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-- '� <br /> PERMIT APPLICATION ; <br /> �ITY OF EVERETT PERMIT SERVICES , <br /> 3200 CEDAR STREET, EVERETT, WA 982G1 <br /> 425-257-8810 —FAX 425-257-8857 <br /> P RM�T M <br /> SITE ADDRESS �� � PAhCEL TAX I.D.N- ; i <br /> t � Cvc.,3 w,Tti APN:00 4391 737 012 00 I �������� � <br /> I.EGA ��TK� EVERETT PLAT Ur BLti 737 D-00 - LOTS 12 THRU 16 . ' <br /> i <br /> DESC. <br /> OWNER ��� �_ADDRESS . . ZIP PHONE ` <br /> �L�1 D(S�ST U'TU.��.�' �b�,6 CISC1 f�'1�. /�liT � JL`�lLl�� IA111- IY�� PM NE353 S°1 YL �, <br /> TENANYNAME CONTACTNAME <br /> (�w� �+�+rr Q S�o��� , <br /> ��,�h m�n�c,..,,-' Rs� r� � �e�C' � 11 � c •� n �-125 �H 6-5�3 i�— <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE M <br /> ����So,r G,�Nd���xcn�r� E�L Na 9Jk rzoz,� c�cn��rrwR-9�zoc ��LLczooyk.y <br /> PHONE yL� 3y6-S 3�l <br /> PROPOSED USE OF BUILDING � BUilding MeChanlCal Addilion HEAT SOURCE <br /> PERMIT Combinatian � Ptumbing WORK � Allerallon � Gas`nC <br /> �7'��'i�\CA'L t'j.,i�'•�C I 7ypE Demolilion Sign TYFE New <br /> Sprinkler Repair/Maint. Other <br /> CONTRACT PRICE OF WORK /f� � � � CITY OF EVERETT LOCAL SALES TAX COOE IS 3705 ' <br /> L <br /> WORK DESCRIPTION <br /> T��T �mPM1-JJL'�W��}Jif <br /> pLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET _ A/C-A/HANDLING UNITS <br /> OATHTUB _ FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) ._ HEAT PIIMP <br /> SHOWER _ UNITHEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> UNDRY TRAY WATER HEATER <br /> OTHES WASHER _ ETAL FIREPLACE/STOVE <br /> U AL ._ F PIACEINSERT <br /> DRI ING FOUNTAIN _ GAS REPLACE <br /> FLCO RAIN _ GAS R GE <br /> BACKFL W PREVENTER _ GAS PIPI <br /> � SINK(SE ICFJBARIMOPIETC.) EXHAUST F <br /> OTHER � OTHER '�'4S��S� R���S <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXA'AINED THIS APPLICATION AND KNOW THE SAME TO�E TRUE AND CORRECT. ALL <br /> PROVISI�NS OF WWS AN�ORI�INACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH�:VHETHER SPEC�FIED HEREIN OR <br /> SO TE OR LOCAL ILAW REGULATING CONS RUCTION OR THE P RFORMONCE OF CON TR CT ONN TN:TFI PM AOUTHIORI ED BY HE Efl <br /> OWNER OF THIS PROPERTY TO PERFORM THE`NOPK FOR WHICH APPLICATION IS MAOE AND I CO�dPLY WITH THE STATE <br /> CONTRACTORS LAW 18. RCW AN�296200 WAC. <br /> igna ur � nedContractouAulhorized gent ���e <br /> � <br />