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� � 'ERMIT APPLICAT�JN 3""`� ��y <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425•257-9857 <br /> it��� P� a�a - o�9 <br /> SITE ADOFESS PARCEL TAX I.D.R PEAMR� <br /> o °�- sT. _s � � s � r�zso�;� �s �va� a-o c <br /> LEGA LOT N0.` BLOCK Tpq�7 <br /> DESC. t�-,cf' .S-u31�✓e51 <br /> OWNER - � �d• I ZO Z-£j'-fJ � <br /> ADDRE89 LP PMONE —' <br /> �/ �/-�2� L.1��.�,socv,�. <br /> Llf�_`s�/LC /'/e�«��SA �e�.,ST �C . ���.,,,,� ,r...,.,.��SJA `�8'L9Z 3(e0-G�SZ-I�I�j <br /> TENANTNAME I CONTACTNAME t� <br /> iv.1 ✓-a�✓rw • 'T '� ONE <br /> `J, „�„ FS��T�s�� u - sti-1y93 <br /> corrcAacron , 4zS-- �s !3 y-. <br /> pDORE88 ZIP CONrR.UCEN9E I <br /> oNreS�c.r I�s �Ce�.Zsr.�2��c, �/�2� [.s���no,o '�- LIFESNCf}1`u�/q- <br /> 3�,0- �s z- �`'i� 57�.,�0�, cJA �j8z9Z <br /> PqOP09ED USE OF BUILDINO Building (� Mechenical Adlnion HEAt 80URCE <br /> PERMIT � Combinelion H Plumbing WpqK �lR..! AOarauon un E���„� <br /> S�� TVPE Demolillon U Slgn ITYpE �Q New py.pae <br /> Spdnkler U Repalr�Meint. U G�her <br /> CONTRACT'qICE OF WORN �, �S � CITV OF EVEqET .00AL 9ALES TA%CODE 18 J196 <br /> WORK UESCRIPTI�N <br /> � t`.'� �� � L �stiJ '-"7Y,L�{c i)� <br /> IPLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR REM NO. TYPE OF fl)(TUqE ON REM <br /> WATER CLOSET '� A/C-A/HANDLING UNITS <br /> BATHTU@ � FORCED AIR SYSTEMS <br /> I LAVATORY(WASH BASI�I) = HEA7 PUMP <br /> SHOWER � UNIT HEATERS <br /> _L KITCHEN SINK 8 DISPOSAL � CLOTHES DRYEfi <br /> DISH'NASHER RANCE HOOD <br /> I LAUNJRY TRAY _L WATER HEATER <br /> CLO�HES WASHER \ METAL FIREPLACE/STOVE <br /> � UR'NAL \ FIqEPU10E INSERf I <br /> � DP',iNKIN6 FOUNTAIN t QAS FIREPLACE <br /> � FLOOR DRAIN GAS RANOE <br /> I 3 BACKFLOW PREVENTER GAS PIPIN6 <br /> \ SINK(SERVICE/BAR/MOP/ETC.) ' , EXHAUST FAN I <br /> � 07HER \ OTHER <br /> I <br /> I HEREBV CERITIFY THAT I HAVE REA�AND EXAMINED THIS APPLICAIIJN ANO NNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORIDINACES QOVEFNING THIS TVPE OF WORK WILL BE COMPLiED WITM WM(�.7HER SPECIFIED HEREIN OR <br /> NOT THE GRANTING UF A PEFiMIT OOES 40T PRESUME TO GIVE AUTHORITY TO VIOlA1E CF CI1NC[L THE PROVISION OF ANV CTHEH <br /> STATE OF LOCAL LAW REGULAT�NG CONSTRUC710N OR THE PERFOPMANGE UF CONSTRUCTION TMAT I AM AUTHORIZED BV THE <br /> OWNER Gr THIS PROPERTV TO PERFOHM THE WORK FOR WHICH APPLICATION IS MAOE AN�I COMPLY WIThI THE STATE <br /> CONTR.4CTOF5 LnW tB� g Z <br /> �—� - � - /?-/G-flL <br /> ��y++.�� �+..��nr��unvac�ounumonla gent ele —� <br /> 1/ <br /> 1 <br />