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PEHMIT APRLICATIO�v <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STHEET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> SITE ADDRESS PAHCEL TAX I.D.A � PERMIT x <br /> ll�fl�t (9�hV�. � cn�, ctu�T� o '100 0 0l ✓�C>��77' l0 <br /> LEGA LOTNO. BLOCK TRACT <br /> DESG pN 7�q <br /> OWNER � ADDf1ESS ZIP PHONE <br /> MAiZ1Nc=2 �QuAR1.s sNV�STm��Ts I'J. �OX rc59 SivoNom�s+��.i.a 5�=�5 + <br /> TENANTNAPAE CONTACTNAME PHONE <br /> ��'v,-�Oc�r_S -�G'��,DALZIc-:L 4a5-7"7`t-SS�tI <br /> CONT ACTOR ADDRESS ZIP CONTR.UCENSE N <br /> OC:y/Y1/�/G I�'�(�a-WNIc4LLNC^ J�J.�Ox Sv2.3(o L`/NN�✓a�u/R. ��O�fG OLy/h�/�7117JJ/ <br /> PHONE <br /> PROPOSED USE OF BUILDING Building Mechanical Addition FiEAT SOURCE <br /> PEHMIT RI--( Combination Plu�nbing WORK Alieration Q Electric <br /> 7YPE �j Demolition � Sic�i TYPE New 6 Gas <br /> P�-r�'°'��' �J Sprinkler RepairiMaint. Oihe� <br /> CONTRACT PRICE OF WORK .�nU�� �� CITY OF EVERETT LOCAL SALES TAR CODE IS 31G5 <br /> WORKDESCRIPTION LVSTiSLC_ 3TON ,PooFTvP Hvqc_. UNIT nN %--Xr�/NCT K-�oF GUKCj l,�ll+� 3 <br /> 5«/�/[ic,�s� i-Q��TueN�4�?� SNS�ALL (l� ��,Haust FwN� ANO oAS /'�P�ub �o (I) l,'VAc urv�i <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR REM N0. TYPE OF FIXTURE Op ITEM <br /> WATEALLOSET � A/C—A/HANOLINGUNITS <br /> BATHTUB FORCED AIR SYSTEMS i <br /> LAVATORY (WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URIiVAL FIREPLACE INSERT <br /> DR�NKING FOUNTAIN �AS F�REPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER 1 GAS PIPING <br /> SINK(SERVICE/BAFUMOP/ETC.) � EXHAUST FAN <br /> OTHER OTHER <br /> I <br /> I HEREBY CERITIFY'HAT I HAVE READ AN�J EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE.4ND COFRECT. ALL <br /> P(70VISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIIY TO VIOLATE OR CANCEL THE PROVISION OF ANl'OTHEii <br /> STATE OR LOC.1L LAW FEGULATING CONSTRUCTION OR THE PERFOAMANCE OF CONSTRUCTION. THAT I AM AUTHOPIZED BY THE <br /> OW VER OF TFi15 PFOPERN TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CON/�RAJC TORS Li1W �8.27 RGW AN�29fi.200 WAC. <br /> �'i . ^ 7 �� <br /> Sign le o( .neUCoN todAuthorized Agent Date !/� <br />