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,-- P�'RMIT APF'LICATI N <br />r� CITY OF EVERETT PERMIT SERVICES <br />._`�'��" 3200 CEDAR STREET, EVERETT, WA 38201, 425-257-8810 <br />�, i �� ��I �I , I�'I�ItI I I. ���:� ��x'_nti <br />OWNER <br />I VU I .I��\\�II) <br />TENANTNAME <br />CONTRACTOR <br />I\� I N�,\ I I It I II � Il lt l'� �NPA'�'\ <br />PH411�_ � c��1i_i-;r. i <br />PROPOSED U5E OF BUILDI <br />4RCEL TAX 1.�.# <br />no��iusunur,izuo <br />BLOCK <br />ADDRESS <br />o��;r� �� <br />I��'I�kl 1 I. \5�:\ '�ti'uR <br />CONTACT NAME <br />PA�1iJ A I!II.t. _ <br />ADDRESS <br />I]r�ul I ;'_NI� AVI[ til <br />I:IItKI.:�?�I). \\'A '�Ru3.1 <br />Buildinp Machenlca <br />PERMIT Combinetlon Plumbinp WORK <br />7ypE Domolilion Sipn �NPE <br />CONTRACT PRICE OF WORK C 6P� nu <br />WURK DESCRIPTION <br />Rrmn�.' Rr��Licr (i;lti \1';�Icf IlrNrl <br />���L�l'W.°]li[�] <br />_._-- ------ <br />' � . _ BATH�fUB <br />_ ,___ LAVATORY (WASH BASIN) <br />______ SHOWER <br />.__ KITCHEN SINK 6 DISPOSAL <br />______ DISNWASHER <br />. ___ LAUNDRY TRAY <br />CLUTHES WASHER <br />URINAL <br />____ . URINYiING FOUNTAIN <br />__. _ __ FLOOR DRAIN <br />BACKFLOW PRtVENTER <br />____ SINK (SERViCFJBAR/MOP/ETC.) <br />OTHER ____ <br />----- I - ---------- <br />PERMIT# <br />/ ' <br />ilion <br />� r:�i,�; <br />PHONE <br />i�L'SI��IH-;I��o <br />PHONE <br />�I.'S 81�l-;!'�l�l;+ <br />CONTR.LICENSE# <br />I�A` I P,'IICOS'UF <br />u' Ir� �Oo' <br />SOURCE <br />TA% CODEIS 7105 <br />1 <br />MECHANICAL <br />NO. TYPE OF FIl(TURE OR ITEM —f <br />_______ A/C-AlNANDLING UNITS � <br />_______ FORCED AIR SYSTEMS <br />______ HEAT PUMP <br />_______ UNIT HEATERS <br />_______ CLOTHBS DNYER <br />__ _ RANGEHOOD <br />____�__ WATER HEATER <br />METAL FIREPLACEISTOVE <br />FIREPLACE INSEP.T <br />____ _ GAS fIREPIACE <br />______ GAS RANGE <br />GAS PIPING <br />� EXHAUST FAN <br />----- <br />------ OTHER_--------------------- <br />-- I ----------------------------- <br />- i ------------------------- i ------ <br />r�ERF5�' GCRnF � rH�r I HAVF. REAC AND E%/�MINED THIS APUCATION AND KNCW TNE SAME TO BE TRUE AND CORRFCT ALL <br />'ROVISIONS O�� LAVJS AN� ORUINANCES GOVERNING TMIS TVPE OF WORK `NIU_ BE CJMPLIED WIHT WHETHER SPEGFIED HERFIf <br />)R NOT 'HE GRl�NTING OF � PERMIT DOES NOi PRESUME TO GIVL AUTHORITY TO VIOLATE OR CANCEI THE PROVISION OF AhV <br />)THER SiATL OR LOC4� U1W REGULP.TING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. TM�T IAM AL'TNORI2FD <br />rv THE OWN[R J4 7195 PROP6HTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />�py�r��;iORS � nw ! 9 27 RC W AND 296 200 WAC. <br />of Owncr/C �ntractoNAuthorizod Agnn <br />Dete <br />n7 _,�� �uu� <br />