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P�RMIT APPLICATION <br /> � CITY OF EVERETT PERMIT SERVICES <br /> �1'"' 3200 CEDAR STREET, EVERETT, WA 98207 <br /> 425-257-8810- FAX 425•257-8957 <br /> PARCEL TAX I.D.1 PERMR� <br /> � � 7`%��Z GZ -Cl>� <br /> LE lOTNO. BLOCK TRACT <br /> DESC. <br /> 01kNER91G�1Alll{ (A�AC (' ADDRESSa.BO1- (�1-{�I�O/l' dLll�t LP PHONE <br /> 1C <br /> _ Fr���1-WA N�2o� �1�z5)zs8-386z <br /> TENAHT NAGE CONTACT NAME PMONE <br /> _Gold,s GYmp I ��N •��� �Izs 3�8�D�z'f <br /> �ONiAACTOR OUfAkJ FI� Sp�Q� �A/4 ADDRE53 po a� �r�o aP COIRR.UCENSE/ <br /> PHONE ��s � pp O/�/' V l'ranr�CFal�s,GlA 98z5z BUR�ISf,$OZNQ3 <br /> 00' 7 <br /> PROP08ED USE OF BUILDIN6 Building MechanMsl /1ddlNon HEAT SOURCE <br /> C�/n—l-A PERMIT �Combinelion � Plumbing WORK �Alteralbn � Eiectric <br /> 4 IC�(E�cC� TYpE Demolition Sign TYPE New Oea <br /> Sprinkler Repair/Maint. Oihar <br /> COHIAACT PlIICE OF WORK ��D,� CITY OF EVERETT LOCAL SALES TAIf CODE IS 7fOS <br /> WOHK DEBCRIPiION � a � I.�.��h jn�'� ���j r,r, �(�� ��,`�'�,�,7�'y10tj � <br /> _�_,_ p � __ t <br /> ��� i'�`'`l�Q� <br /> ' PLUMBING MECHANICAL <br /> NO. TYPE OF Fl%TURE OR ITEM NO. TYPE OF FlXTURE OR ITEM <br /> WATER CIOSET _ A/C—A/HqNDLINCi UNITS <br /> _ BATHTUB _ FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> _ SHOWER _ UNIT HEATERS <br /> _ KITCHEN SINK 6 DISPOSAL _ CLOTHES DRYER <br /> _ DISHWASHER _ RANGE HOOD <br /> _ UIUNDRYTRAY _ WATERHEATER <br /> _ CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> _ URINAL _ FIRFPLACE INSERT <br /> _ DRINKING FOUNTAIN _ QAS'IREPLACE <br /> _ FLOOR DRAIN _ 6AS RANGE <br /> _ BACKFLOW PREVEN7ER _ CiAS PIPING <br /> _ SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> _ OTHER _ OTfiER <br /> _ _ I <br /> 1 MEREBY CERITIFY THAT I HAVE READ AND EXAMiNED THIS APPLICATION AND KNOW T11E SAME TO BE TRUE ANO COHRECT. AlL <br /> PROVISIONS OF UWS AND ORIDINACES GUVERNINd THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. 7TIE GRANTING OF A PERMIT DOES NOT PRESUME TO QIVE AUTMORITV TO VIOUTE OR CANCEI THE PROVISION OF ANV OiNER <br /> STATE OR LOCAL UW REGULATINO CONSTRUCTION OR THE PERFORMhNCE OF CONSTRUCTION. THAT I AM AUTFIORIZED B`.'TME <br /> OWNER OF THIS PROPERTY TO PERFOHM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLV WITTi THE StATE <br /> CONTRACTORS UW 1tl.2 RCW AND 296200 WAC. <br /> �� �1��kf 2f�b�OZ <br /> Signalure o Owne IContrac odAu�honzed yent e��"A �Ia <br />