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P���MIT APPLICATIG.� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201,425-257-8810 <br /> SITE ADDRESS PARCEL TAX I.D.A PERMIT N <br /> ,� . ; (�; , � , . '�' ' = /�O C -f�Y <br /> LE�aAL L07 N0. BLOCK TRACT <br /> DESC. � <br /> _,OWNER . � � r � ' i ADDRESS ^_ rl -' ` 1 �/� l PHONE <br /> ��', v �. 11 �-•�� �� (i � ���(�J � -k ��i ��.,/ ���� � , �����fi� I �,UI ' I <br /> - ( � n�Y.f� �� �t��t,ls J <br /> - TENANT NAME , i CONTACT NAME I PHONE <br /> \-Y i r'C- � '�� '�-��-�( <br /> ,- � —,� : �,� ��,r� u �� ���tx �eF���'�� <br /> CONTRACTOR ADORESS CONTH. LICENSEN <br /> ( cri��1C�' �iC�, I ��eF�`�tcf�����'�C� -� ��j �;X I�� ��/7/�4 <br /> (� �(�, , �� � �C�fVrl��('�3�i71111 <br /> PHONE-��i'�CLI�)`1��`�� � i � . <br /> . , �t� e rn:��� �,�, � ���„� � <br /> PROPOSED USE OF BUILDING Building � Mechanical Addition NEAT SOUHCE <br /> PERMIT Combination Plumbing WORK teraeion Eiectric <br /> TYPE � Demolition Sign TYPE New � Gas <br /> _ Sprinkler Repair/Maint. Other <br /> CONTRACT PRICE OF WORK ,� -'- ' �` 1�-`L� CITY OF EVEREfi LOC 4L SALES TAX CODE IS 3105 <br /> WORK DESCRIP710N `1 <br /> ;;,� ;�c�� i, �L,� �:;�3� �k �� �� �ys� ► � � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR�TEM N0. TYPE OF FIXTURE OR ITEM <br /> WATER CIOSET A/C-A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LP.VATORY(WASH BASIN) HEAT PUMP <br /> SHObVER UNIT HEATERS <br /> KITCHEN SINK&DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TPAY WA'iER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIAEPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE : <br /> FLOOR DAAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> � i OTHER �i\"'�1�T'..l+ l ;'LL�I� _ OTHER <br /> I HEFEBY CERITIFY THAT 1 HAVE READ AND EXA611NED THIS APPLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVFRNING THIS TYPE OF WORK WIIL BE COh1PLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PEAP.71T DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCaL LAW REGUTATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> I�W�EFi OF THIS PFOPERTY TO PERFORh7 THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CON7RACTORS LA�Y 1927 RCW AND 296200 WAC. <br /> � ���� � 1 '� .� <br /> . � �� �, � , �,.. .� � <br /> � ��I �� ._ � �� ..r�� 1������ �-I I ��-I �� �� � <br /> Signelure ol OwnedContractodAuthorized Agent Dat <br />