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P�R�VIIT APPLICATII,N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STFlEET, EVERETT, WA 98201 <br /> 425•257-8810- FAX 425-257-8857 <br /> SITE ADDRESS �1 Z3 — PARCEL TAa I.D.N � PERM � <br /> IOVT�-1 1�►._. SE. 5�.. ��G17 Ol7(or'�loLIOOVUIDI� ' S(�� "�(� <br /> LEOA LOT N0. 6LOCK TRACT <br /> DESC. , �V ¢VO <br /> OWNER ADDRESS ZIP PMONE — <br /> �"�'� �1a�.v�aas �"7 Z3 -�00 PL,.S,�,• <br /> � E� E�.ESZ Lv✓�. 9$ � <br /> TENANTNAME�TbWN E7y��,�y CONTACTNAM� PHONE <br /> '�JT�i'F �raQi}q ( �„�N�IJ <br /> �� L`►�tiT'Or� Z01c-4�7b- t7ky0� <br /> CONTqACTOR 1�1 Vll�j`� �j-�y�_ AODqE89 �4,'SL'1'�((e�j j�R,� ZIP CONTR.UCENBE 1 <br /> S��et� i n6'� r�r� 1�� �� �i C S'S'J <br /> PMONE <br /> �u =19 4- i2..0 O k"oo��cr,�� �...�.9�Z�Z Nu�t'1'1.iS5 uZp�� <br /> PROP09ED USE OF BUILOINO Building � Mechanical I"1 Addlilon HEAT BOURCE <br /> PERNiT � Combinetion Plumbing WORK ��i Alierc rm R Electrk <br /> TVPE Defiollllon Sign IYPE �r New u pee <br /> Sp�lnkler LJ qepeir/Melnt. U Olher <br /> CONTHACT PRICE OF WORN '7yS�O � CRV OF EVERETT LOCAL BALEB TAX CO�E 18�106 <br /> WORK DESCRIPTION e��,�V V C E.�e ��'T'1 �,�V �� b � 1„� <br /> \.��Gw S 1 �o1J � �.� � TS '�� .... N �Oi'+OL,1__ <br /> �_ <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FlXTURE OR REM NO. TVPE OF FlIfTURE OR REM <br /> _ WATER CLOSET _ A/C-A/HANDLINO UNITS <br /> _ BATHTUB _ FORCED AIR SYSTEMS <br /> _ LAVATORY (WASH BASIN) HEAT PUMP <br />, _ SHOWER ,_ UNIT HEATERS <br /> _ KIT;,HEN SINK 8 DISPOSAI _ CLOTHES DRVER <br /> _ DISHWASHER _ RAN�E HOOD <br /> _ L1UNDRY TRAY _ WATER HEATER <br /> _ CL07HES WASHER _ METAL FIREPIACE/STOVE <br /> _ URINAL FIREPLACE INSEfiT <br /> _ DRINKING FOUNTAIN _ pqS FIREPLACE <br /> _ FLOOR DRAiN _ pAS RANOE <br /> _ BACKFI.OW PREVENTER _ pAS PiPINO <br /> _ SINK (SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> _ OTHER _ OTHER <br /> — � — -- �n � � l <br /> 1 HEFEBY CERITIFY tHAT I HAVE f7EA0 AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AIVD CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES OOVERNING Tf'IS TYPE OF WOqK WILL BE COMPLIED WITH WHETHER SPECII"IED HEREIN OH <br /> NOT THE GRANTING OF A PERMIT�OES N0T PqESUME TO aIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> � E OR LOCAL U1W FEGULATINO CONSTRUCTION OR THE PERFOFMANCE OF CONSTR�CTION. THAT I AM AUTHOFI2ED BV THE <br /> I W F F T S PROPERTV TO PERFORM THE WORN FOR WHICH APPLICATION 13 MADE AND I COM?LY WITH THE STATE <br /> CON A OR W 1B2?RCW AND 298200 WAC. <br /> I �_ d��S��'Z <br /> ignatu� a wner/ onlractor/ ul orize gent ele �/� <br /> s <br />