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PE MIT APPLICATION <br /> CITY OF EVERETT �ERMIT SERVICES F�n^ tki1 �rniu� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 a � �5.15-�O)T'')�1 Sa. <br /> 425-257•8810- FAX 4�5-257-8857 <br /> SITE ADDRESS PARCEL TAX t.D.I PERMR� <br /> D� 5 - ol,� �- CV. a3o r o�� - <br /> lEOAL LOTNO. ALOCK TRA�T <br /> �ESC. ADDRE49 ` ���`r P PMONE iJ�_� <br /> OWNER '� <br /> �.�+�c �2�� �EJ A �.o�^r LLC /ooc�sF E✓, n+uu � s�� za E�wa�z�� <br /> TENANTNAME I CONTACTNAME PHONE <br /> ��c� — <br /> AD ES ZIP NT UCENSE� <br /> CONTRACTOR ��i2 � b7 N. �►� Nun1TE��C87c I <br /> PHO E� _ �U �JOI ,�8'az � � _ <br /> PROF09ED USE F BUILDINO � Building D Mechenlce' Aadilion MEAT SOURCE <br /> / PERMIT Combination U Plumbing WORK R Al�aretion R Eiectrk <br /> st�jl£ ��}/11�l l��-( T'PE Demolllian U Sign TYPE D New l� 6ee <br /> DWEIII�G J SPrinkler � RePa�rrMemt Other <br /> CONTRACT PRICE OF WORK ��M � CITY Of 8yb,qETT LOCAL SAIES TA%COOE IS�tOS <br /> l l..'o r�� <br /> WORKDE4GRIPTION -��pm�, �No � tx.�cc (�.OTTCCcI Gl �1' ( ��� � v� <br /> EJIJ .'�/'C"`l.l% �OC��` <br /> PLUMBING MECHANICAL <br /> INO. TVPE OF FIXTURE OR ITEM NO. TYPE Of flXTURE OR REM . <br /> I __ WATER CLOSET _ AIC—!v'HANDLING UNITS <br /> BATHTUB _ FORCED Alii SVSTEMS <br /> LAVATORY(WASH BASIN) _ HEAT PU�AP <br /> SHOWER _ UNIT HEATERS <br /> KITCHEN BINK 6 DISPOSAL _ CLOTHES DRYER <br /> C'SHWASHER _ FANGE I,OOD <br /> LAUNDRY TRAY _ WATER HEATER <br /> CLOTHES WASHER _ METAL FIREPLACE/fiTOVE <br /> UHINAL _ FIREPI.ACE INSERT <br /> ORINKING FOUNTAIN _ OAS FIREPLACE <br /> FLOOA ORAIN _ �AS RANGE <br /> BACKFLOW PREVENTER _ GAS PIP�NO <br /> SINK (SERVIC68AR/MOP/ETC.) _ EXNAUST FAN <br /> OTHER _ OTHER <br /> — -- — .��I.S� <br /> I HEFE6V CEAIiIfV THAT I HAVE READ ANG EXAMI�ED TMIS APPLICATION AND NNOW TME SAME TO 8E TRUE AND CORRECT RLL <br /> PROVISIONS OF L4W5 A�ID ORIC�NACES GOVEFNING THI,�', IYPE OF WORK WILL BE COMPLIED WITH WMETMER SPECIFIED HEPEIN OR <br /> NOT THE GRANTING Of A PERMIT DOES NOT PRESUME TO OIVE AUTHORITV TO VIOUIE OR CANCEL THE PFOVISlJN OF ANV OTHER <br /> STATE Of1 LfJ��L LAW REGULATING OONSTRUCTION OR THE PERFORMANCE OF CONSTPUCTION TMAT I AM AUiHORIiED BV TME <br /> QWNER OF�T S P�iOPEFTY TO P hl THE WORK FOR WHICH APPIICATII?N IS MADE AN01 COMPLY WITH TME STATE <br /> Cp AC RS LAW 1827 R ANO 2 �?AO WAC, <br /> � ll /3 L�/ <br /> j9 ner/ onhactor/ uthonzed nent ale � <br /> d <br />