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�ERMIT APPLICATI�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRE3S PARCEL TAl(I.D.N PERMi7 s <br /> ,7,01� �, �-s,�o Ko3ro -oo � <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> D.! C.►v s�-ar�+ f-Fin s <br /> TENANT NAME I CONTACT FOR PERMIT PrONE <br /> CONTRACTOR�B/�S�� �`M� ADDRESS 21P CONTR.LICENSE M <br /> 3033 d /).�llN A� � �.� 98�z 3 ROBw.�fE7��t <br /> PHONE <br /> C�a J �co3 • �+cbs �-uc ���rv.� <br /> PROPOSED USE OF BUILDING _�pl1�Building D MeGhenlcal Additlon HEAT SOURCE <br /> PERMIT u Combinatian U Plumbing WORK � Alteratlon � Elecfrlc <br /> +" TYpE r� Demolllion U Slpn TYPE New Gae <br /> S�� ;aa Spdnklar Repair/Malnt. Other <br /> CONTRACT PRICE OF WORK 1 �7 O e� CITY OF EVERETT LOCAL SALES TAX COUE IS J10S <br /> 7� <br /> WORK DESCRIPTION � � <br /> i iv s ��k F�ac- Sf',e„�..«.cras i�./ K.�-z�- 6 F',e <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> WATER CLOSET(TOILET) _ A/C—A/HANDLING UNITS <br /> BATHTUB _ FORCED AIR SYSTEMS <br /> � LAVATORY(WASH BASIN) _ HEAT pUMP <br /> � SHOWER _ UNITHEATERS <br /> KITCHEN SINK 8 DISPOSAL _ CIOTHES DRYER <br /> DISHWASHER _ RANGE HOOD <br /> I.AUNDRY TRAI' _ WATER HEATER <br /> CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> URINAL _ FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FLOOR ORAIN _ GAS RANGE <br /> BACKFLOW PREVENTER _ GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHER OTHER <br /> — L� � �tin..sltt�� <br /> I HEREBY CERITIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. A�L <br /> PROVISIONS OF LAWS AND CRIDINACES GOVERNING THIS TVPE OF WORK WILL BE COMNIIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOL4TE OR CANCEL THE PROVISION OF ANV OTHER <br /> STATE OR LOCA4 lAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONS'fRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LA 1B2 CW AN 96.200 WAC. <br /> /�O/Z�rJri �/� <br /> Sig o(0 er Conlractor/ ulhonzed Agent Date <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />