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' P�RMIT APPLICATIa�V <br /> ' CITY 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.N PERM�7 u <br /> j/G 2)' A � RPo2 i J�,� 03f5(n-p0 <br /> 'I LEGA LOTNO. BLOCK TRACT <br /> ; DESC. <br /> �I OWNER ADDRESS ZIP PHONE Z,_gsS-9rz4; <br /> S6 N 2(S€ lo,�f, ( � �0 2 S� 14 C(i �6LT �'� �ZO� <br /> TENANTNAME CUNTACTFORPERMIT PHONE <br /> �'e N (< <S � �i�fl-P�l— �o a QfF-i'�S 3 6 d G �'ci /a t � <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSc# <br /> PHONE <br /> I PROPOSED USE OF BUILDING Building I� Mechanica� ition � HEAT SOURCE <br /> PERMIT Combination �-� Plumbing WORK Alte2tion lectnc <br /> TYPE Demolition �-� <br /> � � � �� � LJ Sign TYPE New I �as <br /> Sprinkler Repair/Maint. Other <br /> CONTRACT PRICE OF WORK CITY OF ENERETT LOCAL SALES TAX CODE IS 3705 <br /> WORK DESCRIPTION <br /> / � . <br /> � PLUMBING MECHANICAL <br /> NO. TYPE OF FIXNRE OR ITEM NO.. TYPE OF FIXNRE OR ITEM <br /> WATER CLOSET(TOILET) A/C—A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> I SHOWER _ UNITHEATERS <br /> � KITCHEN SINK&DISPOSAL CLOTHES DRYER <br /> � DISHWASHER _ RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> � URINA� _ FIREPLACE INSERT <br /> DRINKWG FOUNTAW � GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING ' <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFY THAT I HAVE REqD AND EXAMINED THIS APPLICATION AND 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 HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT�OES NOT PRESUME TO GIVE AUTHORIN 70 VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE PERFORM NCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BV THE <br /> R OF THIS P= 'ER TO PERFORM THE WORK FOR WHICH APPL ATION IS MADE AND i COMPLY WITH THE STATE <br /> ONT CTOR LA'v. ; . D 296200 WAC. <br /> . 2 p3 <br /> rt e o n r,todAuthodzed Agent Date �--� <br /> r.� <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED �7' <br />