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' <br /> ' ��ERMIT APPLICAI �ON ! <br /> CITY OF EVERETT PERMIT SERVICES ' <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-88'.0- FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.A � PERMR M <br /> Z �-O�o7. <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER AODRESS LP PHONE gO ( <br /> -T����s ��v� 2101Q �' ���C� �� �+rm r� ('arv�c�� <br /> TENANTNAME CONTACTNAME � PHONE <br /> � ��-4� 1�dI0G�. y25`�S�q I <br /> CONTRACTON Ot��M,/� IG �.�W II�DRESS �P � O� ujNYll II.L�Lx,�I <br /> � ( � ��� �• T <br /> PMONE Z.I�l 0 U V� I J�li �• � I I�� lu � �lX <br /> PROVOSED USE OF BUILDING Building Mechanical Addilion HEAT SOURCE <br /> PERMIT B Combination Plumbing WORK �Alteration ��e� <br /> TYPE D Deinolitlon Sfgn TYPE New Gas <br /> U Sprinkle� Repe(dMaint. Ott�er <br /> CONTRACT PRICE OF WORK rij CRY OF EVERETT LDCAL SALES TAX CODE IS 7105 <br /> WORK DESCH�PTION � v� <br /> lacasrr� oa (� qa� �rY�acsz. �- �4o�-�x:-bv.e <br /> �k= , q��P�n� +o -�uY-��.c�. � �4o�-�a�- t�n �. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE OR REM NO. TYPE OF Fl%TURE OR ITEM <br /> WATER CLOSET A/C—AlHANDLING UNITS <br /> BATHTUB = FORCED AIR SYSTEMS <br /> _ VATORY(WASH BASIN) _ HEAT PUMP <br /> S WER _ UNIT HEATERS i <br /> KITC N SINK 8 DISPOSAL _ CLOTHES DRYER <br /> DISHW HER RANGE HOOD <br /> LAUNDR AY �_ WATER HEATER <br /> CLOTHES HER METAL FIREPLACE/STOVE <br /> URINAL _ FIREPLACE INSERT <br /> DRINKING FOUN N _ �AS FIREPLACE <br /> FLOOR DRAIN GAS RANGE i <br /> BACKFLGW PREVENT � GAS i'IPINCa I <br /> SINK(SERVICE/BAFVMO TC.) _ EXHAUST FAN <br /> OTHER _ OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETNER SPECIFIEO HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFOHMANCE OF CONSTRUCTION. TMAT I AM AUTFiORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 29iR00 WAC. <br /> ���i � ��.n �,�' �1�3Ib3 <br /> S e��tu e o wned ontrat�o Authonzed Agent �e <br />