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— r <br /> : <br /> tRMIT APPLICATI�N <br /> CITY OF IEVERETT PERMIT SERVICES <br /> 3200 CE:DAR STREE7, EVERETT,WA 98201 <br /> 42;i-257-8810- FAX 425-257•8857 <br /> � �09- �vS <br /> SITE ADDR§SS �,,,, .,P�AR�GEL TAX I.D.k PERM�'# <br /> 0 b C �'� J�`��' '�d� �3 c�-D�� <br /> LEGA LOT NO. BLOCK TRACT Sk _/� <br /> DESC. �(jh lZ 3� OY <br /> O R AUDRESS � iIP PHONE <br /> � Q � �� 3�F�1 �94 4-`71 S�y' <br /> TENANT AME CONTACTFORPERM , PHONE <br /> ..� as��r ss <br /> �iONTRACTOR 1 ADDRE S 21P �1 QCO�NT�R�.LICENS N <br /> P' HONE�7`�Y1� ���^'�. ,l�7� ,rlh./��T(r(,P 1J/1C.c.C.�.T <br /> � p o i..v/- � Z7b V � � <br /> PROPOSED USE OF BUILDIN6 �uilding 17 Mechenical AddiUon HEAT SO E <br /> PERMIT Combinallon �_� Plumbing WORK�tereUon �IecWc <br /> �t!� TYPE Demalition L! Sign TYPE New aa <br /> Sprinkle� Repalr/M1lalnt. Olher <br /> CONTRACi PRICE OF WORK CITY OF EVERETf LOCAL SALES TAX CODE IS 7105 <br /> WORK DE9AC�PTION � � � � <br /> V`��� 5�,� , <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXNRE OR IiEM <br /> �-� WATER CLOSET(TOILET) A/C-AIHANDLING UNITS <br /> � BATHTUB L FORCED AIR SYSTEMS <br /> � LAVATORY(WASH BASIN) _ HE.4T PUMP <br /> SHON ER UNIT HEATERS <br /> Z KITCH�:N SINK 8 DISPOSAL = CLOTHES DRYER <br /> / DISHW�SHER � RANGE HOOD <br /> LAUNCRY TRAY ,L_ WATER HEATER <br /> % CLOTHESWASHER _ METALFIREPLACEISTOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN � GAS FIREPLAI:E <br /> FLOOR DRAIN GAS RANGE <br /> � BACKFLOW PREVENTER � GAS PIPING <br /> SIfJK(SERVICE/BAR/MOPIETC.) EXHAUST FAN <br /> OTHER _ OTHER <br /> I I HEREBY CERITIFV THAT I HAVE READ AND EXAMINED THIS APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> i PROVIStONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPUED WITH WHETHER SPECIFIED MEREIN OR <br /> ' NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORI7V TO VIOLATE OR CANCEL THE PROVISION OF ANV OTHER <br /> ISTATE OR CAL LA\N REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION THAi I AM AUTHURI2ED BY TNE <br /> OWNEP F T CIPERTY PERFORM l'11E WORK FON WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTkAGi 5 LA 27 W AND 296.200 WAC. .��J" 1� <br /> Signat fq nedCo tractodAuthonzed Agent _____��-1-�pate �I� <br /> IG DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />