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-- �. -- <br /> P�tRMIT APPLICATI�i�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 PARCEL TAl(I.D, p PERMI7 p <br /> Z3� � � 0 �0 2 < <f <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> '�Z�i' <br /> ��e.�e t AIlthCi (Y1c�w r 23�8 �IWclund aJe `18?U� 25zyyl� <br /> TENANT NAME —7 I CONiACT FOR PERMIT PNONE <br /> Sr,vre, ���:,-vu _ a,� �pu� 4Z5 ylB `.fli� <br /> CONTRACTOR ADDRESS ZIP CONTP..LICENSE N <br /> PHONE <br /> PROPOSED USE OF BUILUING Building � Mechanical Addilion HEAT SOURCE <br /> I PERMIT � Combinalion Plumbing IWORK R Alteration I � Eleclnc <br /> TYPE Demolition Sign TYPE D New Gas <br /> Sprinkler �� Repair/MaInL Gther <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> WORK DESCRIPTION <br /> �(� mo� � sn c�G11 c�� �_ <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> WA'fER CLOSET(TOILET) A/C—A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAV.4TORY(WASH BASIN) HEAT PUMP <br /> SHCWER UNIT HEATERS <br /> KITC:HEN SINK& DISPOSAL CLOTHES DRYER <br /> DIShiWASHER R,4NGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CL07HES WASHER METAL FIREPLACElSTOVE <br /> URINAL FIREPLACE INSERT <br /> DRI�lKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINH; (SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> 07HER OTHER <br /> �I I HEREBV CERITIFV THAT I HAVE READ AND EW+AIINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO�I�'E AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV OTHER <br /> STATE OR LOCAL W R�GULATING CONSTRUCTION OR THE PERFORPdANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BV THE <br /> OWNER OF THIS P OPER�1'TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CON7R CTOR 18.2y RCW AND 296.200�AC. <br /> I <br /> ,,/ V �� <br /> Sig re n dC trector/Authonzed Agept Dale <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br />