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�`RMIT APPLICATILN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 GEDAR STREET, EVERETT, WA 582Q7 <br /> j�j%t 425-257-8810 —FAX 425-257-8857 <br /> SITE ADDFESS ���� ',��lr PARCEL TAX I.D.� � PF,�iM1T� <br /> �,� 0 //� �-'`sr. � � �`" A��-� ao5�3�o0 oc�oo�- 2�� <br /> LE6A LOT N0. BLOCK TRACT S <br /> oesc. — 3� -9�' <br /> OWNER ADORESS LP PHONE . -fS � <br /> REG/ABr. E NE�t/uP.3oi� J�l��o yG G n/E /�fA•+JSv, rrfG wA <br /> TENAN?NAME NTACT NAME PHONE ��� <br /> .SO�d . �u i�/t' I . 9�..� �/�S-� 3�- S-S-3 e <br /> CONTRACTOR Cl/I� �jNC+��✓%0Il ADDRESS 7?j 07 y�vTt �� '��P �R•V �NSE 1 <br /> -'� .c�.��ys,�,Nc k.� — /��°uA� . o.�7.tiP <br /> PHONE �/;�[�� ,� 4 Qi, �53a � �r��7 0 — NEN04'L �ooSC[iJ <br /> 7 <br /> PR�POSED USE OF BUILDINQ I S( Builrting � Mechenlcal Addition MEAT SOURCE <br /> S � PEHMIT 1"1 Conibinallon Plumbing WORK � Alteialbn � Elactric <br /> �� ��V � L� <br /> 7rae H Defnolitlon Slgn IYPE New Qae <br /> LJ Sprinkler Hepeir/Meim, Othe� <br /> CONTRACT PRICE OF WORK CIT'OF EVERETT LOCAL SALG9 TA%COOE 14�105 <br /> WOHK DESCPIPTION ' 3/�D � p r��QX j� �d�1 .0 �rr lJ1 �O7))T1!� C 7/D/�� � <br /> .J <br /> 5iG 2 Z <br /> PLUMBING MECHANII,AL <br /> N0. TYPE OF FlXTURE OR RC•M NO. TYPE OF FlIfTURE OR ITEM <br /> WATEfi CLUSET A/C-NHANDLING UNI7S <br /> BATHTUB `,� �ORCED AIR SYSTFMS <br /> �� LAVATOF`!(WASH BASIP!) _ HEAT PUMP <br /> � SHOWEP UNIT HEATERS <br /> 1� KITCHEN SINK 8 01iPO5Al / CLOTHES DRYER <br /> /_/T DISHWASHER RANGE HOOD <br /> � LAUNDRY TRAY 2 WATER HEATER <br /> � j CLOTHES WASHER METAL FIREPLACE/STOVE <br /> � � URINAL FIREPLACF. iNSERT <br /> DFiNKIN6 FOUNTAIN � dAS PIREPLACE <br /> ____ FLOOR DRAIN OAS RANGE <br /> -�°` BACKPLOW PREVENTER GAS PIPINf3 <br /> C°j" SINK�SERVICE/BAFVMOP/ETC.) EXHAUSTFAN <<-%���� ��us. �w.i <br /> I = 07HER OLHER <br /> C A 5 EAT <br /> i s✓. <br /> I — — <br /> I � I <br /> I MEREBV CERIT;FY THAT I FIAVE READ AND E%AMINED THIS APPLICATIqN AND NNOW THE SAME Tq BE TRUE AND CORRECT. AlL <br /> � PROVISIONS OF l,�IVS AND OHIDINACES GOVERNINO THIS TVPE OF WORK WILL BE COMPUED WITM WHETHER SPEC�FIED HEFEIN OR <br /> i NOT. THE GP.4NTING OF A PERMIi DOES NOT PRESUME T061VE AUTMORITV TO VIOUTE OR CPNCEL'�HE PROVISION OF ANV OTHER <br /> ' STATE OR LOCAL LAW REGULATIN6 CONSTRUCiION OR THE PERFORMANCE OF CONSTF�CTI4N. i MAT�AM AUTMORIZED OV TME <br /> OWNER OF THIS PROPERTY TO PERF M TFiE WORK FOfi WHICH APPLICATION IS A1ADE AND I COMPLY WITH THE STATt <br /> .��p�//l� RSyA��927 R�1V AN�.200 WA� :// i - C� �— <br /> / / /� � `T <br />. ignalura o wnerl oNractod u�i��' genl e�e 1 <br /> �d 1 <br /> ( <br /> 1 <br /> � <br />