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,_ � PERMIT APPL�C�, �'ION <br />� CITY OF EVERETT PERMIT SERVICES <br />_� ' 3200 CEDAR STREET, Eb'ERETT, WA 98201, 425-257-8810 <br />SITE ADDRESS <br />�.�I` '� �l �i�.l�\�I�Itl�.11�.1l'A �)ri_Ili <br />� <br />OWNER <br />I'F11�JLSI�\. t�l'�Iti <br />TENANTNAME <br />4RCEL TAX I.D.# <br />Uu19.1pOb��u I ln I <br />ADDRESS <br />I 11; i5 ST SI <br />li\'h.Rl�.-I��I. 11',\ '1!i'_Ill <br />CONTACT NAME <br />I':\�tIJ.:\ IIII.I. <br />CONTRACTOR ADDRESS <br />i �cr���iii�ni aiiit���nfr��� i_�,ni i�z�n,��i �i <br />t;nt�:i_���u.�� � v����.� <br />PH4lLE_ '���;itii.�-ii�a <br />PROPOSED USE OF BUILDING Bulldinp Machanlu �,uRK <br />PERMIT Com6ln�tlon�Plumbinp <br />T'ypE D�molilicn USlpn �TYPE <br />OF WORK Sa�1'Lnii <br />WORKDESCRIPTION �trnn��cRcplaec(�.i�K'atrrllcaicr <br />I <br />iPLUMBING <br />.... . v e�vnioo no ITci� <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPGSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DR!NHING FOUNTAIN <br />FLOOR ORA�N <br />BACKFLOW PREVENTER <br />VICE/BAR/MOP/ETC � <br />CITY OF <br />PERMIT# <br />� <br />!11� ;�:? 1..:`s" �J <br />--- I <br />PHONE <br />�.�!; �1.1'.' I �+9 <br />PHONE <br />i�s si.�_�i��i.lzi <br />CONTR.LICENSE# <br />r:�si �� iu os�i,i <br />u� i�, ���n� <br />, — _ —. <br />Add�Uon� HEAT SOURCE <br />Alturatlon [�EleUric <br />New r}Gas <br />SALES TAX CODEIS 1105 <br />MECHANICAI <br />N0. TYPE OF FIXTURE OR ITEN <br />A/C-AIHANDLING UNITS <br />FORCEO AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />� RANGENOUD <br />� Y1�'ATER HEATER <br />METAL FIREPLACEiSTOVE <br />� FIREFIACE INSERT <br />GAS FIREPLAf.E <br />GAS RANGE <br />GAS PIPING <br />� EXtiHUST FAtJ <br />____ SINK (SER • ---- <br />OTHER---------- ---- OTHER-------------------- <br />�. r,E RE�Y C[RTIFY T!iAT I HAVE READ �ND EXAMINED THIS APLICATION AND KNOW THE SAME TO �E TRUE �ND CORRECT ALl <br />��.RUVIS�ONS OF lA'NS AND ORDINANCES GOVGRNING THIS TVPE OF WORK 1hILL BE COMPUED WIHT WHETHER SPECIFIED H[REII <br />'�R NOT. THE GRANTING OF A PERMIT DOES NUT PRESUME TO GIVL AUTIIOFITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br />OTHER S'.ATE 0�� l0(:AL IJ�W REGULH(ING CONSTRUCTION OR TME PERFORMANCE OF CONSTRUCTION. THAT I AMAUTHORIZFD <br />BV 1'HE OWNER OF TNIS PROPERTY TO PERFORM THE WORK FOR WM�CHAPPLICATION IS A1ADE AND I COMPLY WITH TME STATE <br />CONTRACTOFS LAW 1P.27 RCW ANU 296.200 WAC <br />Sipnatura of OwnerlContraeloNAulhori:od Aguni �� . ,� �� "� �- Date �, � z,ii�i� <br />r <br />