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PERMlT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810— FAX 425-257-8ti5? <br /> SITE ADDRESS I PARCEL TAX I.D.N PERMI7 p <br /> � G 1 3 lii/� Tnnon 2 /}'" 'L :+o- sL � - 6 //-v �2-Do �'�%1 �j�� <br /> t.EGAL LOTNO. BLOCK TRACT <br /> oEsc. � // ,�',��lCr:s F—stF�/, f or f�..... t f V2 p/O l <br /> OWNER ADDRESS /� ZIP P E <br /> �CS.��. � Y9�o N�-� lf S�. rdyPo97 Yzs- �Y&�4Sv/ <br /> L�,,.w^Yaa <br /> TENANT NI1ME CONTACT FOR PERMII PHONE <br /> �5 �1° Fc� l�r��/�'J'e-� 4zs-7Ya- Ysy / <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE II <br /> PNONE <br /> PROPOSED USE OF BUILDING �i!ilding Mechanical AadNion HEAT SOURCE <br /> ,J , PERMIT R Combination � Plumbing WORK � Atleration (7 Elodnc <br /> /� a ���� 7YPE R Demoli�ion Sign TYPE New Gas <br /> �j �„✓ U Sprinkler Repair/Maim. B Other <br /> CONTRACT PRICE OF WORK , �/�i�l� CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> ( <br /> WORK DESCRIPTION / � rw�,,.� i„�}— N / <br /> �e^�'��T / � / (.�./ �i� wn�� � No 5�'n.1a.���1/.C�I..�[S <br /> PLUMBING MECHANICAL <br /> N0. I TYPE OF FIXTUf2E OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> WATER CLOSET A/C—A/HANDL!NG UNITS <br /> BATfiTUB FORCED AIR SYSTEh1S <br /> _ LAVATORV(WASH BASIN) _ HEATPUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTFiES DRYER <br /> DISHWASHER RANGE HOOD <br /> � I.AUNDRY 7�FiAY _ WATER HEATER <br /> CLOTH[S WASHER � M[TAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS?IPING <br /> K SINK(SERVICEBAR/MOPlETC.) - �XHAUST FAN <br /> OTHER OTHER <br /> I H[REE"CERITIFY 1NAT I HAV[READ AND f_XAMINED THIS APPLICATIO��AND KNOW THE SAME TO BE TRUE AN�CORRECT. AlL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERIJING THIS TVPE OF WORK WILL B[COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. 7 NF GRANTING OF A PERMIT DOHS NOT PRESUME TO GIVE AUTHORIIY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STA1 E OR I.00AL LAW R[GULATING CONSTRUCTION Oft THE PERFORMANC[OF CONSTftUCTION. THA7 I AM AUTHORIZED BY THE <br /> OWN[R OF THIS PROPERTV TO PERF HE WQRK FOR WHICH APPLICATION IS MAD[AND I COMPLV WITH TME STATE <br /> CONTRACTGRS LAW 27 yR/CW AND'96 00 WAC. <br /> �'/ L�� ��/�"4T/ <br /> Sionaiure ol O edConlradorfAuthonzed Agent a e <br /> DEBIT& CREDIT CARDS AR� NOT ACCEPTED <br /> ��z <br />