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Pr:RMIT APpLICATIC.N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> �(/G� rP„L� �tJ�/ 425-257-8810- FAX 425-257-8857 <br /> 2 / � �;�`��� �d�rP�f. LIi4 • ��� ��29 n�ql� 3�/ <br /> ITE ADDRESS PARCEL TAX I.D.M RMIT M - <br /> l"9 0 �o //S � �' Z <br /> LEGA L07N0. BLOCK TRACT <br /> oesc. 3 <br /> OWNER - ADDRESS LP PHONE <br /> �Pi�.� £'s�a,r� /�i9i2 �D ��i�.- wt IGn.�w��/ �� 98 0 ,z <br /> TENANTNAME CONTACTNAME PHONE <br /> �c��7�c ,C� /�Gsx6rv �.uY�o�r ,rl�i�.�J �'"Sf'��?� .S'�/ G/2s— �22-6' �i,Z <br /> � CONTRACTOH ADORESS LP CONTR.LICENSEM <br /> PHONE <br /> S' �' <br /> PROPOSED USE OF BUIL ING Buildit�g ("') Mechanical Additian HEAT SOUHCE <br /> PERMIT Combinetion K Plumbing WORK Alteration R Electric <br /> TYPE Demolition �� Sign TYPE New �.] Ges <br /> ��, � - et RepeidMainL U Other <br /> CONTRACT PRICE OF WO � CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br /> WORKDESCRIPTION ----��� �---�--�- <br /> C d N!/F�t�.l �/U C� ONFL I��S ra�JL�1 M"� "rv �N01���c� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR REM NO. TYPE OF Fl7(TURE OR REM <br /> WATEfl CLOSET AIC-A/HANDLING UNITS <br /> BATHTUB FORCED AIA SYSTEMS <br /> LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> OISHWASHER RANGE H000 <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER _ METALFIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK (SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> II HEREBY CERIT�FY THAT I HAVE REAO AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PfiOVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GPANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHEH <br /> STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MAfIE�ND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 78.27 FCW AND 296.200 WAC. <br /> ISignature o(OwnedCoNra��%A horizod Agent Date �/ <br /> � <br />