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� . <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE7T, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.# RMIT u �,p��j� <br /> ��� SQ l�l-UOo -- 02,3 '- b� �'q OC� r- °�`."' <br /> �-�� o - o00 - 3 - 67�"� <br /> LEGA LOT N0. BLOCK TRACT �}I DZ^�CO-c01—OC�i <br /> DESC. A�I�L-000-�\�- p000 <br /> �OWNER AODRESS ZIP PHONE <br /> 4aC� II��f3 9�TD <br /> ^TENANTNAME I CONTACTNAME PHONE <br /> l�C� <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE N <br /> W�w�,Ms MEebl hN tc�t, l NC 3�to3-C'�t'rl� � 443?asi <br /> PHONE w�(,(,(µ ` O$$ �� <br /> �{-zS 303 -b`��`� <br /> PROPOSED USE OF BUILDING fl Building t� MaCheniCal [� Addition HEAT SOURCE <br /> NERM1IIT �_� Comhination ��Plumbing WORK �(,` Alleretion � Electric <br /> TYPE �( Demolition U Sign TYPE D New Gas <br /> U Sprinkler U RepairlMaint. Other <br /> CONTRACT PRICE OF WORK CITY OP EVERETf LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTICN D��� �,N( /� � �fl �I/S�S I N ��5� �p" " -� <br /> � �.� <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 /> 3ATHTU9 _ FORCED AIR SYSTEMS <br /> LAVATORY (WASH BASI�I) _ HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> � KITCHEN SINK& DISPOSAL _ CLOTFIES DRYER <br /> DISHWASHER _ FANGE HOOD <br /> LAUNDRY TRAY _ WATER HEATER <br /> CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> URINAL _ FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPLACE <br /> � FLOOR DRAIN _ GAS RANGE <br /> BACKFLOW PREVENTER _ GAS PIPING <br /> _ SINK(SEAVICE/BARIMOP/ETC.) _ EXHAUST FAN <br /> OTHER _ OTHER _ <br /> 1 HEREBY CFRITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TF!E SAME TO BE 7RUE AN('i CORRECT. ALL <br /> PFOVIg!ONS OF:AWS AND ORIDINACES GOVEANING THIS TYPE OF WORK WILL DE COMI'LIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTI.'JG OF A PERMIT DOES NOT PfiESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL L4W FEGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRIiCTION. THAT I AM AUTHOFIZED BY THE <br /> OWNE HIS PF�OPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE ANU I COMPLY WITH THE STATE <br /> C a V� 27 AND 296.200 WAC. <br /> �" ������I >�l�l��. <br /> ignature -OwnedContraclor/Aulho zed A enl ate <br /> -- <br /> _ <br />