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� <br /> `� �RMIT ApPLICATtJN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> f�I I I � � S 1 ��2E 57-�-8810 �FK Z4G51257-8857 <br /> SITE AD�RESS h PARCEL TAX I.D.fi PERM�T q <br /> f�711 15f S�}— Mc�ao�-�3� <br /> LEGA LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNEF ADORESS ZIP PHONE <br /> C �.d �.,ti��A,.�� � � i�� � i ��"`' s r 9$ zai �yzs�zc�-�'o,� <br /> TENANTNAME I CONTACTNAME PHONF. <br /> CONTRACTOR AD�RESS ZIP CONTR. LICENSE N <br /> b.s. r�Z lL <br /> PHONE <br /> PROPOSED USE OF BUILDING Building Mechanical Addilion HEAT SOURCE <br /> (� PERMIT Combinat�on RI–( Plumbing WORK Alteration Electric <br />, j � 1\ TYPE DPmolilion U Sign TYPE � NeP � Gas <br />� S rinkler Re air/Maint Olher <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX COOE IS 3705 <br /> WORK DESCRIPTION � n��1-� Q • C ' <br /> .c � ncE wATf2 Gc�S <br /> PLUb78�NG MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOS�T A/C–A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY (WASH BASIN) F{EAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK& DISPOSAL _ CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> _ LAUNDRY TRAY � WATER HEATEH <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINA� FIREPLACE INSERT <br /> DFiINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> , SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER_ OTHER <br /> — <br /> I • <br /> I i 1EREBY CEFITIFY'HAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> . PRCVISIONS OP LAWS AND ORIDINACES GOVERNING THIS TYPE OF WOFiK WILL BE COMPLIED WITH WHETHER SPECIFIED HEFEIN OR <br /> � NOi. THE GRAV7iNG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATF OR CANCEL THE PROVISION OF An1Y OTHEF <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFOFMANCE OF CONSTRUCTION. THAT I AM AUTHORIZEU 3Y TitE <br /> OWNER OF THIS PROPEFTY TO PERFORM THE WORN FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONI'AACTOFS LAW 7827 RCW AND 296.200 WAC. <br /> �-`� ! ^Z� ~ � 2- <br /> Signalure oi OwnedContractor/Authorized Agenl Date �O _, `�� � � LI <br /> i <br /> (7` <br />