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� 'ERMIT APPLICA1r�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf. 'JVA 98207 <br /> 425-257-8810- FAX 425-257-8857 D U` 3O, / -O� <br /> J `� <br /> SITE ADDfiE PARCEL TAX I.D.N PERMiT M <br /> » og . S��u��.�k� P� po �l y -� -o�d-�ool �.�� a3� <br /> LEGA L NO. BLOCK � T � � <br /> DE50. v — <br /> OWNER ADORESS ZIP PHONE <br /> ��2o�a. Ef���OR�ses�V4-C, i'Io3�.- 35� A�eS� qbo�a '-12�5'-�43- \11$ <br /> TENANTNAME I CONTACTNAME PHONE <br /> 1-.�a 4.ess�Qy �t�.s- -t�t3- �-t�8� <br /> t�LF 4�5 "t'13� l'll8 <br /> CONTRACTOR A�DRESS ZIP CONTR.UCENSEM <br /> AJta�R. En�P2is�.��1��-,c. �-1032- 35�14ueS� R`do�a. AOP�Rewaa,�t <br /> PHONE <br /> PROPOSED USE OF BUILDING Building �echanicai Addiiiori MEAT SOURCE <br /> � ,1 � I PERMIT �Combination Pl9mbing WORK B Alteratlon I �lectric <br /> S�Y\���— ��nMi �QeS�c1w.'� TYPE Demolilion Si n TYPE C�'t�lew ea <br /> uprinkler U Repair7Maint. O�her <br /> CONTRACT PRICE OF WORK CITY OF EVERE7T LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION � /J �� /�� <br /> I ' /t .Cl�i <br /> � C'u C.�.-MS�1lu�C'��e'v- S<R�`e. �c+-w��1 v� Q`�'7 1� c GC ✓--+/ / '-'� <br /> J <br /> �� � ��� a��� /��3 <br /> IPLUMBING CHANICAL <br /> NO. TYPE OF FlXTURE OR ITEM NO. TYPE OF Fl7RURE OR ITEM <br /> WATER CLOSET A/C—A/HANDLING UNITS <br /> I _�. BATHTUB � FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOW ER UNIT HEATEAS <br /> � KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> J_ DISHWASHER � RANGE HOOD <br /> LAUNDRY TRAY � WATER HEATER <br /> � CLOTHES WASH[R METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN . J_ GAS FIREPLAQE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAFUMOP/ETC.) EXHAUST FAN <br /> OTHER OTHEF <br /> — - — . <br /> I HEAEBV CERITIFi'THAT I HAVE READ AND EXAMINED THIS APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF WWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERM1IIT DOES NOT PqESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF � 'Y OTHER <br /> 57ATE OR LOCAL L4W REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I PM AUTHOHIZED F:Y THE <br /> OWNER OF THIS PROPERN TO PERFORM THE WORK FOR WHICN APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> GONTRACTORS LAW 18.27 RGW AND 296.200 WAC. � <br /> \ <br /> _��a a.\ �-�-. �1�.3� 03 <br /> SignaWre ol wnen ontrac oUAutho ed Agenl Date <br /> � <br /> � SC- /9 '�" lL <br />