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P�RMIT APPLICATI�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 <br /> S�TE� i17 � n r n PARCEL TAX I.D.A I AERMiT p�` � <br /> FS�i/� �( � <br /> / �-an.rJvr t/ �U`�' <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PMONE dSj-4Z.L'U`I� <br /> SEAK 8' ReN � rA ��A�� 12� �O �'� A.p c.T F f/F� bR 9� 92y <br /> TENANT NAME I CONTACT FOR PERMIT PNONE <br /> liay F� � roN Roy F� � T�� yas• zs8- y9� � <br /> CONTRACTOR . ADDRESS ZIP CONTR.LICENSE N <br /> JR RoaF�ry� iN� N4zG i�.�P e.R st 9sy-o � �R�eoar�a7aR� <br /> PHONE �^ �y Wp <br /> �(c o �45`6- 7 ° <br /> PROPOSEO USE OF BUILDING Building f") MeChaniCal I f� Ad0ltlon HEAT SOURCE <br /> I PERMIT � Combinallon �_� Plumhing WORK K AlleraUon � Electrlc <br /> TVPE Demolition V Sign TYPE H New Gas <br /> � Sprinkler J� Repalr/Malnt. Olher <br /> CONTRACT PRICE OF WORK 9 IO/ J Q'I CITV OF EVERETf LOCAL SALES TA%CODE IS 3t03 <br /> WORK DESCRIPTION „��p � � � v..T �pyf D�.Lp p�t� , <br /> �--... <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FU(TURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> WATER CLOSET(TOILET) AIC—AIHANDLING UNITS <br /> BATHTUB FORCED AIR SYSTENiS <br /> LAVATORY (WASH BASIN) HEAT PUMP <br /> SHOW ER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACEISTOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOPlETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I <br /> i , <br /> � I <br /> � I HEREBY CERITIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> � PROVISIONS OF LAWS AND ORIDINACES GOVERNING TMIS TVPE OF WORK WILL BE COMPLIED 1VITN WMETHER SPEGFIED HEREIN OR <br /> ; NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER I <br /> i STATE OR IOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE I <br /> OWNER OF THIS PROPERTV?0 PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> ', CONT�CTORS LAW 18.27 RCl AND 296.200 WAC. <br /> I � ���-O j <br /> 1 Sig re of OwneNComractorlAuthonzed Agent Date i <br /> I DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED � <br />