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� <br /> PCRMIT APPLICATI�uN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> ��-� <br /> SITE ADDRESS PARCEL TAX I.D.# PE MIT tt <br /> �7aS GfJ.e�o � �p�o7 - o j l <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNE�, ADDRESS 21P PHONE <br /> / . �/- <br /> ,GrMi� r��KJ <br /> TENANT NAME I CONTACT FOR PERMIT PHONE <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE# <br /> PHONE /`�n rh �r`O�S �/�/.l C �l� C.�� <br /> lN '"�� O <br /> PROPOSED USE OF BUILDING I Building f'� Mechanical Addition HEA750URCE <br /> PERMIT R�-i Combinalion H Plumbing WORK niteration Eiecvic <br /> TYPE �j Demolition �� Sign TYPE New � Gas <br /> U Sprinkler Repair/Maint. Other <br /> CONTRACT PRICE O:�WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION <br /> /Y�/�(iIl]��i-� <br /> V <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) A/C-AIHANDLING UNITS <br /> BATHTUB FORCED AIR S'ISTEAIS <br /> T LAVATORY(WASH BASIN) HEAT PUMP <br /> Z SHOWER UNITHEATERS <br /> � KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPUICE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN �AS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> � I HEREBY CERITIi=Y THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> I PROVISIONS OF LAlNS AND ORIDINACES GOVERNING THIS TY°E OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> � NOT. THE C�RANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION Of ANY OTHER � <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTIGN OR THE PERFORMANCE OF CONSTRUCTI04. THAT I AM AUTHORIZED BY THE <br /> OLVNER OF THIS PROPERTY TO PERFORM THE WnRK FOR WHICH APPLICATION IS MADE AND I COMPLI'WITH TNE STATE <br /> CONTF�ACTORS LAW 18.27 RCW AND 296.20J WAC. <br /> � '� <br /> (�'�-�- ^� /o�� 7- �/- cS <br /> Signat e o Owner/ContractodAuthonzed Agent Date <br /> DEBIT 8 CREDIT CARDS ARE NOT A(:CEPTED � <br />