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� P�rtMIT APPLICATION <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 TAX I.D.N RMiT a <br /> 2fao1 C��� bJc" oo5i�85 I�o� �d`107-G�I � <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. ��{ { IS 592 '�U <br /> OWNER ADDRE39 21P PHONE <br /> F3oYce , Pn.�Moti1D � Zo��e, C�o�� Aaf �nf,L�l,vw�omA 96o3b(��oG-718 -19 0� <br /> TENANTNAME CONtACTFORPERMIT pHONE <br /> I Q.ny $o c� (Adn►�2.� SA� �45 ABo� <br /> CONTRACTO PRilMkt� AODRESS 21P CONTR.LICENSE N <br /> rvNND�r�c� c�,vsr�.r�rn�d So��u. 4, l�/►S S,wS�. E��k't�rr 98`0l -��E <br /> PHONE �OtlNDCGOS2DC <br /> PROPOSED USE OF BUILDING I ullding Mechanical Atldltlon HEAT 90URCE <br /> �ESIDtTI�.I'— PERMIT Co natlon R Flumbing WORK �Altarauon � Electrlc <br /> TYPE Demolltian � Slgn TVPE New Gaa <br /> Spnnkler RepalrlMalnt. Olhe� <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 7706 <br /> WORK DE9CRIPTION <br /> Co ..1Jc�2T Po=T/piE� Tb CorJc{�� C�e-��) Fouuon'no,.� . <br /> R��R �I�U.s�.�aux�a- Jo�src n6 Net�ra ro E��M�o�7� peq�cna�/s�y. <br /> � �' � �� � ni� SOYao <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> _ WATER CLOSET(TOILET) A/C—A/HANDLING UNITS <br /> _ BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH 9ASIh') HEAT PUMP <br /> _ SHOWER UNITHEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> _ DISHWASHER RANGE HOOD <br /> _ LAUNORY TR,4Y WATER HEATER <br /> _ CLOTHES WASHER METAL FIREPLACE/STOVE <br /> _ URINAL FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN GAS FIREPLACE <br /> _ FLOOR DRAIN GAS RANGE <br /> _ BACKFL OW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) FJ(HAUST FAN <br /> OTHFR OTHER <br /> i _ -- — <br /> I <br /> I HEREBV CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WOHK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANV OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CON7RACTORS IAW 18.27 RCW AND 236.200 WAC. <br /> /-� J7. s�— �u1N��L ) 7�27/�� <br /> Signat of Owner/Co ractor/Authonzed Agent Dale � � <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />