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r "�'' <br /> � .= —� b <br /> PEFtMIT A►PPLICATION <br /> GITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> l�a�i cv���� - ,� wn So4 -o� <br /> IEGAL LOTNO. �LOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> �;cAn� ��w��v s. �o�N <br /> "IENANT NAME CONTACT FOR PERMIT PHONE <br /> Sc,��nu��wc��zy � �,�N KATHuyn1 Co�/avN��nNzy 3r�� ,�5�j.3a�o <br /> CQNTRACTOR ADDRESS ZIP CONTR.LICENSEif <br /> T�5 51�NS,Zt�-• g�51 Cur`1M�:I�cE �� I�R N� yg�IC, =F��ES7 15io3 <br /> PHONE <br /> 3(�U.4`,�13�0o I.A�.Ey ,1�.f1 g t <br /> PROPOSED USE OF BUILOING BUlld'Ing MeChanical Addi�ion HEAT SOURCE <br /> PERMIT �Combination Plumbing WORK � Altoration ( � E�sclric <br /> ����y /LU.� TYPE Demolition .�Sign TYPE Naw Gas <br /> Sp�inkle� ReoairlMainL Olher <br /> CONTRACT PRICE OF WGRK CITY OF EVERETT LOCAL SALES TNC CODE IS 3105 <br /> WORK DESCRIPTION C ` ,� ,1� „ � � ��,� <br /> St�l\��C��fz. C^ U,-W�'-St � G�"� V\ � <br /> UNEIN'G�'NAl.I_y TLLUMINl;iGl� /�WN in)(T ` S-�Lct�S <br /> PLUMBING MECHANICAL <br /> NO, TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE QR ITEM <br /> WATER CLUSET NC—A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK&DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUN�RY TRAY WATER HEATER I <br /> CLOTHES WASHER AfETAL FIREPLACE/STOVE <br /> URINAL F'IREPLACE�NSERT <br /> DRINKING FOUNTAIN GF�PIREPLAC6 <br /> FLOOR DRAIN GP.S RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/M01'/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANU KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIt�OR <br /> NOT, THE GRANTING OF A PERMIT�OES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW R�GULqTING CONSTRUCTION OR THE PERFORMANCE OF CUNSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORA7 THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> SignaWre of OwnedCoNractorlAulhorized Agent Date <br /> --� � <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED � � Z <br />