASHER _, METAL FIREPLACE/STOVE <br /> _ URINAL _ FIREPLACE INSERT <br /> � DRINKING FOUNTAIN _ GP S FIREPLACE <br /> I FLOOR DRAIN _ (iAS RANGE <br /> BACKFLOW PFEVENTER _ G4S PIPING <br /> SINK(SERVICE/BARlMOP/ETC.) �XHAUST FAN <br /> OTHER _ •�THER <br /> — — —1 <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND hNOW THE SAME TO BE TRUE ANO CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THiS TYPE OF WORK N'ILL bE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PFRMIT DOES NOT PRESUME TO GIVE AUTMORITY TO VIOUITE OR CANCEL THE PFOVISION OF ANY OTHER <br /> STA7E OR LOCAL LAW REG'� �TING CONSTRUCTION OR THE PERFOHMANCE OF CONSTRUCT70N. THAT i AM AUTHORIZED BY THE <br /> OIVNER OF�YyS PROPERT• f�'?ERFORM TNE WOPK FOR WHICH APPL.ICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONT YOABI.AtlVI . Y ND 296200 WAC. � / <br /> � ��...,.���� ��� C/� <br /> � SignaWre wneUContraUor/Authorizatl Agent e �l <br /> i.. <br />