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■ <br /> �i PERMIT APPLlCATIt�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 ; <br /> 425-257-8810— FAX 425-257-8857 <br /> SRE ADDRESS PARCEL TAX I.D.i PERMIT• '' <br /> ► �319 � r o� + �D os z0000 zY �o .Sb3G�� _ I <br /> LEGAL LOT NO. BLOCK TRACT I <br /> DESC <br /> OWNER ADDRESS PHONE <br /> i <br /> 5 �t Ncar r✓1 .t�r 5 ��fj.s �/87' S2op <br /> TENANTNAME CONTACTNAME � PHONE <br /> 7�D [ qNs ;ro� Gc �p I S-1'ca� F�Lo�9l, ; y7 E -8$ 3S� I <br /> CONTRACTOR BL�r /��t oN �o _ ADDRESS j CONTR.LICENSE• <br /> �' /'o. ,Bo�t sz G s i �3�„�,.v�. �7c .+, <br /> PHONE : L .�,.�. c✓eoD Wf 5$oS�6 � . <br /> yzs �76 , 883r Y � <br /> PROPOSED USE OF BUILDING Buildng Mechanical Addition HEAT SOURCE <br /> PERMIT B Combinatbn Plumbing WORK Alteration D E�ectric <br /> A"Ar�-�o.; s�- TYPE D Demolition �'Sign TYPE D Gas <br /> U Spnnkler RepeirlMainl. � OTher <br /> CONTRACT PRICE OF WORK ,$ � Q Q �� CITM OF EVEHETT LOCAL SALES TA%CODE IS 3105 <br /> WORKDESCRIPTION j,�;,g/qL� CZ� NoN' L�f .OloMip ✓M �9NlLS <br /> � <br /> I <br /> PLUMBING MECHANICAL I <br /> NO. TYPE OF FlXTURE OR REM NO. TYPE OF FlIITURE'JH fTEM I <br /> I <br /> WATER CLOSET A/C-NHANDIING UNITS I <br /> BATHTUB FORCED AIR SYSTEMS I <br /> � _ LAVATORY(WASH BASIN) _ HEAT PUMP I <br /> � _ SHOWER UNIT HEATERS <br /> = KITCHEN SINK 8 DISPOSAL � I CLOTHES DRYER I <br /> DISHWASHER RANGE HOOD I <br /> LAUNDFV TRAY WATER HEATER I <br /> CLOTHES WASHER METAL FIREPIACE/STOVE <br /> URINAL FIHEPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FIOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENI ER GAS PIPING <br /> SINK(SERVICFJBAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> -- — — � <br /> I <br /> I MEREBV CERITIFY THAT I MAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL I <br /> . PROVISIONS OP lAWS AND OHIDINACES GOVERNING THIS TVPE OP WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED MEREIN OP <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOUITE OR CANCEL THE PROVISION OF ANV OTHER i <br /> STATE OR LOCAL LAW REGULATIN�CONSTRUCTION OR THE PERFORMANCE:'1F CONSTHUCTION. THAT I AM AUTMORIZED BV THE I <br /> OWNER OF THIS PROPERTV 7 OR RK FOH WHICH APPLICATION IS MADE AND I COMPLV WITH THE STATE , <br /> CONTRACTGPS 182 <br /> � ,� � � , <br /> 2-�-p3 ' � <br /> � r etl ontraclodAuthonzed Agent te Z�' S J <br /> L� � '� <br /> � <br /> �I�A�It' �• �� �, ��V� I� �:�a � � �•�alMf��. �� a��� Zi5/o3 <br /> � <br />