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PERMIT AHr�LICA�'ION <br /> CITY �F EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 913201 <br /> 425-257-8810— FAX 425-257-8857 <br /> SITEADDRESS �LU`�Y`� . �I`DaC pAqCELTAXI.D.�i PERMITt <br /> ll�ty - q �� ._5�.4 soaoC,-oo7 <br /> LEGA LOTNO. BLOCK THACT <br /> DESC. <br /> OWNER ADDRESS ZIP PMONE(�a,$ qc�p�y�5 I <br /> I��ZYLW�UJI'F �°c.V`��0��/V�E� �U�/C .UVf2v� <br /> TENAM'NAME CONTACT NAME VHONE <br /> s, <<Y �Zk�� v1a4o I 1��rY� ����-S) 337- �oS� <br /> CONTRACTOR ADORESS ZIP CONTR.LICENSE M <br /> fa�o\\o Nzo►�, �v�c . !-�PP�uN�� tiNoD <br /> PHO <br /> � 6sa_� ati 14 � - � t �� . . �� �,�1�� Q�a� <br /> PROPOSED USE OF OUILDING I7 Building fl Mechanical AdCition HEAT SOUPCE <br /> PERMIT K Combinalion F;� Plumbiny WORK Alteraiion R Electnc <br /> TYPE �,,.( Demolition �a( Sign TYPE New �..j Gas <br /> l� Sprinkler Repair/Mainc. U Other <br /> CONTRACT PRICE OF WORK CITH OF EVERETT IOCAL SALES TAX CCUE IS 3105 <br /> WORKDESCRIPTION RLy,npu�, �yXiS`��r�� I`l�w���nZ'�L� ���- 4�'=� Z 1MO�J�4, a. <br /> Y5,'�v�g�Z1\ z� ���W ,UC2��o.� ��.v� S�v�n� sv�oPe,•�; C<<cv��t'i <br /> PLUMBING MECHANICAL <br /> NO. TYPE OP FIXTURE OR REM NO. TVPE OF FI%TUflE OR REM <br /> WATER CLOSET _ A/C-A/HANDLING UNITS <br /> BATHTUB _ FORCED AIR SYSTEMS � " � <br /> LAVATORY(WASH BASIN) _ HEAT PUMP // � <br /> _ SHOWER _ UNIT HEHTERS j <br /> KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER n <br /> _ DISHWASHER _ RANGEHOOD / ���- <br /> LF.UNDRI'TRAY _ WATER HEATER � <br /> CLOTHES WASHER _ METAL FIREPLACE/STpVE / , <br /> URINAL _ FIREPLACE INSERT - / <br /> DRINKING FOUNTAIN _ GAS FIREPLRC� ,tt%� <br /> FLOOR DRAIN _ GAS RANGE i:� <br /> — BACKFLOW PREVENTER _ GAS PIPING ��U <br /> SINK(SERVICE/BAR/MOP/ETCJ _ EXHAUST FAN � <br /> OTHER ' �-' <br /> _ OTHER — � <br /> — � <br /> I HEREBY CERITIF`!THAT i HAVE READ ANO EXAMINED THIS APPIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFiED HEREIN OH <br /> NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVc AUTHORITY TO VIOIATE OR CANCEL THE PfiOVISION OF ANY OTHEF <br /> STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTMORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PE�FORM THE WORK FOR WHICH AFPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> ! \ <br /> �� �r� �-t.�., � 6 /�ulva <br /> Signalure ol Owner/Contr V uthanzed Agent ala �a <br /> Y <br />