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PtRMIT APPL�ICATIVN <br /> CITY OF EVEREl'T PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 99201 <br /> 425-257-8810— FAX 425-257-8857 <br /> SITEAO�SS �o�/ �.l �LIJ OO�FY�XU��10oj p0 I PEHMI� ""� <br /> /V O ��t <br /> IEGA LOT N0. BLOCK TRACT <br /> DESC. 3 �A�Cf'I�1Uc'.V �CF�S <br /> o�?��J_C_�S SK��"��- /S/Ds r�g �� ��, ��DyvMo�-3.S5=ZooL <br /> TENANTNAME I CUNTACTNAME VHONE <br /> S�A/" CPti�S r / Z.��R�fUK[.�'vy �� �` /�a� CONTR.UCENSE/ <br /> PHO�E <br /> s 7- 430 <br /> PROPOSED USE OF BUILDINQ n Building MeChenlCal Addllion HEAT 60URCE <br /> n � . � PERMIT [] Combinellon R Plumbinp WORK � Alleretlon n Electrk �� <br /> KPS I l.�}-+ � TVPE � Oemolitlon � Sign TVP[ New n paa <br /> Sprinklet RepaldMalnl. � Olher <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IB 9106 <br /> WORKDE3CRIPTION �r�K � //,E.fS � /J�'Sf ���p eec w �R�rSt��cc 7'-,�«si� _ <br /> t�6 �+��lo s•.�e.. � �P� C It.t.w� - <br /> PLUMBING MECHANICAL <br /> �'�. TVPE OF FIXTU lE OR ITEM N0. TYPE OF FlXTURE OR ITEM <br /> WATER CLOSET A/C-A/HANDLINQ UNITS <br /> Z BATHTUB _ FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) I1EAT PUMP <br /> _ SHOWER _ UNIT HEATEAS <br /> KITCHEN SINK 8 DISPOSA� CLJTHES DRYER <br /> _ DISHWASHER RANOF HOOD <br /> _ LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> _ URINAL _ FIREPLACE INSERT <br /> DFINKiNG FOUNTAIN �AS FIREPLACE <br /> FLOOR DRAIN OAS RANOE <br /> BACKFLOW PREVENTER QAS PIPINC3 <br /> _ SINK(SERVICFJBAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHER_ _ OTiiFR <br /> � <br /> I HEREBV CERITIFV THAT I HAVE READ AND EXAMINED THIS APPLICATIOM A�0 KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS Of LAWS AND OFiIUINACES GOVEFNING THIS TYPE OF WORK W:L BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> 40T. THE aRAN71N�OF A PERMIT DOES NOT PRESUME TOOIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHEfi <br /> SiATE OR 46 AL LAW REGI.LAT NO CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER p�T IS PROPERTV TO ERFORM TNE WORK FOR WHICH APPLICATiON IS MADE AND 1 COMPLY WITH THE STA?E <br /> CON�AC qS LAW 18.27 RC AND 298 2 YJAC. <br /> ., , - �-t ��- �, � �_ <br /> ignalure w onlraclor/ ut onzed psnt �— <br />