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� rRMIT APPLICAT�JN <br /> �M� CITY OF EVERF_TT PERMIT SERVICES _ <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810-FAX 425-257-8857 x rQ�- <br /> a�j _O�� <br /> SITE ADDRESS PARCEL TAX I.D.# � ERMIT x <br /> ;� ,� �/ 7-�3/ <br /> IEGA LOT NO. BLOCK THACT <br /> DESC. <br /> OWNER ADORESS �P PMONE <br /> ,��L%� �iQ��•eT/�s <br /> TENANTNAME CONTACTNAME PHONE <br /> ���ebv/��ec,�'��.5�,s�� sOhn �lc1e� �{�; 3��-`194! <br /> CONTRACTOR s�e� wu/'_„�L,f.+.�.�� ADDHESS ZIP CONTR.LICENSE M <br /> �f>/VI• <br /> PHONE <br /> PROVOSED USE OF BUILDING Building n Mechanical Addition HEAT SOURCE <br /> PERMIT Combination H Plumbing WORK IR--( Alteration R Electric <br /> I TYPE Demolition LJ Sign TYPE �j New �..j Gas <br /> Sprinkfer L� Repair/Meint. U Other <br /> CONTRACT PPICE OF WORK �� — CITY OF EVERETT LOCAL SALEB TAl(CODE IS 3105 <br /> WORK DESCRIPTION <br /> ��5�.�\ W.ekl�uk5 <br /> PLUMBING MECHANICAL <br /> I NO. TYPE OF FIXTURE OR REM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET A/C—A/HANDLING UN�TS <br /> i BATHTUB PORCED AIR SYSTEMS <br /> I _ LAVATORY (WASH BASIN) _ HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> ' KITCHEN SINK& DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> IAUNDRY TRAY WATER HEATER <br /> I CLOTHES WASHEFi METAI FIREPLACE/STOVE <br /> � URINAL FIREPLACE INSERT <br /> � DRINKING FOUNTAW � . GAS FIREPLACE <br /> � FLOOR DAAIN GAS RANGE <br /> BACKFLOW PREVENTER � GAS PIPING <br /> SINK (SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBV CEPITIFV THAT I HAVE FEAD AND EXAMINED THIS APPIICATION AND KNOW THE SAME TO 8E TRUE AN�..CORFECT. ALL <br /> PfiOVISIONS OF tAWS AND ORIDINACES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIN TO VIOL4TE OR CANCEL THE PFOVISION OF ANY OTHER <br /> STATE OF LOCAL LAW REGULATING CONST(iUCTION OA THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORRED BV THE <br /> OWNER OF THIS PROPERN TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE . <br /> CONTR LAW 827 d02 6200WAC. <br /> �/�6loZ <br /> Sig re of OwnedConhactor u agenc va�e <br />