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� . <br /> r-- — - <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVER[TT, WA 98201 <br /> 425-25" 8810-FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TA%I.D.p PERMI7 a <br /> '�Dy39/�e2(oO1�00 r�'9'°7- D-�J <br /> LEGAL LOT NO. BLOCK TRl�CT {(J� [� <br /> DESC. � l Q�� G Vel�P� <br /> �S� <br /> OWNER ADDRESS Qo I PHONE <br /> // 1 0�.�� <br /> ;�������---y.�-IS���.�`1'J,�B���.aaS,�...u�s�,�� y�s'-77/-5999 <br /> TENANT NAME _"� CONTACT FOR PERMIT ��- PHONE <br /> �u.�fte �S�i..v�V �� /L. e. �e� I��aaR� �oG 3�? 's aa_ <br /> CONTRACT ��.�iSOU RJfLA�'I b.flODRESS 3/3� �� � �" ZIP CONTR.LICENSE M <br /> (L! t� �G�('7�'TS+�/(/CB <br /> PHONE / Sea�,�e qg/�2S <br /> ao� - 3� 7-�soo ,r.z si -oy <br /> PROPOSED USE OF BUILDING Building 66 Mecllanical .�ddition HEAT SOURCE <br /> PERMIT RI-( Combina�i�n H Plunitling WORK Altcralion Ik--�1� Eleclnc <br /> TYPE �.�j Dem01iti0n LJ Sign TYPE New �g Gas <br /> 0 �� � u Sprinkler RepaidMaint. U Other <br /> CONTRACT PRICE OF WORK �/1 �t_/ � CITY OF EVERETT LOCAL SALES TA%CODE IS 3105 <br /> OV CD 1 � <br /> WORKDESCRIPTION Rer C eX/S /,�Q S�L�T 5y5/E 'f'�UM�DS LcJ�T� <br /> Ipoo�' ot�o G'a s �+e�►�e u.v.� o� neelo�e��ur.�'wo,r K <br /> PLUMBING MECHANICAL <br /> NO. � TYPE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> WATERCLOSET .�_ AIC-A/HANDLINGUNITS <br /> BATNTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> � SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRYTR4Y WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACEISTOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER _�'._ GAS PIPING <br /> SINK(SERVICE�BAR/MUP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> _ - = j^,� 1� <br /> i HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS�PPUCATiON AND KNOW THE SAME TO BE TRUE AND COHRECT. ALL <br /> PROVISIONS OF L�WS�N�ORIDINACES GOVERNING THIS TVPE OF WORK WILL�E COM17PLIED WITH WHE7HER SPECIFIED HERCIN OR <br /> NOT. THE GRANTING OF A PERA9IT DOES NOT PRESUME TO GNE AUTHORITV TO VIOIJ�TE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFJRMANCE OF CONSTRUCTION. THA71 AM�UiHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PFRFORM 7HE WORK FOR WHICH AI`�LICATION IS R1AOE AND 1 COMPLY WITH THE STATE <br /> CONTR CTJpS L�W 7827 RC 296.2p0 WA�.. <br /> / r�/ //,� <br /> �77.L�A <br /> Si aturc ol OwneqCon�rec�or/Aul r zed Agent Date <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> - --- - - --- -- -- --- --- ___l(� - ,' <br />