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PERMIT APPLICATION <br /> CITY OF E\�ERE'iT PERMIT SERVICES <br /> 3200 CEDAh �TREET, EVERETT, WA 98201 <br /> 425-257-8810-FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.N PERMIT N <br /> �� / �� a, y� 9 / (�,U� �o� o� c�//�-063 <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OW ER ADDRESS PHONE <br /> �S 5/Z �'/E 2a� 4Zs-2 _ <br /> TENANTNAME CONTACTNAME PHONE <br /> ��'Gll-� �fI�P D / �3- <br /> CONTRACTOR A�Q/Z /'�L�O '. '� a /�EGZ✓lO <br /> a�n,��r�-� �/��� � <br /> PHONE r� (Nwv ��i ¢ <br /> n7r / <br /> PROPOSED USE OF BUILDINQ �'§ Bullding n MechanMsl �Wdroon HEAT 80URCE <br /> PERMIT 'f� Combinatbn I"� Plumbing WORK �Alteretbn D Elxhk <br /> ,/J TYPE « Demolillon � Sign TYPE New U Gea <br /> ��j�. � Sprinkler RepaidMaint. U Other <br /> CONTRACT PRICE OF WORK CITY OF EVERE7T LOCAL SALES TAX CODE IS]105 <br /> WORK DESCRIPTION <br /> /�D �t� � .lD�tyb15 �i✓O �a .�D.tiG�°E"fF �l,t/ES. <br /> L� UMBLa �d1� <br /> NO. TYPE OF flXTURE OR ITEM NO. TYPE OF FlX7LRE OR REM <br /> WATER CLOSET A/C—MiANDLINO UNITS <br /> BATHTUB FORCED AIR SVSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 6 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN �AS FIREPLACE <br /> FLOOR DRAIN OAS RANGE <br /> BACKFLOW PREVENTER �AS PIPING <br /> SINK(SEHVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND E%AMINED THIS P.PPLICATION AND KNOW THE SAME TO BF TRUE M10 CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNIN6 THI�NPE OF WORK WILL BE COMPLIED WITH NMETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUMf . GIVE AUIHORITY TO VIOLATE Ofi CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAI LAW REGULATIN6 CONSTRUCTION ON f�t.PERFORMANCE OF CONSTRUCTION. THAT I AM AUIHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK F `q'N IICH APPLICATION IS MAOE AND 1 COMPLY WITH 7}iE STATE <br /> CONTRACTORS W 18. RCyV'AND 200 WAC. <br /> r ��/ � /O/S/O/ ��yy \ <br /> 3i ur�f wnedContrp ro t onz gent e �J <br /> / �i <br />