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. <br /> �'°ERMIT APPLIGA''ON <br /> CITY QF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810-FAX 425-257-8857 <br /> SITE ADDRESS PAACEL TAX I.D.► pE�R� <br /> �/� �5�� � SE Oc�9yo7-�o __D �3-0o Co3af-c•o�/ <br /> LE6A LOT NO. BLOCK Tpq <br /> OESC. J?� • <br /> OWNER ���� ��� <br /> � AODRESS ZIP P ONE <br /> /L^�/G � �K S�r+.u�s�� � l � <br /> �'fcsi .erl�'s >1,s!/., 4, LK.s�•:�.i.�r�.iy 9G�z_ �lZs � d573 <br /> TENANT AME CO ACTNAME PHONE <br /> I /�v,�s{���' Yls-��si � s-�3 <br /> CONTRAC70H AD�RESS � — <br /> �j;.�� . ZIP CONTR.IICENYE 1 <br /> PHONE <br /> ' ^ �E6�/!•r/n��y,P� <br /> PROPOSED USE OF BUILDING Building Mechanical Addition HERT SOURCE <br /> PERMIT � Combination � Plumbin5� WORK �qlteralion '�Electric <br /> s`� T�'PE Demoli�ion Siyn TYPE New Ges <br /> � Sprinkler Rep�ir/Mai.V. Olher <br /> CONTRAC7 PRICE OF WORK CRY OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br /> WOHK DESCRIPTION <br /> � /7�B . <br /> �� Zz�b <br /> PLUMBING MECHANICAL <br /> N0. TYpE OF FIXTURE OR REM N0. TYPE OF FlXTURE OR�TEM <br /> � WATER CLOSET '� A/C—A/HANDLING UNITS <br /> 2 BATHTUB Z FORCED AIR SYSTEMS <br /> � LAVATOFY(WASH BASIN) =, HEAT PUMP <br /> ^ SHOWER <br /> �_ KITCHEN SINK 8 DISPOSAL '— UNIT HEATF.RS <br /> L DISHWASHER � CLOTHES DRYER <br /> LAUNDRY TRAY � �NGE HOOD <br /> � CLOTHES WASHER , � wATER HEATER <br /> URINAL _ METAL FIREPIA�i�ISTOVE <br /> DRINKING FOUNTAIN — FIREPLACE INSERT <br /> FLOOR _L VAS FIREPIACE <br /> DRAIN GAS RANG� <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OThER <br /> _ OTHER <br /> i — <br /> � . <br /> I HEREBY CEFITIFY THnT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TFUE PND CORRECT. ALL <br /> PROVISIONS OF IAWS ANOORIDINACES GOVEFNING THIS T.'PE OF WORK WILL BE COMPLIED WfTH WHE7FIER 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 /> S7ATE OR LOCAL LAW REGUUITING CUNSTqUCT10N OR THE PERFORMANCE OF COhSTRUCTION. THqT 1 AM AUTHORIZED BV THE <br /> OWNE OF IS PROPEFTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE ANO I COMPLY WITH T11E S7ATE <br /> CO R 18. 7 AND 296200 WAC. <br /> .����=- y/o� <br /> Si nat re of wnedContracrodAuthorized Agent ale � <br /> � 2 <br />