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RMIT APPLICATIVN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 GEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.N PER iT a <br /> �33Z � ��/,a,� o0 3yosozo�yao �o3oq-oo <br /> LEGAL LOT NO. �T„� BLOCK TCRACT � '/ L�� ��O S � S� ,/J // � � <br /> OESC. �c/ �5 /G /7 �D Z GU� E- /T /��•idd�, fvc <br /> OWNER / � ADDRESS ZIP PMONE l���� <br /> � �io N Y'L `?—�,/vt S�i-�z' '1�S �O �Gr� �oIZ�7 C�c�irc�d's �i✓•ea <br /> TENAWT NAME CONTACT FOR PBRMIT PHONE <br /> `,�c �f G 1 �it�.¢ C�JG1Jn/�,G._. 7�5-�3�0 <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE M <br /> PHONE �,/C'�N� <br /> PROPOSED USE OF BUILDING GyBailding � Machanical Addllion I HEAT SOURCE <br /> PERMIT K Combination Plumbing IWORK �oretlon Electdc <br /> l✓�2Z /<«S� IYpE �__� Demolition Slgn 1YPE New s <br /> LJ Sprinkler Repalr/Maint. Other <br /> CON?RACT PRICE Of WORK Z��Q CITY OF EVERETT LOCAL SALES3 TAX CODE IS 3105 <br /> WORK DESCRIPTION p U <br /> T..,s f.e �r ,��£/�✓ 3 � � /�7,4 .�/ c/.•�,� <br /> /�..J 9�0 L-/.o .G r� GiGu S� . <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TVPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) _ A/C-A/HANDLING UNITS <br /> BATHTUB FORCED AIP.SYSTEMS <br /> LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER _ UNITHEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER _ RANGE HOOD <br /> LAUNDRY TRAY _ WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANCaE <br /> BACKFLOW PREVENTER _ GAS PIPING <br /> SINK(SERVICE/BAR/MOPIETC.) _ EXHAUST FAN <br /> OTHER_ _ _ OTHER <br /> I HEREBV I,ERITIFV THAT I HAVE READ AND E%AA1'NED THIS APPLIC4TION AND KNOW THE SAME TO BE TRUE.4ND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETNER SPE:IFIED HEREIN OR <br /> ' NOT. TNE GRANTING OF A PERMIT DOES NOT PRESU1dE TO GIVE AUTHORITV TO VIOIATE OR CANi.EL THE PROVISION OF ANY OTHER <br /> S1ATE OR Li"AL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOR12ED BY THE I <br /> OWNER OF iHIS PRQPERTY 70 PERFORM THE WORK FOR IVHICH APPLICATION I MADE AND I COMPLY WITH THE STATE <br /> i COKiRACTOR�ly1�l-id17 RCyW AND 29fi200 WAC. <br /> , � ; �-- 7 .�' C� <br /> , � __�_ � �� . <br /> �� Signature qf Ownc�r/ContreclonAuthorized Agent� � � �JL <br /> �_ �j��� �.— S ,-v•� �f�tc--�-- <br /> � DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> �-- ------ — -- <br />