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�ERMIT APPLICA�'`ON <br /> C� OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 99201 <br /> 425-257-8810-FAX 425-257-8857 ' <br /> SITCE�A/DDRESS �/ PARCEL TAX I.D.# <br /> /(OO� �S/`/� �G OQ��y� / PERMR� <br /> LEGA L�NO. � 7'�� GUO—OS�I`� .� <br /> Y BLOCK <br /> OESC. �/���� <br /> OWNER �G'{� P� � <br /> `�[� -/ AD� ESS ZIP PHpNE <br /> ��"�S N!�; �l�1/G /f3/�o .Sv GKSt«.,..�.Q�' <br /> �� .s��,vs ��s� ( � <br /> TENANTfJAME I CO CTNAME �1, ����7� <br /> PHONE <br /> ��r� ��/�/��— yzs 3.�y o.s�� <br /> CONTRACTOp qODRESS <br /> aP � CONTp.LICENSE/ � � <br /> PHONE <br /> PROPOSED USE OF BUILDING � 9 ���n"—yy�� <br /> Buildin Mechanical Addition HEA7 SOUFiCE <br /> PERMIT Combination Plumbing WORK �qlleration <br /> IYPE Demolition Sign TYpE New Electric <br /> S� Sprinkler Ges <br /> P.epai4Maint. OWer <br /> CONTRACT PRICE OF WORK <br /> CI7Y OF EVERETT LOCAL SALES 7AX C�'pF�c 3105 <br />�. WORK DESCRIPTION <br /> ���.�ZZ� � <br /> �/�x'�zirb <br /> PLUMBING <br /> N0. TVPE OF FIXTUqE OR REM MECHANICAL <br /> NO. TYpE OF fl7(TURE OA ITEM <br /> � WATER CLOSET <br /> � BATHTUB A/C—A/HANDLINC,UNITS <br /> � LAVATORY(WASH BASIN) Z FORCED AIR SYSTEMS <br /> _ SHOWER —. HEATPUMP <br /> _L_ KITCHEN SINK 8 DISPOSAL — UNIT HEATERS <br /> .1_ DISHWASHER � CLOTHES DRYER <br /> = LAUNDRY TRAY � RANGE HOOD <br /> —L CLOTHES WASHER . —L WATFR HEATER <br /> URINAL — METAL FIREPLqCE/STOVE <br /> DRINKING FOUNTAIN ` FIREPLACE INSERT <br /> FLOOR DRAIN ' .�,L GAS FIREPLACE <br /> BACKFLOW PREVENTER ` GAS RANGE <br /> SINK(SERVICE/BAR/MOP/ETC.) GAS PIPING <br /> OTHER_,�_ .� EXHAUST FAN <br /> OTHER <br /> �_ <br /> i <br />' I <br /> I HEREBY CERITIFY THAT I HAVE RE� )AND EXqMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINA�,cS GOVERNING THIS TYPE OP WORK WILL BE COMPLIED WITF{WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER � <br /> STATE OR LOCAI LAW REGUL4TING CONSTRUCTION OR THE PERFOqMANCE OF CONS7RUCTION. THqT I AM AUTHOHIZED BY THE . <br /> OWNER F IS PROPERTY TO PERFOqM THE WORK FOR WHICH APPLICATION IS MADE ANp I COMPLY WITH THE STATE <br /> CONT T RS ,i�B�,' pry Zgg�WA� <br /> Y '�'l�'�.--� y- �o� <br /> Sig at e o wneN ontractodAuthorized Agent � <br /> ate <br /> ��L <br />