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w <br /> SEP-04-01 TUE 09�36 AM EVERETT PERnIT SERUICES FAX N0. 425 257 8857 P. 02 '` <br /> I —� <br /> �ERMIT APPLICATI N � <br /> � CITY OF EVERETT PERMIT SERVICES <br /> -- 3200 CEDAR STREET, EVERE7T, WA 98201, 425-257-8810 <br /> _ ��- <br /> SITE ADDRESS pARCEL TAX I.D.N PERMIT t <br /> ,�� ma e S�: r,r".�', o <br /> I.FGAL LOT O. BLOCK TRACT <br /> D[SC.�_ <br /> OWNER � ADDqESS �p�� �yy��� S_r �.. pHONE t{a� <br /> �zrc�i�� 1aea1'Y� �'��l' wA� - 8 <br /> ' TENAN7 NAME CONTALT NAME ; PNONE C4a?S, <br /> I _ I �,Arr� C� IoS� ' — <br /> j1r� � �/-/ �3n3 <br /> CONTRAC70R ADDpESS ' CONTR.LICENSE k <br /> F,c-e���,.�1 Spr;nK�� s�si�,�I 3oq s. �lo„�n.tal� s� � D-,o '�'REGSSggaKK <br /> PHONE D ' - � ; SEct-n{� W A. Sl0 i -... <br /> PROPOSED USE OF BUILDING �Buliding � Mechanical �aonan NEAT SOURCE <br /> PENtdi7 Combinahon Plumoing WOqK �Aneraisn n E4cfiic <br /> TVPE Demolilion S�gn TYPE Naw d Gas <br /> Spdnkler Repa�nMa�nt. D Omer <br /> CONTRACT PRICE OF WORK CIiY OF EVBRETT LOCAL SALES TAX CO�E IS 7105 I <br /> WORK qESCRIFfION <br /> ^� � • <br /> G ��o�� ,�,��; ��"� � <br /> pIUMBING� ME�}1ANICAL <br /> N0. TYPE OF FlXTUflE OR ITEM N0, TYPE OF flXTURE Op fTEM <br /> _ WATFRCLOSE7 _ NC—AIHANDLINGUNITS <br /> _ BATtiTUB ,_ FORCEO AIR SYSTEMS <br /> IAVATORY(WASH BASIN) � HEAT PUMP <br /> _ Si10WEH � UNIT HEATERS <br /> _ KITCHEN SINK 8 DISPOS�L ____ CLOTHES DRYER <br /> _ DISHWAS7�IER ` RANGE HOOD <br /> _ LAUNOf�Y TPAY � WATER HEqTER <br /> C101'li[5 WASHEH MEZpL FIREPLACE/STOVE <br /> _ URiNAI. FIREPIACE INSER7 I <br /> DFlINK�NG FOCNTAIN _ GAS FIREPIACE <br /> _ f'LOOI�IlfinlPi _ GAS RANGE <br /> ___ BACKFLOW:'REVL'NTER _. GAS PIPING <br /> _, SINK(SERVECE/yAWMOP/ETC.) _ EXHAUST FAN <br /> _ OTI•IGA_,_ _ � OTHE� <br /> t MEf1E'�Y CfHlTlf•Y TI IAT I FIAVE READ ANO E7CAAtI�ED THIS APPLICATIdV ANO KNOW 71�E SAME TO BE TRUE ANO CORRECT. AlL <br /> PROVIS:ONS Or lAW5 ANO OFIOINACES GOVF,RNING TNtS NPE OF WORK WiLL BE COMPLiED WITH WHETHER SPECIFIEO HENEIN OR 1 <br /> NOT. Try[GRANTiNG OF A PEflMIT DOES NU7 PFESUME TO GIVE AUTNORIN TO VIOUTE OR CANCEL THE PROVISION OF ANY OTHEA <br /> ST,1TE CR LOI:nL LAW HEGUUTING CONSTFUCiION On THE PEPFORMANCE OF CO�STRUCTION. TMAT I AM aUTMCRIZED BY THE <br /> . OWN�R UF THIS PROPEf�TY'(O PERFORM TI IE WO(7K FOR WMICH APp�ICATION IS MADE ANO I COMPLY WITN THE S7A7E <br /> CONTP.AC70RS UW tp.:7 RCW AND 2fi6.200 WAC. <br /> � <br /> �_%� ���_--- .3-:i= o,� <br /> Siqnalure�wne�ICamrac!orlAutnonmd A�em Daro <br /> ---.. .. _ I <br />