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�;LRMIT 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 ADDRESS pARCEL TAX I.D.N � ERMiT K <br /> ��� ,���StsE Su.tP �- i���� � <br /> LEGA LOT N0. BLOCK TRACT <br /> DESC. <br /> OWNER AUDRE59 ZIP pHONE <br /> �OhvkSJ+� hlm��� i�v+��c/ �•t�fnr�Sh�+ <br /> TFNANTNAME CONTACTNAME PHONE <br /> Tohn,�„ rhNne� s,' Pry���vs S�o-,r �n�sv� 4Ls a�o-5rsao <br /> vz� vae-y��r <br /> COHTRACTOR ADURES9 TJP CONTR.LICENSE• <br /> PHONE �'m� � 1 Gnc.� <br /> PROPOSED USE OF BUILDINO I Building I"1 Mechenical AddiU�n MEAT SOURCE <br /> PERMIT R Combinalian y,�Plumbing WORK g Alleralbn � Electric <br /> TYPE D Dein011110n �, Sign TVPE D New Onn <br /> U Sprinkler U Rapelr/Meinl. Other <br /> CONTRACT PRICE OF WORK C!TV OF EVERETT LOCAL SALES TA%COUE IS 3106 <br /> WOFK DEBCRIPTION <br /> �GCU' �/�i�.�� .�Jf�I �/U'�L�/��'�-"iC/ <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR REM N0. TYPE OF flXTURE OR ITEM <br /> WATER CLOSET A/C—A/HANDLING UNITS , <br /> BATHTUB FORCED AIFi SYSTEMS <br /> � LAVA70RY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL _ CIOTHES DRYEF <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> _ CLOTHES WASHER METAL F�REPLACE/STOVE <br /> URiNAL FIFEPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIFtPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> � _ SINK �SERVICE/BAFUMOP/ETC.) � EXHAUST FAN <br /> _ OTHER _ OTHER _ <br /> I _ — <br /> � — — — <br /> I . <br /> I HEREBV CERITIFY THAT I HAVE READ ANO ExAMINED TH15 APPLICAT�ON AND NNOW THE SAME TO BE TRUE ANO CORREGT. ALL <br /> PROVISIONS OF LqWS ANO ORI�INACES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHEfHEF SPECIFIED HEREIN OR <br /> I NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOIiITV TO VIOIATE OR CANCEL THE PROVISION OF ANY OTHEP <br /> . STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMAVCE OF CONSTRUCTION. THAT I AM AUTHOR12E0 BV TI1E <br /> j OWNER OF THIS PFOPERTV TO PEFFORM TME WORK FOR WHICH APPLICATION IS MADE AND I COMPLV WITM THE STATE <br />� CONTRACTCRS LAW 1827 RCW AND 298.200 WAC. <br /> i �zz �1..__ '/'3-O� <br /> ��g alur—e olOwner/ onlractov ulhorized Agent a a ,('�� <br /> -- 11� <br />