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�cRMIT APPLICA,TI�N <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.# PER T <br /> 3 0 �BY �re� oa� ' a�s I �ce %� � <br /> LEGA LOTNO. BLQCK TRACT <br /> DESC. <br /> OWNER SRkC� �XdN� (7�$ ADDRESS ZIP PNONE <br /> Fv�u-r� �yr„�Y l��vr,r2 ay�o �or,BYA�^e 9S�a�� tiZs�s9-�s5� <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> tv��-rr r�+�4� �D�T�L 8�-��rv ��c��� y25- 7�rrU�/!o� <br /> CONTRACTOR AODRESS ZIP CONTR.LICENSE A <br /> D� ,rN�� P�u�ne,uc d- tfr�r l��l�l l3� Mk - u1- 4fA37 DAY�=GHo���r'� <br /> PHONE <br /> �Y�,vu�ovD� l,v�- <br /> PROPOSED USE OF BUILDING Building � MechaniCal I AddiUon HEAT SOURCE <br /> I PERMIT B Comb(nalion Plumbing WORK � Alteratlon � ElecUic <br /> 1YPE D Demolition Sign TYPE New Gas <br /> U Sprinkler RepairlMaint. Other <br /> CONTRACT PRIC[OF WORK CITY OF EVERETT LOCAL SALES TA7f CODE IS 3105 <br /> WORK DESCRIPTION <br /> R�p�A���� ,� ���-r�,�- r-�r u���- i�,�.s ���� <br /> o2 ,�leW �L�CiY�C- 5�� ffdT GU�'� �,4�UKS, <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 BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK&DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY � WATER HEATER <br /> CLOTHES WASHER METAL F�REPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFY THAT I HAVG READ AND EXAMINED THIS APPIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK 1NILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. TNE GRANTING OF A PERMI7 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORRED BY THE <br /> WNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> ..ONTR �RS LAW 18.27 AND 96. <br /> �4 � <br /> Sig wnedConlractor/Auth zed gen Date <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />