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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810-FAX 425-257-8857 S�P� D(o ill Z <br /> SITEAppDRESS OO P E T ID p1 C� �V ^RMIT0 _ / <br /> 1'ad�F 9T "C S`V. G�0 0S- —(114 <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> O v IluV1 1%b daxoy YqG ZIP PHONE <br /> qpp��, ( I^ �b'L03 386N 41 g l <br /> T NA �,I __L �.rty,�,�•f• I � I 0 , PHONE /24G <br /> �C+(jW -/11G1�1 1K/�X]VMl- ct� X2415 <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE <br /> PHONE <br /> PROPOSED USE OF BUILDING Bu"'ng <br /> Addition I HEATSOURCE <br /> C�a) �l.l T^f I PERMIT4COnIbination Plumbing WORK ji�Alteration I� Electric <br /> Ra.s TYPEDemolition Sign TYPE B New ]row Gas <br /> Sprinkler RepakfMalnt. Other <br /> CONTRACT PRICE OF WOR j�rjCl �' l�b^I CITY OF EVERETT LOCAL SALES TAX CODE IS 1105 <br /> WORK DESCRIPTION Ol, dl.� ,TJui�>pLT- <br /> S ' <br /> 'W51V[`(I.1(p Sv FV <br /> LWC- <br /> 1;26'-n0'���y�5, lex coj ae, F <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET S A/C-ARiANDLINGUNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> 1 SHOWER -.� UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> _ DISHWASHER I RANGE HOOD <br /> _ LAUNDRYTRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> y_ DRINKING FOUNTAIN GAS FIREPLACE <br /> 2 FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) JD_ EXHAUSTFAN <br /> / OTHER C/tCRGEN-y S/14C4 Ila_ OTHER 6194 // NE'9& <br /> /./CSL'ai/A /czn�c NyOQIiYJ' <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF NARK WALL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR L L LAW R ULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF TH PROP TY TO PERFORM THE NARK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CON R 1 .27 RCW AND 288.200 WAC. / <br /> W <br /> 7 adlerfAuthonzed Agent to <br /> DEBIT &CREDIT CARDS ARE NOT ACCEPTED vi <br />