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I� P�RMIT APPLICATIC,�V , <br /> CITY OF EVERE'TT PERMIT SERVICES <br /> 3200 CFDAR STREET, EVERETT, WA 98201 <br /> 425-257-8610- FAX 425-257-8857 <br /> SITE ApDfiESS PARCEL TAX I.D.# � PERMiT M � <br /> 2 1� � S I / r� <br /> . �%� b C lrJ 1�J I l v L- " l • b � d-' � D � h _ Q� � <br /> LEGA L07 NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> c��.� b �: ,� Co �<��l r�<«� ;�•�. P�,, . �3 �:� ia.�t� L�r�_P�i � G�',�o � — '�as - .�.;3"3� 7, <br /> l'ENANTNAME CONTACTNAME PMONE <br /> Scn,e ,��`I „• I �<, � � �� � a �l ,'l � o /,er{ - 3 '! I J \�Y o <br /> CONTRACTOR ADDRESS Z�P CONTR.LICENSE N <br /> PHONE <br /> 'i3O `I " 3�� �-'J � `l� <br /> PROPOSED U3�OF BUILDING f"1 Buildinq f1 Mechenl9cai (� Addition HEAT SOURCE <br /> PERMIT �_� Combination K Plumbin WOHK ��Allaralion R Electric <br /> � S,a �� TYPE (,l Derrmoli;ion LJ Sign TYPE Ll New �,�j Gas <br /> - :J — _ L� Sprinkler U Repair/Mairn. U O�her <br /> CONTRACT PRICE OF WOqK ''>��/v p CRY Of EVERkTT LOCAL SALES TAX CODE IS 3105 <br /> WORK OESCRIPTION � � <br /> — IPNN '�� � i � Pao � e �r. � �.1 �1-oa � oSe ,� -1s Iia �- � a ..� �� ;- c � <br /> I`.0 ��1 /a..l,l �1.J-� 17/� 22 I� Y� NrI �A"Y� ra� <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF Ff7CTURE OR ITENI NO. TYPE OF FlXTURE OR ITEM <br /> 1 WATER CLOSET _ A/C—AMANDLING UNITS <br /> _ BATHTUB _ FONCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> __ SHOWER _ UNIT HEATERS <br /> _ KITCHEN SINK 8 DISPOSAL _ CLOThES DRYER <br /> _ DISHWASHER _ FANGE HOOD <br /> _ LAUNDRY TRAY WATER HEATER <br /> _ CLOTHES WASHER METAL FIREPLACEISTOVE <br /> _ U�INAI. _ FIREPIACE INSERT <br /> _ DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FLOOR DP.AIN GAS RANGE <br /> _ BACKFLOW PREVENTER _ GAS PIPING <br /> _ SINK(SERVICE/BARlMOP/ETC.) _ EXHAUST FAN <br /> _ OTHER _ OTHER <br /> i - <br /> ( <br /> iI HE(iEBY CE�ITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAIAE TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF IAWS AND ORIDINACES GOVERNING THIS 7YPE OF WORK WIIL BE COMPLIED WITH WHETHER SPEC�FIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V�OL4TE OR CANCEL THE PROVISION OF ANY OTHEF <br /> ; STATE OR LOCAL LAW REGULATIMG CONSTRUCTION OR THE PEFFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> � OWNER nP THIS PRGPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPIY WITH THE ST4TE <br /> CONTR.\�i0R5 LAW 18.27 RCW AND 296.200 WAC. <br /> C�� t.'1L�--1 �1 G{'l-�n t L.lu� �l���l�� \ � '� J �1 � � <br /> Signawre f OwnerlContractoNAuthonzed Agent ete � <br /> L <br />