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� ; ' <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810-FAX 425-257-8857 ��G����� , <br /> PARCEL TAX I.D.X PERMIT A'� Z <br /> SITE ADDRESS - <br /> '1 Zc�S 'g�R��`� c�o 3`11H7`100100 <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER <br /> ADDRESS ZIP PMOHE <br /> S�h 23c�o �L..0 8�1S IOc��� P�� N � t�IOD q0o�y �12s-4Sl-z000 <br /> TENANT NAME <br /> I CONTACT FOR PERMIT ��E <br /> V"����Ct1vs pp CONTR.UCENSE/ <br /> CONTRACTOR ADDRESS � �U. <br /> L����obF '�v�elA6 c, F1e�N �3soSS a�. �2`r sT 9003`� <br /> PHONE <br /> yzs- Bz�- a2e2 <br /> PROPOSED USE OF BUILDING I Building Mechanical Addition HEAT SOURCE <br /> � �] Ekciric <br /> PERMIT D Combination �lumbing WORK Atteration S G� <br /> �7 ��� TYPE Demolilion U 5�9� TMPE N� <br /> Re aidMaint � Otl+er <br /> K-E. Sprinkler � <br /> CONTRACT PRICE OF WORK �"��) p('�q. OO CITY OF EVERETf LOCAL SALES TAX CODE IS 710b <br /> WORK DESCRIPTION <br /> �J�.1 T�.—tt��t_ ��coRe <br /> PLUMBING MECIIANICAL <br /> ►1p, TYpE OF FI%TURE OR ITEI�,. <br /> NO. TYPE OF FIXTURE OR ITEM ` <br /> WATERCLOSET • AIC–MiANDLINGyNfTS <br /> BATHTUB � FORCED AIR S BYEMS <br /> � LAVAT6RY(WASH BASIN) ,_ HEAT PUMP <br /> SHOWER �1NIT H�+ ERS <br /> KITCHEN SINK 8 DISPOSAL _ dLOTHES DRYER <br /> DiSHWASHER � A RHEATER <br /> J_ LAUNDRYTRAV STOVE <br /> CLOTHES WASHER �– FIREP CE INSERT <br /> 1_ URINAL GAS FIR LACE <br /> � DRINKING FOUNTAIN — GAS RANG <br /> fLOOR DRAIN — GAS PIPING <br /> BACKFLOW PREVENTER — EXHAUST FAN <br /> 3 SINK(SERVICEBARJMOP/ETC.) — OTHER <br /> OTHER — <br /> I HEREBY CERITIFY THAT I Hf.VE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF IAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH NMETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSiRUCT10N OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTMORIZE�BY THE <br /> ONRJER OF�S PROPERTY TO P[RFOR THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRAC S l.�t . 7 RCW AND 00 WAC <br /> �� � 3 zo v 3 <br /> � i� <br /> gn re o wner ractorlAuthonzed Agent te <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br />