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PERMIT APPLICATIC�N <br />CITY OF EVERETT PE:RMII SERVICES <br />3200 CEDAR STREET E1'EHFTT, WA 96201 <br />425 257-8810 - FAX 425-257-8857 <br />�`�' `I _��� AP n; � z�"� G��3 - Uaz � c <br />SITE ADDRESS �-� � j pARCEL TAX I.D. N <br />,�a.�.�" io� tti sr,ws�T aw __� 2328n4-a-ooq-000y. _ <br />LEGA LOTNO. BLOCK TRACT <br />DESC � <br />OWNER <br />5 P6E,4 <br />TENANTNAME <br />' CONTHACTOR <br />PHONE i <br />/5205 52 Ho AV6. S� SEATTLE, Wq <br />CONIACT NAME <br />D,4�cl �L,�/li <br />AODRESS �//�'��� <br />/ i //Qn <br />l Ci��'� <br />�IT a <br />� 3 o�p_C13� <br />98�88 415•3��5•1893 <br />PMONE <br />!/ ��? s�� � . Y 9 � <br />21P CGNTR l �r.aur.F ■ <br />/ �-� _ <br />��.)�.�`�Y �%<<'!r / <br />�i PROPUSED USE OF BUILDING � f.yR ullding Mechnnicnl �'1 Addmon HEAT 60UHCE <br />�� �FF�G� I PERMIT KI-( ombinntion RI�._( Plumtnn� WCAN 4F�-( Altnreuan II'—'�L Fiecv,,: <br />TYPE �j t7omoli�ion �j Sign ITYPE �✓ Now �✓JUn; <br />j U Spiinkler (w ol hxads� U Repoir/Mainl I L� Olh��r <br />i CONTRACT PRICF OF W09K �!)r 2A;,''Z p� CITY OF EVEqE1T LOCAL S 1LE5 tAX COOE IS 7105 <br />�'f <br />j WORK UESCRIPTION <br />Go,�sr�u eT�v,J OF � MGu� / Sto/LY wwn F/�i� oFFi� �,�a�y. Cu,un�H�i.dr� <br />' S, 2 f�a sF. t.v�nl Aa��4c�vi' P��i.u4 �oT �;� ���J �� c- �� <br />' PLUMBING <br />I NO. I TYPE OF FIXTURE OR ITEM <br />WATFR CLOSET (TOILFT . <br />BATHTU[i �� � <br />�ORV (WA5�91N) <br />10WER <br />KI HEN SINK 8 SPOSAL <br />DISI ASHFR <br />LAUN Y T Y <br />CLOTHF. ASHER <br />URINA <br />DRIN GF�MAIN <br />f-L R DRAIN � <br />B 'KFLOW PRFI <br />,INK (5ERVICF�B <br />UTH[R,__ . _ <br />iCR <br />CJ <br />MECHADIICAL <br />NO. I TVPE OF FIXTURE OR ITEM <br />_ FVC -� A/HANDLING UNITS <br />FORCED AI;i SYSTiMi <br />---- HEAT PUMP <br />._ _ UNIT HEATCR9 <br />. LOTHES DFi��f-f7 <br />R GFI700G <br />_. _ WA -HPIFATE f� <br />Mf_TA ' FIREPLACC �Sl ( i�lf-. <br />__ FIR�'I. CEIIJSfIRI <br />G . FIR LACF <br />AS RAN � <br />_ _ GAS PIPING <br />EXHAUST FAIJ <br />OTHEH <br />I HEPEdY GERITIFY THAT I HAVF REAG AND E7(AMINED THIS APPIJCATION AND KNOW THE SAME TO BE 7FUE AND IORRECl�. .4L1 <br />PROVISIONS OF LAWS AND ORIUINACES GOY�RNING THIS TVPE OF WORh W;LL BE COhIPLIED WITH WHETHER SFF�IFIEG HEFlEIN OF <br />PlOi THF GRANTING O� A PEFiMIT DOES NOT PR[SUME T(1 GNE AU7HORITY TU VIOLATE OR CANCEL THE PROVISION OF ANY OTHEfI <br />STA7 E OH I nCAL LAW R[fiULATING CONSTRUCTION OP 1HE PFRFUFiMANCE OF CONSTfiUCTION THAT I AM AUTHOR12ED BY THE <br />06VNFR OF Ti 115 PRpPFRTY TO PERFORM THE WORH F]R WHIC.`i APFLICA I ION IS fdAD[ AND I COMPLV WITH THE 5T4TF <br />COMTFA Ofi51.•W iH:7RCWAND;96.300WAC <br />2o s�/,V o3 <br />Siynnlurec' ;�.��p� ,nyar,tor,AuthonredAg�nt � Date - � � <br />�" — '�L <br />