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P�RMIT APPLICATILN <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.8 � PERMI7 M <br /> ztis� �/l�Y�t sr i'�oacs3-o3�r <br /> LEGA LOT NO. BLOCK TRACT <br /> DESC. ' <br /> OWNER ADDRESS LP PHONE <br /> GRONA cR�rF L�o7ER+rr��� Z'ISo r`RT�z ��• `76ZoI <br /> TENANTNAME I CONTACTNAME PHONE <br /> 4►aowr F�•ri.Td Coortkn,,�a .Ur��u �oA,nar� 4L�s .�4ez -lsoo <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE N <br /> C.4lMRT6 �+4i,.�Eees �'��l�oS - ��14'� ��r ►-�c <br /> PHONE V�oeo�u��LLC� „vR '10b1Z W�?Bo'1"'���"7°I.�R <br /> �{Z'S. �BZ.`15nc� <br /> PROPOSED USE OF BUILDING pERMIT R Spri�nki'ealion I ) Plumti nga1 w�RK B Rep iro/Maint. HEAT SE QRCE <br /> TYPE D Demolition � Sign IYPE New � Gas <br /> �cO�G�hL L��N�C U OIhBr <br /> CONTRACT PRICE OF WORK 1O �D v+,� CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> t <br /> WORK OESCRIPTION <br /> �NST"tlt- "'r.�.�o CZ� NG� VAJ �,oxcS N�ti+� �y�rN��tL T� Screv� <br /> �7NP�o�o4� CkN�� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR IFEM NO. TYPE OF Fl%TURE OR ITEM <br /> _ WATERCLOSET A/C-A/HANDLINGUNITS <br /> BATHTUB _ FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> _ KITCHEN SINK& DISPOSAL CLOTHES DRYER <br /> _ DISHWASHER RANGE HOOD <br /> _ LAUNDRY TRAY WATER HEATER <br /> _ CLOTHES WASHER METAL FIREPLACE/STOVE <br /> _ URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIFEPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> _ SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER s7 _ OTHER Vi{v 1�� v%c S <br /> I HEREB\'l;[PITIFY THAT I FiAVE READ AND EXAAIINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AN�CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH IYHETHER SPECIFIED HEREIN OR <br /> INOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHEP <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOFIZED BY THE <br /> i OWNER OF TH�S PROPEFTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS 1827 R.W AND 296.200 WAC. <br /> �����` 3IZ8/o'z- <br /> �Signature wner/ContractodAuthorized Agent a— t� <br />