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1 A. <br /> .� <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 /> SREADDRESS ��/J /��� A✓E OO�3CE�G�� OO PERMITN ^'Oa� <br /> �Q�E?� (X1 <br /> LEG LOTNO. BLOCK T^RA,CT <br /> DESC. I� �'I� �O`J G, "" ' yp PHONE <br /> OWNER `�A //1I1/ES%ME�T-S ADDRES6 <br /> 8"/0 6�iP.�.�i� /0.�/C. 9�dol <br /> 7ENANT NAME SEA7TC6 �Nr1�(� I CONTACT FOR PERMR J E/fb�F�/ EA�4 AClO P�E <br /> /a•� MeiO,t',sNd,2 ��G-rz .L,�D�srXAes <br /> ca+rn�croa �i��O2.TND✓��� ADDRESS �yl�.3SOCy.v�ai�� CONTR.LICENSE� <br /> �,/�Y �nA�,oS �i� �i�i�La,�,qP <br /> PMONE <br /> �/d�- ��Y — /Z2 "DeNise !� d - 8- 7 <br /> pROpOBED USE OF BUILDINp ` Buiiding Mechenical ���0^ N��Eub��C <br /> �m���( PERMrt Canbination � Plumbing WORK�AReretlon �s <br /> TYPE Demolitlon U Sign T�E RepeirMlelnt. � <br /> ��/�6 S Sprinkler <br /> CpNTRACT PRICE OF WORK 3� �/�f[�� CRY OF EVERETT LOCAL SALES TAX CODE 1!]106 <br /> WORK DESCRIPTION ��U�G� � /�+�1 w.76 S. I�SjA/ A�lO O� <br /> � p�' ,�*.�,v,a63 �a .�E �o�c� <br /> c <br /> � .t1EtJ IO�J..1�a 6.S , <br /> PLUMBING MECHANICAI <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FU(TURE OR REM <br /> WATER CLOSET AIC-AIHANDLING UNITS <br /> BATHTUB _ ORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) _, T PUMP <br /> SHON'ER _ UNI TERS <br /> KITCF SINK 8 DISPOSAL _ CLOTH RYER <br /> DISHWA HER _, RANGE H <br /> LAUNDRY Y _ WATER HEA <br /> CLOTHES W HER _ METALFIREPLAC TOVE <br /> URINAL _ FIREPLACE INSERT <br /> DRINKING FOUNT ,_ GAS FIREPLACE <br /> FLOOR DRAIN _ GAS RANGE <br /> BACKFLOW PREVENTE _ GAS PIPING <br /> SINK(SERVICEIBAR/MOP/E .) _ EXHAUST FAN <br /> OTHER _ OTHER <br /> I HERE9Y CERITIFY THAT I HAVE READ AND EXAMINE�THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF IAWS AND ORIDINACES GOVERNING THIS TYPE OF'NURK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRAN�ING OF A PERMIT DOES N0T PRESl1ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTMER <br /> OWNER OF HIS PROPERN OTPER ORM HE WORKOFOR WHICH APPLIACAT ON IS OMADE ANCD I Cq.IPLY WITFi TH ST�ATE D BY TFIE <br /> CONTRACTORS LAW 1B.27 RCW AND 296.200 WAC. <br /> 7/�i/�3 <br /> g�� wner on re IAuthonzed Agent Dal � <br /> 1� <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />