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PERMIT APPLICATI�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> SITE AODRESS PARCEL TAX I.D.� PERMiT M <br /> -� O � �O � ST 5 � 2SOSlff��306200 MD(fd -0�G <br /> LEOA LOTNO. BLOCK TRACT <br /> DESC. <br /> WNER ADOREBS P PHONE <br /> /�E.�9�02 ()e.�e l.o��.�T c.0 ��I �� ,� s� S t t � �rZv� ti ss_Lsy- zo oJ <br /> TENANT NAME CON7ACT NAME PMONE <br /> Le`.--.5 � .La',y ZJtv -6�W '�LOb`f' <br /> CONTPACTOH ADDRESS LP CONTR.UCEN9E� <br /> CAS1N,�� w�e�r�..,:�.o.� ..i��• � iSHe � �z"�Me � ...,q � �05z t�957w�^.-Sovy <br /> PHONE Z.Jb l bF0 '�I 7Io� � <br /> pROP09ED USE OF BUILDMa � Building Mechanical AddWon HEA?SOUNCE <br /> PERMIT Combmelion�Plumbmg WORK�Aueraiion �Elacuk <br /> �/� TYPE Demolition � Siyn TVPE NeW a°° <br /> ��" 7`� Spnnkler Rapeh.�Meml. Olher <br /> CONTRACT PRICE OF WORN �S D.iJ J CITY OF EVENETT LOCAL SALE8 TAX COOE IS 3105 <br /> WORK DESCRIPTtON , S i;^ �I e 1 •L C e ,� �• � l� �/Q� <br /> �a�Q�U.I.:"`t� � '* [/) l. ^• 1-W2ri9 <br /> J J <br /> �'µs F'..1�2✓1A1.� , <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FIXTURE OR REM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CIOSET A/C -A/HO.NDLING UNITS <br /> BATHTUB � FORCED AtR SYSTEMS s0�o�� aT� <br /> LAVATORV (WNSH BASIN) _ HEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> DISHWASHER _ RANGE HOOD <br /> LAUNDRV TRAY _ WATER HEATER <br /> CLOTHES WASHER _ METAL .'-IREPLACE/STOVE <br /> URINAL _ FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ OAS FIREPLACE <br /> FLOOF ORAIN GAS RAN6E <br /> BACKFLOW PREVENTER 3 6AS PIPINO <br /> SINK �SERVICE/BARIMOP/ETC J _ EXHAUST FAN <br /> OTHER __ OTHER <br /> I HEPEBV CERITIFV 'HAT I HAVE PEAD AND EXAMINED THIS APPIICATION AND KYOW THE SAME TO BE TRUE AND CORRECT 4lL <br /> PROVISIONS OF LAWS AN�ORIDINACES GOVEFNING THIS TVPE OF WORK WILL PE COMPLIED WITH WHETHER SPECIFIED MEFEIN Ofi <br /> �I NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO 6NE AUTMORIN TO VIOIATE OR CANCEL THE PROVISION OF ANV OTHER <br /> I STATE OR IOCAI lAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS ERTY PER RM i11C WORK FOR WHICM APPIICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTO LA 1B G ..00 WAC <br /> / Z - iy- o <br /> ign e o wner treclorl utha � ed Agent ele <br /> I <br /> I <br />� _ <br />