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PL.�MIT APPLICATIC 1 <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERElT, WA 98201 <br /> 425-257-8810 -FAX 425-257-8857 <br /> SITE ADDfiESS PARCEL TA%I.D.� PEFMiT� <br /> is;3 io �na �� .sw I ko���-ni.� <br /> LEGA LOt NO. BLOCK TRACT <br /> DESC. <br /> OWNEH AODRESS ZIP PMONE <br /> /�D,e C�rz7'P��s c'� <br /> TENANTNAME � CONTACTNAME PHONE <br /> CONTRPCTOR I7„a/NSUN /'�/�^� /,�.L AOORESS ZIP CONTR.UCENSE� <br /> pc� <br /> PMONE ��J3�0 /2�1N �Q�C� tiE G��'ZZ3 �P�J�/NO.� Z7ZL <br /> /�ev1 ud� -�+rroz <br /> PROPOSED USE OF BUIl01NG �uilding D MecheniCBl AdOilion HEAT SOURCE <br /> pERM17 Combinatlon U Plumbing WORN �ration I7 Eiecuk <br /> S� TYpE emoli�lon U Sign TYPE New n Oee <br /> Sprtnkler RapeirRdeint. D Other <br /> CONTRACT PRICE OF WORK �z��L CfTY OF EVERETT LOCAL BALES TAIf CODE IS�1q6 <br /> WORK DESCRIPTION <br /> /,�.i S)nu ,�,,�tc Ss1,rt ,.c,�rc�;2S /n� ti,c-'2` S FR <br /> PLUMBING MECHANICAL <br /> N0. TVPE OF FI%TURE OR REM N0. TVPE OF flXTURE OR REM <br /> WATER CLOSET _ A/C—AMANDLING UNITS <br /> BATHTUB _ FORCED AIR SYSTEMS <br /> LAVATORY(WASH BAStN) __ HEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> i = DISHWASHEF = RANGE HOOD <br /> IAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER _ MFTAL FIREPLACE/STOVE <br /> URINAI. FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ OAS FIREPLA(;E <br /> FLOOR DRAIN __ (3A5 RANGE <br /> I _ BACKFLOW PREVENTER = GAS PIPING <br /> SINK�SERVICE/BAfUMOP/ETC.) EXHAUST FAN <br /> � OTHER _ _ OTHER <br /> I _ � �OQiti��A�s' <br /> I I HEREBV CERITIFV'HAT I HAVE FEA�AND E%A1.71NED THIS APPUCATION AND KNOW THE SAME TO BE TRUE AND COPRECT All <br /> PROVISIONS OF U1W5 AND ORIDINACES GOVERNING THIS TVPE OF WOFN WIIL BE COMPLIED WITH WHEfHER SPECIFIED HEREIN ON <br /> NOT. TME GPANTING OF A PERMIT DOES NGT PRESUME TO 61VE AUTHURITY TO VIOUTE OH CANCEL THE PRO�ISION OF ANY OTHER <br /> STATE OR LOCAI LAW P.EGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZF.D BV THE <br /> '� ON'NER OF THIa PROPERTY TO PERFORM TME WORN FOR WHICH APPUCATION IS MAGE AND I COMPLV WITH THE STATE <br /> � CONTRACTORS W, . %RCW AN 98200 WAC. <br /> � �'/Z •,U L <br /> Sig�i e o �wneri ontracton uihonzed Agern ete <br /> ��� <br />