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� � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, E��[RETT,WA 98201 <br /> a25-257-8810—FAX 425-257•8857 <br /> SRE ADDRESS � PARCEL TAIf I.D.N PERMIT a <br /> � ��/7EST L�iT s� DUS' 'L3`���2�0D MG p5-D3 <br /> LEGA LOT NO. BLOCI( TRACT <br /> UESC. <br /> OWNER ADDRESS LP PHONE /Lr��.� <br /> �f�6'c �,Z��?D�E /B 22 C'hF:.1�i�U� I� EL�P/�� �7�1 2.��- 273� <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> S��n� ��s �4-Pxr�e, � C'aix�'icE, y���y��- �� �z-y�o� <br /> CONTRACTOR AUURESS LP CONTR.LICENSE� <br /> Ll��.�_CC.� �t�o c� 7`�i��o� y�' �:�,r9s�,E'syvoc v� <br /> PHONE r�/ � !B L ' �- �C�L,7 .T V�E �-V �� f C <br /> V <br /> PRUP09ED USE OF B111L01N6 I Uuilding �echanical ACditlon I NEAT SOURCE <br /> PERMIT R Combine�ion Plumbinp WORI( �Altantbn �Elatrk <br /> TYPE ❑ Domolilion Sign TYPE Now Gaa <br /> D Sprinkler Repelr/Meint Olher <br /> CONTRACi PRICE OF WORN, �Cl C� , �t LJ CRY OF EVERE7T LOCAL SAIES TAX CODE IS�105 <br /> WORK DESCRIPTION � <br /> ...�i1S�+lI�.�-i t-k o-( ��4.t - y'�+f Lut.�'��"�`� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR REM <br /> WA7ER CLOSET A/C-AMANDLING UNITS <br /> BATfiTUB FORCED AIR SYSTEMS <br /> LAVATORV(WASH BASIN) HEAT PUMP <br /> SIIOWER UNIT HEATERS <br /> HITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRV TRAV � WATER HEATER <br /> CLOTfiES WASHER METAL FIREPLACEISTOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTEH GAS PIPING <br /> SINK(SERVICEIAAR/MOPIEiC ) EXHAUST FAN <br /> OTHER OTHER. <br /> I HEREDY CERITIFV iHAi I HAVE READ AN�EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND JORRECT. ALL <br /> PROVISIONS Of LAWS AND ORIDINACES GOVERNING 7HI5 TVPE OF WORK WILL BE COMPLIED WIiH WHETHER SPECIFIED HEREIN OR <br /> INOl THE GHANTING OF A PERMIi DOES NOT PNESUME TO GIVE AUTNORITV 70 VIOUI7E OR CANCEL TME PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br /> � OWNER OF THIS PROPFRTV TO PF.RFO(7M THE WORK FOR WHICH APPIICATION IS MA�E AND I COMPLV WI1H THE STAiE <br /> CONTRACTORS LAW $7 RCW AN0 29fi?OO WAC, <br /> 7'� ! �� 1 , ���k'✓ 1� Q1(f.�� 7 � ZO • C� _3 <br /> S�tu� olOwnedCon�raclorlAulhori Agenl Dale <br /> � DEBIT&CREDIT CARDS ARE NOT ACCEPTED _ _ <br />