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i <br /> I PERMIT APPLICATIC.N � <br /> CITY OF EVERETT PERMIT SERV'ICES <br /> � 3200 CEDAP. STREET, EVERETT, WA 98201 il <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE AUDRESS 3 7�–� �/�O�O��f�Y PARCEL TAX I.D.# PERMiT tt � <br /> ��� <br /> i <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER GANUT OGvG/—o�E�'T ADORESS ZIP PHOhc i <br /> TENANTNAME CONTACTFORPERMIT : , PHON[ � <br /> � �r12��/r � , J�.-�- 3�v-79�, —73 0 � <br /> ,�-.,.-��r ✓�c�rrE'�u: <br /> CONiRA TOR ADDRESS � � ZIP CONTR.LICENSE ri <br /> (r�S HF- /3%/�/� /y�- >d o ��ST �Ji)sz 5 f I <br /> PHONE <br /> 3� o - 79ti-7306 �JUltJ2dE_ G/vt `��1�Z r�S�ICACT/¢7JD <br /> PROPOSED USE OF BUILDING BuiNiflg �echanical Additlon HEAT SOURCE I <br /> PERMIT R Combinalion Plumbing IWORK R Alteretion � Electic � <br /> TYPE D Demolition Sign TYPE D New Gas �i <br /> U Sprinkler U RepairlMaint. Other <br /> CONTRACT PRICE OF WORK � �,5� O tl o CITY OF EVERE7T LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION /�J s. ��L L /j � 7 S– T�J iLJ /CdC�F i '�T� C�/L� i <br /> ` d�vi N C,— <br /> W i�-i� p v�- T 6.✓�,e.� �e.�c..�s a�FFusF-�s � � <br /> PLU�781NG MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIX7URE OR ITEM <br /> WATER CLOSET(TOILET) � A/C–A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEIJ 5iNK&DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATC-R HEATER <br /> CLOTHES WASHER META� FIREPLACE/STOVE <br /> � _ URINAL _ FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER —T �AS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHER OTHER_ <br /> I — — <br /> i I HEREBY CERITIFY THAT I HAVE READ AND EXAMMED THIS APPLICATION AND KNOW Tl:c SAME TO dE TRUE AND CORRECT. AlL <br /> '� FRCVISIONS OF LAWS AND ORIDINACES GOVERNING THIS NPE OF N'ORK WILL BE COMFLIED INITH\NHETHER SPEGFIED HEREIN OR <br /> ' NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TNE PROVISION OF ANY OTHER <br /> � STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORAIANCE OF CONSTRUCTiON. THAT I AM AUTHORI2ED BY THE <br /> 01NNER OF THIS PROPERTY TO PERFORM THE 1NORK FOR WFIICH APPLICATION IS MA�E PND I COMPLY INITH THE STATE <br /> �. CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> � j7���n�"_,g.=.. J ���,� <br /> Si nature of Owner/ ntractor uthonzed Agent � Date � <br /> /� <br /> DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />