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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.N PERMrt« <br /> 3'>l� �io�'e ���- t�oS/336 -�- ot3-c�p C� 3o�-c�/ <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS �P PHONE t{ s <br /> �o��n d 5-Fen�a►v e. �4����� 37/S S��r�e 9Sa°3 s�s- 0 9 eSP ' <br /> TENANTNAME I�.�IrC��E /YL��L 7�J 31� ON�T� <br /> W <br /> CONTRACTOF�1'S LG.�� y�a �,v��.ADDRESS p�q�� aP CONTR.LICENSE 1 <br /> //wi[ _- j f'60'!'.i � I . 1 _ <br /> PHONT+t7 7i7^ g3 �✓"l �/ U�• c7� �p7v3 / �.lSllVi���i <br /> PROPOSEDUSEOFBUILDING Building � Mechenicel AddNbn MEATSOURCE <br /> Si�IC �`�'�� � I PERMIT �Combination Plumbing WORK �Iteretlon A Electric - <br /> TYPE Demolition Sign ITYPE New ,�F-c ��� i <br /> Sprinkler(M of heads) RepeiqMeint. L! Other <br /> CONTRACT PpICE OF WORK / � �O� CITY OF EVERE7T LOCAL SALES TAX CODE IS�106 <br /> WO?GCN IPT'O�N�1/JFj^ IS Q.��}41Ylcj ^i0'"' � 0�0�.� GL�4/� Y//lZ���^+kCri/C. <br /> S�ec-t /b�K .. f%�o;rl� e�.v O/'C� —67�FrJvS.� 1'��rl <br /> fanr. ��ea. /�n�'v!/ �S �n�r? ?, <br /> PLUMBING MECHANI`CAL <br /> NO. TYPE OF FlXTURE OR fTEM S H"��M P%��j�C C NO. TVPE OF FlXTURE OR ITEML![/D/s. �!T' <br /> _ 8 THTUgLOSET(I OILET) _ FORCED A RDS STEMS S ��Y ��'� <br /> LAVATORY (WASH BASIN) _ HEAT PUMP <br /> � SHOWER _ UNITHEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> _ DISHWASHEFl _ RANGE HOOD <br /> LAUNDRY TRAY _ WATER HEATER <br /> _ CLOTHES WASHER METAL FIREPLACE/STOVE <br /> _ URINAL � FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> _ OTHER _ OTHER <br /> 1 HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS NPE OF WORK WILL BE COMPLIED WITH WHEfHEF SPECIFIED HEREIN OR <br /> NOT. T GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STAT O LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OW R F THIS PROPERTY TO PERFORM TH£WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> O ACTORS LAW 18.27 CW A 6.200 WAC. <br /> � � � <br /> ature ol OwnedCoNractoqAu ¢ed A t Date <br />