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P�RMIT APPLICATI��V <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257•8810— FAX 425-257-8857 <br /> SITE ADDRESS ���� �� ���s�no �� PARCEL 7AX I.D.N � ERMI7� ,r \ <br /> �7 O <br /> LEOA LOT N0. BLOCK TIiACT <br /> DESC. <br /> OWNER ADDRE88 ZIP PMONE <br /> �V`-�Z � f i 21 lL. �ci<�tiG �cl t <br /> TENANT NAME I CONTACT NAME PHONE <br /> ��`VYIt..0 <br /> CONTRACTOR h � A�GRESS 1 ` ZIP COMR.UCENBE N <br /> JCI1CIir�� ��G �J JPL � �.5� L''a��c�Y ( �I�pi�1' <br /> PHONE � �IF,GII �H�-7*��Iks <br /> [ 14�(1y� �� � <br /> PROPOSED USE OF BUILDINO R Bullding � Mechanlcal Addillon HEAT BOURCE <br /> TYPE'T H SP�kleloll n Slgn binp TM EK Rlapelr�Int. V 0 atr� <br /> LJ <br /> COHfRACT PNICE OF WORK CITY OF EVERETT LOCAL 9ALE9 TAX COGE IB�106 <br /> WORK DESCRIPTION <br /> i <br /> � f0:� <br /> PLUMBING MECHANICAL <br /> N0. 7YPE OF FlICTURE OR REM N0. TYPE OF flIITURE OR ITEM <br /> _ WATER CLOSET _ A/C—A/HANDLINO UNITS <br /> _ BATHTUB _ FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> _ SHOWER _ UNITHEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER _ RAN(3E HOOD <br /> _ IAUNDRY TFAY _ WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> UHINAL FIREPIACE INSERT <br /> DRINKINO FOUNTAIN _ QAS FIREPLACE <br /> FLOOR DHAIN OAS RANaE <br /> BACKFLOW PREVENTER OAS PIPINp <br /> SINK(SERVICEfBAR/MOP/ETC.) _ EXHAUST FAN <br /> _ OTHER OTHER <br /> � I HEREBV CERITIFY THAT I HAVE READ AND EXAMINED TMIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES�OVERNINO THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. 7HE 6RANTIN�OF A PERMIT DOES NOT PRESUME TO OIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV OTHER <br /> STATE OR LOCAL LAW HEGULATINa CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPEH�Y TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONT ACTORS LAW,18Z7 ACW AND 298.2 WAC. <br /> � /� <br /> C � - <br /> igne ure o w e onlrac od uthoriz genl ele <br />