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RCRMIT APPLICAT�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810-FAX 425-257-8857 <br /> SITE ADDRESS I PARCEL TAX I.D.R PERMIT� <br /> .2000 � w�er Sf; �oa�� <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNEH /� ADDRESS LP PMONE/�5��3�&.�95/ <br /> L- UQrR� ( ,Ol'qN1Uh1 / V CiOI�Qq-Q� 2a06 �0U,,{r � Cf &�Q� <br /> TENAYTNAME CO CTNAME PNONE <br /> I '� �i oyn �,U q �S�h y.ta` • 3&k - 9S`� to <br /> CONTRACTOR AOOHESS aP CONTR.UCENSEI <br /> PHONE D����� <br /> PROPOSED USE F B ILpING I I"1 Building I"') Mechanical f'1 ACdttion HEAT SOIfRCE <br /> G,,�Q���'���QYl PERMIT K Cambination �Q Plumbing I WORK �q Alteratbn n Eleet�k <br /> � � L TYPE G..� Demolition LJ Sign TYPE �._l New I ❑ 6ea <br /> n IR r c4 p To r L) Sprinkler LJ aepairrtdam�. �� Omer <br /> CONTRACT PRICE OF WORK CITV OF EVERETT LOCAL SALES TA%COOE IS 7105 <br /> WORK DESCRIPTION <br /> Parks � k�ldi�+� _ 6r-ease.7n �rGeP�a1" <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE OR REM NO. TYPB OF FlX'URE OR fTEM <br /> WATER CLOSET A!C-A/HANDL�NG UNITS <br /> _ BATHTUB _ FORCED AIR SY STEMS <br /> _ LAVATORY(WASH BASIN) HEAT PUMP <br /> _ SHOWER _ UNIT HEATERS <br /> _ KITCHEN SINK 8 DISPOSAL _ CIOTHES DRYER <br /> I _ DISHWASHER RANGE HOOD <br /> I _ LAUNDRY TRAY WATER HEATER <br /> _ CLOTHES WASHER METALFIREPLACFJSTOVE <br /> __ URINAL _ FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ pAS FIREPLACE <br /> _ FLOOR DRAIN GAS RANGE <br /> _ BACKFLOW PREVENTER _ GAS PIPING <br /> � SINK(SERVICE!` r fA L M-�./w JC.) �� — EXHAUST FAN <br /> OTHER ��r �{ Y` _ OTHER <br /> �, I HEREBY CERITIFY THAT I HAVE READ AND ExAMINED THiS APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS NPE OF WORK W�LL BE COMPLIED WITH WHETHER SPECIFIED HEPEIN OR <br /> NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> � STATE OR LOCAL LAW REGUL4TING CONS7RUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROP�gA�{O PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTFACTORS LA .27 RCW AND 296200 WAC. <br /> / <br /> � �=� � -��-6}- '9 }- a� <br /> ; Signature ol wner/G ntractor/Authodzed Agent ate % �(m��h <br /> seu�r �n� <br /> W <br />