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P�RMIT APPLlCAT�7N <br /> cirr�JF EVER�TT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 � <br /> P�J 3�a -�> � <br /> SIT ADDRESS PARCEL TAX I.D./ pERM1T r <br /> 6 Zs'''�2 s,E o�9yb7-�- �3/-0 o I o 3 . v-n�; <br /> IEGA L07 N0. BLOCK T q p,p r i/� � <br /> DESC. �� ���/ � <br /> OWNER ADDR SS <br /> ��� Q L��S�u}WS aP PHOrifc <br /> ��''��'`��ys ��'�1�� LCS�•<</ 98LSb NLS-�,�yos7 <br /> TENANT AME I CONT NpMC <br /> PHONE <br /> �o�Aa�� _ �/�/ .5�����_ yZs�3/os 7 <br /> _ � <br /> ADDRESS . LP CONTp,LICENSE 1 <br /> PHONE <br /> � " l.�s�cf/�f/D yy,e,�' <br /> PROPOSED USE OF BUILDING Building fl Mechanical <br /> PERMIT B Combination ���� p�umbin Addilion HEATSOURCE <br /> S/� TMPE � Demotilion �—� 9 wORK Alteralfon �] ElxVic <br /> U Sign ?YpE New �] Gas <br /> 1� Sprinkler � qepaiNMainL U Other <br /> CONTRACT PRICE OF WORK CfTY OF EVERETT LOCAL SALES TA%COOE IS 3105 <br /> WORK DESCRIPTION <br /> ��� B�fG � <br /> �Z/ <br /> PLUMBING MECHANICAL <br /> I NO. TYPE OF FIXTURE OR ITFM N0. TYPE OF Fll(TURE OR REM � <br /> WATER CLOSET �^ A/C—A/HANDLING UNITS <br /> Z BATH7U8 = FORCED AIR SYSTEMS <br /> ' � LAVATORY(WASH BASIN) = HEAT PUMP <br /> SHOWER — UNIT HEATERS <br /> � KITCHEN SINK 8 DISPOSAL _L CLOTHES DRYER <br /> � OISHWASHER � RANGE HOOD <br /> � LAUNDRY TRAY � WATER HEATER <br /> � CLOTHES WASHER ' = METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> ORINKING FOUNTAIN Z GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER � GAS PIPING <br /> SINK(SERVICE/BA,9/MOP/El"�.) � EXHAUST FAN <br /> OTHER <br /> �---- 07N�R <br /> I HEFiEBY CERITIFY THAT I HAVE READ AND EXAMINED TF!.3 qppLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LqWS AND ORIDINACES GOVERNING TFIIS TYpE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED HEqE�N OH <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORI7Y TO VIOL4TE OR CANCEL THE PROVISION OF ANY OTHER � <br /> STATE OR LOCA LAW REGUTATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNE�i I PR pERTY 70 RFORM THE WOAK FOR WHICH APpLICATION IS MADE AND I COAIPLY WITH THE STATE <br /> CONTR g,Y7 �p���Z�WA� <br /> f�l% - �o�---- /O-Z/— <br /> Signatur o OwneqContractoUAulhorize Agent ate <br /> �lz <br />