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P��MIT APPLICATIC�`1 <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.# PERMIT u <br /> !�3 Z��D i. W ZBv�OZc��c�800 S -Gb2 <br /> LEGA LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER P.DDRESS T.IP PHONE �7 �o17i <br /> Ic� F-f}�v��i..r�r �, f�SZS�W n�� `�r�Ti�¢��o� �7z3 <br /> TENANTNAME CO ACTNAME PH�NE <br /> �v��czr h-t�-� �c�,� �'E�v�/�r Zo6-7�-q(3� <br /> C�A��ED Y7�E �Q�TKT�OL� (-1 7�S �����E IVG ���O7Z CO�L�N��"1-1�G <br /> PHO E ���rL� <br /> �is-4��-s�s� <br /> PROPOSED USE OF BUILDING Building f1 Mechanical Addition HEAT SOURCE <br /> P�CRMIT � Combination 4_l Plumbing WORK � Alteralion n Electric <br /> TIPE Demolition L> Sign TYPE New g omar <br /> ��C£ Sprinkler RepaiqMaim. <br /> I CONTRACT PRICE OF WORK ' �j� CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br /> WORK,�°ESCRIPTION <br /> � �DD Iv�W �D�i� Fr�2 rUEW U�itE ���D cxsr <br /> I <br /> PLUMBING MECHANICAL <br /> . NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET A/C-A/HANOLINCi UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY (WASH BASIN) HEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> KIT�HEN SINK& DISPOSAL CLOTHES DRYER <br /> = DISHWASHER — RANGE HOOD /� <br /> LAUNDRY TRAY WATER HEATEF ��/ <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FLOOR DRAIN GAS FiANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> _ SINK (SERVICE/BAR/MOPlETC.) EXHAUST F N <br /> _ OTHER � OTHER ��U-d�_ <br /> I HEflEBY CERITIFY THAT I HAVE REAO AND EXAMINED THIS APPLICATION AND KNOW THE SAME�i 0 BE TRUE AND COFFlECT. ALL <br /> PROVISIONS OF LAV;S AND ORI�INACES GOVERNING THIS TYPE OF WORK WILL BE COMP�IED VJITH WHETHEA SPECIFIED HEREIN OR <br /> NOT. THF GRANTING OF A PERMIT DOES NOT PRESUM1IE TO GIVE AUTHORIIV TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> S7ATE OR LOC.1L LAW REGULITING CONSTRUCTION OFi THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> O�M1'NER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICF'.APPLICATION IS MADE AN�I COMPLY WITH THE STATE <br /> CONTR CT LAW 18.27 RCW AND 296.2 0 WAC. <br /> �� � �' � V'��-� <br /> Signawre ol O neqContractodAulhorized Agent Date � <br /> 'Z <br />