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��RMIT APPLICAT�N <br /> C� OF EVERETT PERMIT SERVICES <br /> 3200 CEOAR STREET, EVERETT, WA 98201 <br /> 425-257-8810-FAX 425-257-8857 ' <br /> SITEADDRESS �' ' '"���� �C(� <br /> �bzg zS� PAHCEL TAX I.D./ PERbtR r <br /> ��- SF oo9yo7-�o_D3c- oo cd d <br /> LEGA L07 N0. BLOCK THACT��'�v� - � 7-OCJ <br /> DESC. 3,� <br /> Q� <br /> OWNER ADOpESS ��p pHONE <br /> � ' ��f 71.1��. �ir/L �ai� s� car�.r�.�.,✓s,� <br /> LK 5�..�.vs z.s� �/zs 3d5� os73 <br /> TENANf NAME CO ACT NAME <br /> PHONE <br /> � /�i%�/ � ���1 os7�.:��a <br /> CONTRA�7QF�, l, ' _� � <br /> LCtl1�!l7Z�KL+L1:��j 2nlG �, ADDRESS t� LP - -'CONTR,UCENSE I � <br /> PHONE <br /> ,�, � - - ._ � ' ':L�Gi�f.u5 yy.� <br /> PROPOSED USE OF BUILDING R r�,� <br /> !r � Building � Mechanical Addition HEa7 SOURCE <br /> ..7Y-y� PERMIT Combination Plumbing WOHK �plleration E���� <br /> IYPE Demolilion Sign TYpE New <br /> Sprinkler Gas <br /> HepaidMeint. Other <br /> CONTRACT PRICE OF WORK <br /> 1:ITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br /> WORK DESCRIPTION <br /> G�n/G �"" �Z/ � . <br /> PLUMBING <br /> N0. TYPE OF flXTURE OH REM � MECHANICAL <br /> NO. TYpE OF FlXTURE OR ITEM <br /> .�. WATER CLOSET <br /> .�_ BATHTUB '1 aC-A/HANDLINGUNITS <br /> � LAVATORY(WASH BASIN) = FORCED AIR SYSTEMS <br /> � SHOWER = HEAT PUMP <br /> �_ KITCHEN SINK 8 DISFOSAL —' UNIT HEATERS <br /> � DISHWASHER � CLOTHES DRYER <br /> ^ LAUNDRY TRAY RANGE HOOD <br /> � CLOTHES WASHER WATER HEATEF <br /> URINAL _ METAL FIREPLACE/STOVE <br /> DRINKING FOUNTAIN — FIREPLACE INSERT <br /> FLOOR DRAIN ' —L GAS FIREPLACE <br /> BACKFLOW PREVEN7ER �AS RANGE <br /> I SINK(SERVICE/BAR/MOP/ETC.) GAS PIPING <br /> OTHER_�_ i EXH,\UST FAN <br /> = OTHER <br /> I — � <br /> I HEREBY CEFITIFY THAT I HAVE REAO AND EXAMINED THIS APPUCATION AND KNOW THE SAME TO BE TRUE AND CORFEC7. ALL <br /> PROVISIONS OF LAWS ANO ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHEiFiER 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 LOCAt,lAW REGULATING CONSTRUCTON OR THE PERFORMANCE OF CONSTRUGTION. THAT I AM AUTHORIZED 8Y THE � <br /> OWNER OF THI PRUPEATY TO P RFORM THE WORK FOR WHICH APPLICATIO'�IS MApE ANCJ I COMPLY WITH THE STATE <br /> CONTR LAW 1g.27 C�N D 2982pp WAC. � <br /> �� ��---- ?�� <br /> Signatu ol wner/Contractor/Aulhorized Agent ata � <br /> ,,: _ ^ ` 'IL <br />