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! . 'ERMIT APPLICA� .�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRE�.ET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> i SITE ADDRESS PAACEL TAX I.D.A PERMi7 n <br /> , , �},� S r�ee� I Poai c -008 <br /> I LEGa LqT NO. BLOCK TRACT <br /> i DESC. <br /> OWNER C`�� L� ADDRESS ZIP PMONE <br /> o� ����«« � �kC� aC�i9 c��d'qT, ��a�r 9a5- 39�- 70� � <br /> i TENANT NAhIE CONTACT NAME PHONE <br /> � � 1��-�-b.�, �� �, -� a5- 3y9- 7vi 9 <br /> iCUNTRACTOR � ADDRESS ZJP CONTR.UCENSEM <br /> i Shoc��' �I��,t.,z� � � n� �. 0. �v�lG2 G�A.���-e• `�4-�ous• SN-oc..�l*`o49KV <br /> i PHONE ��� -�iv -a57� ,�,m � s��K�.P� wa 9�a sa _ <br /> PROPOSED USE F BU)LWNG I (� Building (� MeChaniCsl AAdiUo^. HEAT SOURCE <br /> I ^ I, �Li2e �/SCCi�,/ PEHMIT [� Combinalion � PIumL�ing WORK � Alleratlnn � Elecirh: <br /> �L�` TYPE D Demalilion Sign 7YPE Ne�v Ges <br /> I _ _ U Sprinkler — Rnpain�dain�. Other <br /> � CONTPACT PRICE OF WORK CITY OF CVERE7T LOCAL SALE9 TAX CODE IS 3105 <br /> I W ORK DE3CRIPTION q D�{�( ����OC••♦ 1 5 ��OC �� —' <br /> �r � — � <br /> � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF Fl7(TURE OR fTEM N0. TYPE Of'FlXTURE OR REM <br /> �VATE:P CLOSET A/C—A/H�NULING UNI1 S <br /> BAiHTUB FORCED AIR SYSTF.MS <br /> � LAVATpRY (WASH BASIN) HEAT PUMP <br /> SHOWER _ UNITHEATERS <br /> KI7CHEV SINK 8 DISPqSAL CIOTHES DHYER <br /> , __ DISHWA,iHER RANGE H000 <br /> ' LAUND?1' TRAY WATER HE�1T=R <br /> CLOTHES WASHER METAL FIREPLACE/�10VE <br /> URWAL _ FIREPLACE IN�EFT <br /> � DRINKING FOUNTAIN . t3AS FIREPLACF: <br /> � FLOOR DRAIN _ GAS RANGE <br /> BACKFLOW�REVENTER _ GAS PIPING <br /> SINK(SERVICEiBAF/MUP�ETC.) EXHAUST FAN <br /> OTHER__ OTHER _____ <br /> I MEPEBY CERIiIFY 'HAi I HAVE PEAD AND EX?IdINED THIS APPLICATION AND K�JOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIO��S CF LA5Y5 A11D OFIDIYACES GOVEPNING THIS'fVPE OF WORK WiIL BE COIdFUED WITI�N'HETMEN SPECIFIED MEREiN OF <br /> I10T TNE GRUNTIhG OF A PERIdIT DOES NOT PAESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEI THE PR'JVISION OF ANY OTHER <br /> STaTE OR LOCaI LAW PEGI:IATING CONSTRUC'ION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED 8Y THE <br /> OVlNER OF THIS PFOPEFT'/ 'O PERFORId THE'NORK FOR WHICH APPLICATION IS MPDE AN�I COMPLY WITH THE STATE <br /> COPITRACTORSIAW 1827 RCN 9N[]29fi200 YJAC / �- / <br /> ���_�� 2 �,L�tC __��C'/3.5���— <br /> Siynalure ol Owne i omrac�au,4ui nzad Ac�onl a� � � <br />