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,- <br /> ERMIT APPLICAT�uN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201, 425-257-8810 <br /> SITE ADDRESS PARCEL TAX I.D.N PERMIT It <br /> ZI S� �N/�SrNur 29v52�roi 3�oo�3vamsoo coa�i-ooy <br /> LE4AL LOTNO. BLOCK 7RACT <br /> DESC. SC"i Atf�<<��v • 'f <br /> OWNER (,�W��� NAc (��n ANn ADDRESS PHONE <br /> Nis� MVcN hucH AtIIE.� J �ST�',(� I 2 �,31 N��i, u� .��c c�vl�i�rn" y �..r r.st � ysc� <br /> � <br /> TENANT NAME CONTACT NAME PHONE <br /> (;��KYN��19cy y ��' tift �4so <br /> CONTRACTOR ADD CONTR. LICENSEI <br /> 2132 HIGHLAND AVE. <br /> PHONE EVERETT, WASH. 98201 N�`��`'� �3"°H <br /> PROPOSED USE OF BUILDIN(i � Building � Mechenlcal �Atlditbn HEAT SOUfICE <br /> PERMIT Combinatlon Plumbing WORK Alteretbn (T�j Eiactric <br /> TYPE Demolition Sign TYPE Naw D ase <br /> Sprinkler Repair�Aefnt. � Othar <br /> CONTRACT PRICE OF WORN /l,LSV — CITV OF EVERETT LOCAL SAtEB TA%CODE IS 7106 <br /> WORK DESCHIPTION s �Z'f'/�� (�i�f/,(/� <br /> PLUMBINa MECHANICAL <br /> NO. TYPE OF flXTURE OR ITEM N0. TYPE OF Fl%TUqE OR ITEM <br /> I WATER CLOSET _ A/C—AMANDLINO UNITS <br /> � BATHTUB _ FORCED AIR SYSTEM5 <br /> _ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> _ SHOWER _ UNIT HEATERS <br /> _ KITCHEN SINK 6 DISPOSAL _ CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> _ LAUNDRY TFAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> _ URINAL FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN _ (3AS FIREPLACE <br /> _ FLOOR DRAIN _ pAS RANOE <br /> BACKFIOW PREVENSER OAS PIPINO <br /> _ SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> _ OTHER OTHER <br /> I HEFEBV CERITIFV THAT I HAVE READ AND EXAMiNED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNIN6 THIS TVPE OF WORK WILL BE COMPLIEO WITH WMETHER SPECIFIED MEREIN OR <br /> NOT. THE GRANTIN6 OF A PERMIT DOES NOT PRESURIE TO aIVE AUTHOHITV TO VIOLATE OR CANCEL TME PHOVISION OF ANV OTHER <br /> STATE OR LOCAI LAW REGULATING CONSTRUCTION OH THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZEO BV THE <br /> OWNER OF TNIS PROPEFTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLV WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 298200 WAC. <br /> ,��,�--,1� 7� 4GG, � ( 1- Y-o t <br /> Signature ol OwneuContre tor/Aulhonzed Agenl Date <br />