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� <br /> � � �ERMIT APPLICA��� �N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-38�0 - FAX 425-257-8857 <br /> � V 3 7 3 �l ��6 goa - �cJ .�aa�- oa? <br /> �E ADORESS� ,/� �ARCEL TAX I.D.N PERMIT� <br /> ��I;� o0 37 3 81 70o S�� �aa -�3 a- <br /> �%( <br /> LEGA LOT NO. B OCK T <br /> OESC. <br /> OWNER 3( �.S ADDRESS LP PHONE <br /> ,�I, �f � "s G�N/�=.� �S ��� �-������ <br /> TENANTNAME I CONTACTO�E �� /�� PMONE <br /> U^ <br /> CONTRACTOR L �, , ADDRESS ZIP CONTfl.LICENSE N <br /> /1/L�" y/-eT N7 o�st�.-✓ ' <br /> PHONE <br /> PROPOSED USE OF BUILDING uilding fl Mechanical Addi�ion MEAT SOURCE <br /> PERMIT Combination F_� Piumbing WORK Alteralion R Electric <br /> TYPE Demolition U Sign TYPE New �j Gas <br /> �� «� Sprinkler Repair/Maint. U Other <br /> CONTRACT PRICE OF WORK I"rl • .�— ��� V(/(� CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> .C�)w�•'Lvl <br /> WORK DESCRIPTION <br /> N� �C�G <br /> ��a � S�P/-� o� - oi/ <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF F�XTURE OR ITEM <br /> WATER CI.OSET A/C—A/I�ANDLING UNITS <br /> BATHTUB FORCED AIFi SYSTEMS I <br /> LAVATORY(WASH BASIN) _ HEAT PUMP i <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> DISHWASHER RANGE HOOD ' <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> URiNAL _ FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER _ GAS PIPING <br /> SINK (SERVICElBAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHER _ OTHER <br /> I — — <br /> i <br /> II HEREBY CERITIFY'HAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br /> I PROVISIONS OF LAWS AND OFIDINACES GOVERNING THIS NPE OF WORK WILL BE COIAPUED WITH WHETHER S�ECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIIY TO VIOLATE OR CANCEL THE PRGVISION OF ANY OTHER <br /> STA7E OR LOCAL LAW REGUII+TING CONS?RUCTION OR THE PERFORMANCE OF CONS7RUCTION. THAT I AM AUTHOFIZED BY THE <br /> OWNER OF THIS PROPERTV TO PEPFORM THE WORK FOR WHICH APPLICATION IS MADE AND I CO�dPLY WITH THE STATE <br /> i CONTRACTOR��7�RCW AN�.2�. �jG/�L <br /> / <br /> � <br /> Signawre ol OwnedCor.IracrovAuthorized Agent Date l <br /> ,. ,� , :.��� <br /> - U <br />