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a.:RMIT APPLICATIL N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SI7E ADDRESS ��'`' PARCEL TAX I.D.N PERMIT k <br /> 3 ao �, Srv.�� A�s�.'� ot f3o�o�-o�q <br /> IEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> � ,�v c�� �c7ea-ti�#-�' 310\ Cc�r Si: �Jar,i#uA 4�ao1 Cyas as9- 8s48 <br /> TENANTN E CONTACTNAME PNONE <br /> l��ork so\ �.�` �� � ��,� �.,�„�..�,�--�- C3coo� ss��so l 9 <br /> CONTRACTOR SGv�V�GV�c<"F Catl�. ADDRESSy1c� 3 Ue W LP CONTR.LICENSEM <br /> PHONE ��,`� <br /> Cao� l��a-3o3o Scl,uc����� NG <br /> PROPOSEDUSEOFBUILDING pEqM1T t-t Sprinkleetion � Plumtin'gal WORK B Rapar/Meint. MEATSE�RCE <br /> TYPE K Demolilion Sign TYPE New � O her <br /> V <br /> CONTRACT PRICE OF WORK �2 C�,� � CITV OF EVERE� �.00AL SALES TAX CODE IS 3105 <br /> v <br /> WORK DESCRIPTON /c�h_\ ����UG�N�u'�T O'�" 2-X 1,�j�� ,�j�'.L-L , <br /> T <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE OR ITEM NO. TYPE OF FlI(TURE OR ITEM <br /> WATEN CLOSET A/C-A/HANDL�NG UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> _ �A'/ATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK&DISPOSAL _ CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> UiUNDRYTRAY WATER HEATER <br /> CLOTHES WASHER METAL F�REPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLUW PREVENTER GAS PIPING <br /> SINK(SeRVICE/8AR/MOPlETC.) _ EXHAUST FAN <br /> OTHER GTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TNE SAME TO BE TRUE AND COFRECT. ALL <br /> PROVISIONS OF LAWS AND O(iIDINAI'ES GOVERNING THIS NPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT�OES N PHESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVIS�ON OF ANY OTHER <br /> STATE OR LOCAL LAW REGULAT CO RUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUT110RIZED BY THE <br /> OWNER OF-i S PROPERN T . RF M THE WORK FqR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACT S LAW 18. A �VRC.— <br /> � --- --- � S c�- <br /> Sig ture o wn C mrac odAuthorized ; Dat <br /> �o�-� <br />