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_--- --- _------ -- - - -- -- <br /> ' F=rRMIT APPLICATiuN I <br /> CITY OF EVERETT PERMIT SERVICES � <br /> ' 3200 CEDAR STREET, EVERETT, WA 98201 <br /> : 425-257-8810- FAX 425-257-8857 ! <br /> I <br /> ! SITE ADDRESS PARCEL TAX I.D. tl PERMiT tt � <br /> � o� ' LLet� '2 � �/• bro3 - c�+n `J •eool I � 03oe�•0.�,� � <br /> �iLEGA LOTNO. �LOCK TRACT � <br /> DESC. 3 I <br /> � OWNER ADI`RE55 21P PHONE <br /> � , I Q� <br /> � ri2i�,-��� �• �_�n.�c,L�;r,P 1-iGl1 � .� .�5 ' dpLGr41 c1a �8.�1�3 `�25� 3�17-385� <br /> � TENANTNAME CONTACTFOR PERMIT PHONE <br /> �2ranK l. ; Je�^a(.���ne F�{�_y'z5-3�f l•3�-S� <br /> CONTRACTOR ADDRESS 21P CONTR.LICF':�E 9 <br /> �i <br /> PNONE � �� , ) . , . <br /> i PROPOSED USE OF BUILDING Building I"') MeChaniCal Addiuon HEAT SOURGE <br /> I PERMIT � Combinalion �_� Plumbing IWORK R Allerafion (� Electnc <br /> I / 7YPE Demolilion LJ Sign 7YPE D New ❑ Gas <br /> (�,� (� �'0.��. Sprinkler U kepalr/Maint. �� Olher <br /> i � <br /> � CONTRACT PRICE OF WORK j3 �3� CITY OF EVERETT LOCAL SALES TAX CODE IS J705 <br /> I WORK DESCRIPTION /�ai` ��� C �� S•F• Z (�,I k Z�"� <br /> I L, ..7 <br /> � � <br /> I <br /> i PLUMBING MECHANICAL <br /> iN0. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR IiEM <br /> WATER CLOSET(TOILET) A/C-�A/HANDLING UNITS <br /> i _ BATHTUB _ FORCED AIR SYSTEMS <br /> LAVATORY(WASH f3ASIN) HEAT PUMP <br /> SHOWER UNIT IIEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> ! DISHWASHER RANGE HOOD <br /> '� LAUNDRV TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> ��� URINAL FIREPLACEINSERT <br /> '� DRINKING FOUNTAIN GAS FIREPLACE i <br /> _ FLOOR DRAIN GAS RANGE I <br /> '� BACKFLOW PREVENTER GAS PIRNG <br /> SINK (SERVICE/�AR/MOPiETC.) EXHAUST FAN <br /> � ' _ OTH[R __ OTHER_ —_ I <br /> — —�— — i <br /> — -- — � <br /> — I I <br /> � HEREBV CERITiFV THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL I <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILI BE COMPUEO WITH WHETHER SPECIFIED HEREIN OR �. <br /> "IOT. THE GRANTING OF A PERMI7 DOES NOT?RESUIdE TO Gll'E AUTHOHITY TO VIOLATE OR CANCEL 7HE PROVISION OF ANV GTHER i <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PFRFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE j <br /> OWNER OF THIS PROPERTV TO PERFORM THE WGRK FOR LVHICH APPLICATION IS MADE AND I COMPLY WiTH THE STATE j <br /> CONTRACTORS LAW iB.27 RCW AND�96.200 WAC. I <br /> ����.�� �� - 13 -v�_ � I <br /> Signaturo of OwnenContracto ut onzed Agent Dale <br /> �� i <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED � � <br />