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� PERMIT APPLICATION <br /> , CITY OF EVERETT PERMIT SERVECES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> , 425-257-8810- FAX 425•257-8857 <br /> ISITE ADD�iE$5 � , PARCEL TAX I.D.p NEHnur a <br /> ' � x il'�— ffi't .. � �O�ng�c'�-1� <br /> lEGA1 LOTNO. BLOCK iRAC7 ' <br /> DESC <br /> IOWNER ADURESS ZIP PMONE � <br /> � ��cu i�, ���="d�, rE- ��-�� ��cf�>/�r ������� �r��s- ��-�t'�� <br /> i �lENANTNAME CONTACTNAME PMON[ <br /> -{�S�—r? rc:c�-�AN�� �f�1�,5'��.�,�,c/ ��lS—�1.�� ��'.�� <br /> � CONTRACTOR � ADDRESS ZIP CONTR.LICENSEN ' <br /> G�z,.,�y .C,�-���-..�,�� �j �; /���r��r �� y�c�' �,6t�,E'T«s�� <br /> �� PHONE��A+I���� (:�-'�G A� C�� {G�� f�� " GGY� <br /> I PRO ED USE OF BUILDING Bwlding Mech;mical AJdNon HEA7 SOURCE <br /> I PERMIT Comb�nali6n RI-( Plumbmg WORII Aimra�inn R Fic�.��i�- <br /> � TVPE Demol!lion LJ Siqn TYPE New �.{ �.�5 <br /> � Spnnki0! Repart/M,nnl LJ Othur � <br /> CONTRAGT PRICE OF WORK �//�� L7 "�-� CITY OF EVENETT LOCA�SALES TAX CODE IS 7105 <br /> ! <br /> WORK DESCRIPTION , . <br /> ,¢.�� -��c=f" ,' �f�.:t'� %�L�3�-�77 Liv -%� L:t•:�� �e�� �j 7 G�t✓ � <br /> � - <br /> PLUMBING MECHANICAL <br /> � NO. TYPE OF FII(TURE OR IiFM NO. 7YPE OF FIXTURE OR ITEM <br /> I WA1fRCLOSFT A,'C -NHANDLINGUNIiS <br /> BA7117UH FORCED AIR SYSTEMS �� <br /> LAVFTORY�WASH I3qSIN) IIEAT PUMP � <br /> SI10WEf2 UNIT H[ATERS . <br /> KITCHEN SWK 8 UISPOSAL CLOTHES ORYER � <br /> Oi5HWA5HER RANGE HOOD i <br /> LAUNDf2Y Tf2AY WATEF2 HEATER <br /> CLOTHES WASHER PdETAL FIREPLACEISTOVE , <br /> URINAL FIREPLACE INSERT . <br /> DRINKING 1'OUNIAIN GAS FIREPLACE � <br /> FLOOR DRAIN GAS RANGE ��. <br /> BACKFLOW PREVFNTEII GAS PIPING ' <br /> SINKISERVICEIBARiMOP�FiC 1 FXHAUS7 FAN '�., <br /> OTHFR OTIiER . . _ __ �i <br /> � <br /> i _ _ . _. . . . . �i, <br />� �II I HF.Rf-I3V CERITIPV THAT I H�NG ftEAD AND EXAMMED TH�S APPIICATIUN AND hNO�Y iHE SAME TO BE TRUE AND CORRECT NL L <br /> '� PROVISIONS Of LAWS ANU JRIDINAGES GOVEftNING TIIIS TVPE OF WORK WILL DE COMPLIED WITH WIIETHF.R SPECIFIED HEFEIN Ok <br /> i NO7 I HE GRnNiING C�A PE:RAt1T UOE NOT PRFSUME TO 'WE AUTNOftITV TO VIOLAiE OR CANCLL THE PROVISION OF ANY OiMtR II <br /> '� STA1F.OR I.UC�I. L AW RFG ATING C 7R CTION O PERFORMANCE OF CONSTHUC710N THAT I AM AUTHORIZED Dv T11E i <br /> OWNER UF . P PFR O PFR� < -WORK � - HIGH APPLICAT �'IS ADE NND I COMPLY WITH 1HE STN7E <br /> CONTRA ' UI �A IN' iCW11ND° ' �WAC � � I <br /> � <br /> / ,, '1,% !l�' t �/ f� `, : <br /> � Signalur�, ol( ei od ontraclovAu anretl Aqenl_ Da e �. <br />