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I . �ERMIT APPLICAT��N <br /> ��%��r CI OF EVERETT PERMIT 5E,.VICES <br /> 3200 CEOAR STREET, EVERETf;WA 982oi, 425-257-8610 <br /> SITE ADDRESS PARCBL TAX I.D.! PERMIT t <br /> s�-�x� �'o i3 �� �0 �078 oii o0 0o Vh.oa.c> 3 -o3 �, <br /> LEGAL LOTNO. 9LOCK TRACT <br /> DESC. <br /> OWiJER ADppESS PHONE <br /> c,�g,,���� 5� y � sq�� ��.�-zss-.��7� <br /> TENANTNAME CONTACTNAME PHONE <br /> � ���l�� 5�����J�R �oG-7as- �5�s <br /> CONTRACTOR�O 5 S OE EN y S ADpRESS ��f�7 �/,��C�' S' CONTR.LICENSE I <br /> I �C� 5�8// g /�O55b� � <br /> PHONE a�G `�� S� 7SS5 /SL� �� <br /> PROPOSED USE OF BUILDIN� Bulldnp � Mechanica� (� Add�tion HEAT SOURCE <br /> PERMIT B Combinalion Plumbing WORK �(Atlerot�on Elcdnc <br /> jz� $ i 1jL�✓r'� TYPE D Demolition Sipn TYPE D Nvw Ga: <br /> U Sprinkler U q�patrmeeim. �ahor <br /> CONTRACT pRICE OP WORK � (J� a°� CRY OP EVEREiT LOCAL SAlES TAX CODE IS 9105 <br /> WORK bESCRIPiION <br /> �,�sr� �L �� � •���- �✓9 c C <br /> �LUM6ING E H Nlj)g� <br /> NO. IYPE OF FIX7UIlE OqlTEM ND. TYPE OF FIXTUlIE Oq ITEM <br /> _ WATERCLOSET A/C-A/HANDLIN6UNIT3 <br /> ,_ 8A'I'HTUB � FORCED AIR 6YS7EMS <br /> ,_ LAVA70fiY(WASH BASIN) _ HEAT PUMP <br /> + SNOWEFl _ UNIT HEATERS <br /> ^ KITCtiEN SINK L DISPOSAL _ CLOTHES OF�YER <br /> � DISI IWASIiEFl __,_ RANGE HOOD <br /> ,._ LAUNORY THAY � WATER HEATER <br /> _ CLOTHES WASHER � METAL FIREPLACE/STOVE <br /> _ URIN�L _, FIREPLACE INSERT <br /> __ DRINI<ING FOUNTAIN �, GAS FIREPLACE <br /> ` FLOOP Dfi�IN � GAS PANGE <br /> �,_ OACKf'LOW PREVENTER _ GAS PIpING <br /> �_ SINK(SEfiVICCJ6AR/MOPIETC.) ^ pXHAUST fAN <br /> __ OTHEf�,._ _ ^ O7HER <br /> I HER�OY CENTIFY 111AT I NAVE REAp ANO EXAA1 WED THIS APPLICATiON AND KNOW TI1E SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIOINACES GOVERNING TNIS NPE OF WORK WILL BE COMPL(ED WITM WHETHE(i SFEGIFIED HEREIN OR <br /> NOT. Tlit GRANTINC 0�A f'ERMI7 DOES NOT PAESUME TO GIVE AUTHCRIN TO VIOLATE OR CANCEL THE PROVISION Of ANY OfHER <br /> 51 ATE OIt IOCAL LAN'f1EGULA1lNG CONSYRUCI'�ON OF THE PEHFORMANCE OF CONSTRUCTION. THAT I AM AUTHGRIZEO BY lNE <br /> OWIJEli OF lhtl5 PRCPCfiTV TO PERFORM TPIE WOFK FOR WHICN APPLICATION IS MADE A4�1 COMPIY WITM THE STA7E <br /> CONTRAC iOFS tAW�B2%tiCW AND 29�200 WAC. <br /> �_���'� �/z� /oZ <br /> Sl�naturv ot Owner/CoNractor�Authonzed Agent ate <br />