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7 <br /> , ; <br /> I P�RMIT APPLICATION ! <br /> CITY OF EVERETT PERMIT SERVICES � <br /> I 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 <br /> ISITE ADDRESS PARCEL TAX I.D.# PERMii ft <br /> ;8��.� , k �y ��-�c,� <br /> I �EGA� LOT NO. BLOCK TRAC��.� <br /> i DESC. <br /> IOWNER ADORESS ZIP PHONE � <br /> �osf�i I����,aicn� Churck 2.81�{ C�>Ibu �82c, � � <br /> TENANTNAME CONTACTFORPE MIT ���r� aq��{, PHONE I <br /> � � I�nrus F ir� ��s�5� �,�� �tfz�) 38e'-Olzy � <br /> CONTRACTOR a�i�r�5 FiYY �5E�5. ZNG_ A� S ��) (3L�X ��IC ZIP CQNTR.LICENSE# <br /> PHONE � �- ��IZ4 �f'I��� �tfa�,�`�c F�tlls,l✓� �t$z51_ �,�aR�dsrsc�z,yD3 <br /> �ti�.��3� (11 <br /> PROPOSEO USE OF BUILDING I � f"� Building Mechanical i"") Addilion HEAT SOURCE <br /> ��euPGI� � �lF"F«'J PERMIT �_� Combinalion Plumbing WORK �-3�Atleratlon Q Electic ' <br /> TYPH u Demolition �Sign TYPE �j Nrw I �.,,j Gas I <br /> U Sprinkler U RepaidMaint. L� O�her <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 7705 <br /> �?_� zu <br /> WORK DESCRIPTION E5;;1i,,.d_ f�y �e�a�«y �,�cr••t �r,.ti � q. y�r .n, T:� tr„e� o nc� �7i. il <br /> � <br /> PLU�dBiNG MECHANICAL I <br /> NO. TYPE OF FIXTURG OR ITEM NO. TYPE OF fIXTURE OR ITEM � <br /> _ WATER CLOSET(TOILET) A/C—A/HANDLING UNITS I <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRYTRP.Y WATER HEATER <br /> CLOTHES WASHER METAL FIHEPLICE/STOVE ' <br /> i = URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN i GAS FIRE-PLACE <br /> I = FLOOR DRA�N _ GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SFRV;CE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> i HEREBY CERITIFY THAT I HAVE READ AND EXAMWED THIS APPLICATION AND KNOW THE SAA1E TO BE TRUE ANU CORRECT. RLL i <br /> �P,041SIONS OF LAWS AN�ORIDINACES GOVERNING THIS NPE OF WORK INILI BE C01.1PLIED N97H WHETHER SPECiFiED NEREIN OR <br /> raOT. THE GRHNTING GF A PERId1T DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CHNCGL THE PRO�'iSION OF ANY OTHER � <br /> SThTE OR LOCAI LAW REGULATING CONSTRUCTICN OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTNORIZED B�THE <br /> ulti'NER OF THIS PROPERN TO PERFORM THE WORK FOR l5 hiCH APPIICATION IS MADE AND I COMPLY WITH THE STATE <br /> CON7RACTORS LAW 18.27 RCW AND 296.20D WAC. � <br /> '� �� (EYl �'�AsY.� ��ZL����{ <br /> ��gnaiure o(Owner/ContractorJAuth�nzed Agent Datz <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED i <br />