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PERMIT APPLICATIC�nI <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 TAl(I.D.N PERMIT a <br /> , 08 CoK oi -oos <br /> LEGA LOT N0. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRE33 ZIP PHONE <br /> <�1���,n. �lltc��a �/r ���vn �••�.s �/.�s-35s-ds� <br /> TENANT NAME CONTACT FOR VERMIT PHONE <br /> � I il�,,t �►u.lc� y.�5 3ys�-g��3 <br /> CONTRACTOR ADCRE39 ZIP CONTF�.LICENSE A <br /> A-rfcs�-.., Re,�.2�s �a-.�i3� f�. �.w. <br /> PHONE �^��( �� <br /> PROPOSED USE OF BU�LDING D Buliding � MBChanlCel I D Addillon FiEAT SOURCE <br /> �� �m,y � kt,����„� I PERMIT p�Combination Plumbing WORK ,�9 Alleratlon �Eletlric <br /> � TYPE g Demolilion Sign TYPE g New Ges <br /> Sprinklef RepaldMalnl. Uther <br /> CONTRACT PRICE Of WORW yG� � �J�/J�n J CITY OF EVERETT LOCAL SALE9 TAX CODE IS J105 <br /> ! % Y1 <br /> WORKDESCRIPTION CA�Wrf Bxu��� ✓ �- �/"–Q' "�' l��ill�'I+� ✓L'Ort. ilBW ✓lC'�, /1C�-W <br /> vinyl 5�bli� , �f�11Au �� t-�r v�+*'t, Nts�!< na,v 6As �.r�wc� .�- ha�- aFa.'!e'r�+�. <br /> L5 P Krorl <br /> PLUMBING M cCHANICAL <br /> NO. TYPE OF FI%TURE OR ITEN N0. TYPE OF FIXTIJitE OR ITEM <br /> WATER CLOSET(TOILET) A/C–A/HANDI ING UNITS <br /> % BATHTUB � FORCED AIR SYSTEMS <br /> � LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL � CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY i WATER HEATER <br /> L, CLOTHES VIASHER _ METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> I _ DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER � GAS PIPING <br /> ! SINK(SERVICE/BAR/MOP/ETC.) � EXHAUST FAN <br /> I _ OTHER _ OTHER _ <br /> � — — — <br /> I HEREBV CERITIFV THAT I HAVE READ AND EW+MINED THIS APPLICATION AN�KNOW THE SAME TO BE TRUE AND CORRECT, ALL <br /> � PROVISIOkS OF LAWS AND ORIDiNACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> HOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TG GIVE AUTHORITY TO VIOIATE OR CANCEL TME PROVISION OF ANV OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AJTHORIZED BV THE <br /> OWNER OF THIS PROPEP.TY TO PERFORM THE WORK FOR WNICH APPLICATION IS MADE AND�COMPLY WITH THE STATE <br /> , CONTRACTORS LAW i8.Z7 RCW AND 296200 WAC. <br /> ��...�ti� ��.�//L/'�i/t_ ��/�.f33 <br /> � S gnaWre ol OWned ontractor/ ulhonzed Agent t��a e �;� / <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED �L <br />