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From 01 n n�p012 09:16 a035 P.002I002 <br /> PERMIT APPLICATION 570472 <br /> ` J CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 962U1 , 425-257-8810 <br /> 425-257-BB57 FAX ` /O _/z <br /> L------- <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> nu.t Ino I'I. Sli. I:vl�.ItICI"I',WA vsZox uu^nlboouul lou <br /> '� <br /> LEGAL LOT NO. BIOCK � �TRACT <br /> �€� --- -- !-- --- <br /> OWNER ADDRESS PHONE <br /> �u� iu�� ri. tiF. <br /> �Ii.'Gtllltl�.. BII.I. {�I'S171u-0�+17 <br /> � hVl]21�.f1. N'A ��R]OY <br /> TENANTNAME CONTAC7NAME PHONE <br /> �tnl�� C' 0.SK�'� ------ azs-s3s-�o��} <br /> CONTRACTOR ADORES8 CONTR.LICENSEJf <br /> FASI� N�A I�IiR III:A1�IiR CUM111'ANY I'_61�I IJ'NU AVIi NI-, fAtil WN'I194R8C <br /> F;IIihI.ANI), N'A 4N�13.1 1 'NI �� <br /> �t{QNE _A25-636-705'{ --- - <br /> PROPOSED USE OF BUILDING ew�a�np M�ch�nlc• WORK Addlllon H T SOl1RCE <br /> PERMIT Com6lnHlon � Plumbiny � Allerallon Electrtc <br /> Hesidenti8l 7ypE D�molllian �� Slpn TrPE New as <br /> � R� �IrlMalnl Ihcr <br /> CONTRACT PRICE OF WORK •� ��' '�L-�,-- CITY OF EVERETT LOCAL SALES TAX COOEtS 7105 <br /> WORK DESCRIPTIDN I±cmuvc Rcpincc lilcclric N'atcr I lr:ucr <br /> PLUMBING MECNANICAL <br /> TYPE OF FIXTUR . OR ITEM O TYPE OF FIXTURE OR ITEM <br /> _____ WATER CLOSET _ _____ A/C-AIHANDLING UNITS <br /> _, __ BA7HTUB ____. FORCEO AIR SYSTEMS <br /> . ___ LAVATORY (WASH BASIN� _ _______ MEAT PUMP <br /> ____._ SNOWER _______ UNIT HL'ATERS <br /> KITCHEN SINK 6 DISPOSAL ___.___ CLOTHES DRYER <br /> DISIIWASHER _ ,_ . W1NGE HOOD <br /> ____ LAUNDRY TRAV ___.�__ WAT[R MEATER <br /> ____ CLOTNES WASHER _____ . METAL FIREPLACElSTOVE <br /> ____ URINAL . _____ FIREPLACE INSERT <br /> ___ DRINKING FOUNTAIN _____._ GAS HREPIACE <br /> FLOOR ORAIN ____.__._ GAS RANGE <br /> BACKFLOW PRF.VENTER ________ GAS PIPING <br /> ____ SINK (SERVICEIBAR/MOP/E7C.) _ ._____ EXHAUST FAN <br /> ----- OTHER--- � ---------�-- � --- 07HER------------�---- <br /> t H[RFRY CERTIFV THl�T I HAVF READ AND EXAMINEO THIS APLICA710N AND KNOW 7N[ SAME 70 OE TRUE AND CORHF.CT ALl <br /> PNUVISIUNS OF lAWSl�NO OHDINANCES GOVCRNING THIS TYPE OF WORK WIIL BE COMP�IEU WINT WMFTNER SPECIFIED MEHFI <br /> UR NUT. THE GRANTINC OF A P[RMIT DOES NOi PRESUfAE TO aNE AU I MURITV TO VIOL/17E OR CANCEL TFiE PROVISION OF ANV <br /> OTIiFR STATE UR LOCAL lAW RFGULATING CONSTRUCTION UR TN[VERFORMANCE OF (,ONSTRUCTIUN.TNAT 1 AM AUTMORIZED <br /> UY THE OWNER OF 7NIS PROPERTY TO PEfiFORM THE WORK FpR WHICH APPUCATIUN IS MAOE AND I COMPL�WITH TNE STq7E <br /> CUN�RACtORS Ll�W �8.27 RCW l�ND 2�200 W�1C. <br /> SlgnaWra of OwnoflContractorlAufhorized Agant , t�, t �'q ,�� Dete ��I�I(P?QIZ <br /> ' � `� �— <br /> u��r. <br />