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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810–FAX 425-257-8857 <br /> 7�n3 Ocv �./o� ' a'7 <br /> SITE ADDRESS PARCEL TAX I.D.A PERMIT a <br /> � �-/vC.�� ovl� <br /> LEGA LOT NO. BLOCK TItACT <br /> oesc. ' ,�,� l�G /l <br /> OWNER ADDRESS ZIP HONE /,�3,f.— <br /> �pNT�� CONTACT FOR PERMIT PHONE a <br /> ' I�AJ T���1NNg� y�s'-3�/�-iSc�. <br /> NTRACTOR RESS 21P CONTR.LICENSE M <br /> �-�- /iHti� y �.�,- , ��� �x 976 . <br /> PHONE q �Hy�tNL.`a/o�BA� <br /> PROPOSED USE OF BUILDING B Ing � Mechanlcal Addillon HEAT SOURCE <br /> PERMIT mbinell0n Plumbing WORK retion E c <br /> �^ TYPE Demolilion Sign TYPE New aa <br /> S�b(.,g 7�h'l�L '1 Spnnkle� Repalni�lainl. Other <br /> CONTRACT PRICE OF WORK /f�S�QQ� CITY OF EVERETT LOCAL SALES TAX CODE IS 7705 <br /> d <br /> WORK DESCRIPTION <br /> S.���..,s t-.��-„�� �,c�oo� C��s•r2vv,a�.r <br /> ^ ' i � �' �/` <br /> r. . . � � i <br /> PLUMBING MECHANICA� <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR�TEM <br /> � WATER CLOSET(TOILET) A/C-A/HANGLING UNITS <br /> BATHTUB � FORCED AIR SYSTEMS <br /> _3 LAVATORY(WASH BASIN) _ HEAT PUMP <br /> � SHOWER UNIT H�JITERS <br /> � KITCHEN SINK&DISPOSAL � CLOT�iES DRYER <br /> � DISHWASHER � RANGE HOOD <br /> LAUNDRY TRAY � WATER HEATER <br /> �, CLOTHES�V�SHER � METAL FIREPLACE/STOVE <br /> URINAL _ FIRF.PLACE INSERT <br /> ORINKING FOUNTAIN _ GAS FIREPl4CE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER � GAS PIPING j'/ <br /> SINK(SERVICE/BAR/MOP/ETC.) � EXHAUST FAN ��-, <br /> OTHER _ OTHER � <br /> i _ —. — <br /> I <br /> �, I HEREBV CERITIFV THAT I HAVE REFD AND E%AMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRE . <br /> I PROVISIONS OF LAWS AND ORIDINACES GQVERNING THIS TVPE OF WORK WILL BE COIdPLIED WITH WMETHER SPECIFIED HEREIN OR <br /> ! NOT. THE GRANTIN�OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL TME PROVISION OF ANV OTHER <br /> I STATE O LOCAL Li.'N REGU ONS TION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> i OWN O THIS PROPERP O PERF H WORK FOR WHICH APPLICATION IS MADE AND I COMPLV WITH?HE STATE <br /> CO RA ORS LAW 18. RCW AND 2 . <br /> � <br /> Iature cf wned o 1 onz��d Agunt �e <br /> i — <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED yZ <br />