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/�p/ �oy//3��900�SJ�l� <br /> �wE�MIT APPLOCAI'�ON <br /> CITY OF EVERETT PERMIT �►ERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8357 <br /> � <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT� I <br /> /70i �/ s� S,-r��r c��5�/i3l�Dr/OOS�O�� M �,��� I <br /> LEGAL LOT NO. BLGCK TRACT i <br /> DESC. '�.,, <br /> �- - Q- � O '�D ZIP PHONE <br /> OINNER ADDRESS <br /> r�-/^//��i/E�4r�/JJr��" �: � YO/2 lC�l�l� ��"1!' l/6'v?/'J/ %d.s-;.�5y -l�GZZ <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> ��:o� �.�rr�' U� .TSo.v��G�7�f rzs--3�s-ya.�� <br /> CONTR:\CTOR r6 � n/�pl✓( ADDRES�/// yv��/ � r Z�P CONTR.LICENSE# <br /> N(J•PDsi�l�i'�'! %�� � Y ,�/ ,pU�, �p�� //, c <br /> PHONE /l�i�/SIi�GCLL K/�. �8��7� �lJO1�.DS�I i�t�7`� IC l' <br /> y,�5- 3�s- yoz 9" <br /> PROPOSED USE OF BUILDING � Building B Mecha�ical Addition � HEAT SOURCE <br /> PERMIT Combinaticn �J Plumbing WORK � Alteretion I Electric <br /> TYpE Deniolition U Sign TYPE New � Gas <br /> � Sprinkler Rep2ir/Maint . L� Olher <br /> CONTRACT PRICE OF WORK !J�'�f� ,-- CITY OF EVERETT LOCAL SAI 2S TAX CODE IS 3105 <br /> WORK�ESCRIPTION '/ `(/ <br /> ���'C/f�'L� /l�r /�G���-s . <br /> ��!,q,c/6E D�/TS Lii'E" F�.P L/�� <br /> PLU 81NG MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) _ A/C-A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) _� HEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> KITCHEN SINK&DISPOSAL _ CLOTHES DRYER <br /> DISHWASHER _ RANGE I-IOOD <br /> LAUNDRY TRAY _ WATER HEATER <br /> CLOTHES WASHER _ METAL�IREPLACE/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 I <br /> I HEREBY CERITIFY THAT I HAVE READ AND E:{AMINED THIS APPLICATION AND KNOW TNE SAME TO BE TP.UE AND CORRECT. ALL �i <br /> PROVISIONS OF IAWS AND ORIDINACES GOVeRNING THIS.TYPE OF WORK WILL BE C061PLIED WITH WHETHER SPECIFIED FIEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOkITY TO VIOLATE OR CANCEL THE PROVISIOP!OF ANV OTFfER <br /> STATE OR LOCAL LAW REGULATING CONSTF:UCTIOIJ OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPER � O PERFORM THc WORK FOR WHICH APPLICATION IS MADE ANU I COMPLY WITH THE STATE i <br /> CONTR OTORS . RC AND296.200\VAC. <br /> f <br /> lL ' r- ��'%' _3. O� <br /> Signature of Ow edConVactorlAuthorized Agent Date <br /> DEBIT & CREDIT CARDS ARE NOT ACCEPTED �, <br /> I <br />