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� —� <br /> � PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810-FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.1� pE Rs <br /> G fWIT VS . 7 2?Z� <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> ONMER ADOqES8 Z1P pMpNE <br /> �-�O JSI r1q QC' - <br /> TENANT E AAG(L.EN7', (rL�- • CONTACT FOR PERMT PHOlIE <br /> a�sTr�'"„��b I Ni�K WE3 <br /> N�fk--t�c✓'s-ST� STG � 206 � 31-3�1 b <br /> CONTRACTOR '�'���'OZ Fi�S� LP CONTitLICENaE• <br /> �u Tsd ,.N,>� �nr� �eWoea��—�`�;,°y <br /> PNO. � <br /> �2'a��' (o�O 1 �� Z� <br /> PROP08ED USE OF BUILDING Buflding .eniwl (� AddPoon HEAT SOURCE <br /> PERAAIT R C�binatio P�umbing IWORK }�(�tlon I �bctr�c <br /> 7YPE D Demolition � ;iign 7YPE � New ae <br /> ��C� ���/, D S rinkler R trlMahM. O�Mr <br /> CONTRACT PPoCE OF WORK�rf�- ��'� CITY OF EVERETT LOCAL SALES TAX CODE IS�706 <br /> WORK DE9CRIi7WN <br /> PL��+ng�Ntr �0-t'�CaL� wP�TE(2 :r#� r. wp.�t'�,(Z '1"v <br /> Q� �__�t+G1nt�C�1 f-e�s , '- <br /> ./�-� . <br /> ` PLUMBING MECHANICAL <br /> NO. TYPE OF FlIfTURE OR ITEM NO. TYpE OF FIXTURE OR ITEM <br /> WATER CLOSET . AIC-A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) HEAT PUMP <br /> = SHOWER / _ UNIT HEATERS <br /> ITCHEN SINK 8 DISPOSAL CIOTHES DRYER <br /> � ISHWASHER RANGEHOOD <br /> _ UNDRY TRAY j `NATER HEATER <br /> C OTHES WASHER METAL FIREPLACE/STOVE <br /> U NAL j FIREPLACE INSERT <br /> OR KING FOUNTAIN GAS FIREPLACE <br /> � FL R DRAIN _ GAS RANGE <br /> BAC FLC�N PREVENTER GAS PIPING <br /> � SINK ,9�RVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> � �T _ OTHER <br /> 5 � S�N <br /> � - — <br /> 1 SG- K- <br /> � <br /> I HEREBY CERITIFY HAT I HAVE READ AND EJWMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL <br /> PROVISIONS OF LA AND ORIDINACES GOVERNING T111S TVPE OF WORK WILL BE COMPLIED NATH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING F A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOUITE OR CANCEL THE PROVISION OF ANV OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTFIORIZED BV TiE <br /> ONTlER OF TIiIS PROPERN TO PERFORM THE WORK FOR NRiICH APPLICATION IS MADE AND I COMPLY NATH THE STATE <br /> 00/�IAW J�?J R W D 296.200 WAC. <br /> � .�'� 3/3/� `f <br /> �ignature of Owne ntract uthonzed Agent a .,• <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTEO '� <br />