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�RMIT APPLICATION <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.il PERb�IT a <br /> �7 `� `�C1�st� iLGc— (..JA., ,/C O30&--DD� <br /> tEGA LOTNO. BLOCK TRACT <br /> DESC.� <br /> OWNER AUDRESS ZIP PHONE <br /> K�,�k 1�9e�.i l� ��'�ti ,�. /�e�/ � <br /> �� TENANT N E I CONTACT OR PERMIT PHONE <br /> �� CONTRACTOR n– � �- - � ADDRESS .FL S'� Scc/ ZIP CONTR.LICENSE# <br /> Na,o /n., f��e r� 7Y/G t 7G g�oa6' <br /> ' PHONE C��U�^-�S <br /> �ds- � 87 -- S� '� 7 — <br /> �� PROPOSEO USE OF BUILDING f� Building ,Q�Mechanical Addition HEAT SOURCE <br /> �� PERMIT �_� Combination,j� Plumbinc� WORK � Alleralion O Electnc <br /> TYPE �( Demolition U Sign TYPE New � Gas <br /> U Sprinkler RepaidMalnt. Other <br /> ' CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> � WORK OESCRIPTION <br /> PLUMBING MECHANICAL <br /> , NO. I TYPE OF FIXTURE OR ITEM ND. TYPE OF FIXTURE OR ITEM <br /> 'J.'ATER CLOSET(TOILEf) _ A/C–A/HANDLING UNITS <br /> BATHTUB _ FORCED AIR SYSTEMS <br /> � LAVATORY(YJASH BASIN) _ HEAT PUMP <br /> � SHO:"JER _ UNIT HEATERS <br /> .2 KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> �. DISHWASHER RANGE HOOD <br /> � LAUNDRYTRAY Z WATER HEATER <br /> CLOTHES NlASHER METAL FIREPLACE/STOVE <br /> URINhL FIREPIACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> % FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> L SINK(SERVICE/BARI�AOP/ETC.) _ EXHAUST FAN <br /> OTHER OTHER <br /> i HEREBY CERITIF!THFT I HAV'c REkD FND E:(AIdINED THIS APPI.ICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF Li+YJS AND ORIDRJACcS GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> "�OT. THc��NTING OF P.PERIAIT DOcS NOT PRESUh1E TO GIVE AUTHORITY TO VIOLATE OR CANC'cL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAV!REGU:hTING CONSTRUCTION OR THE PERFOR�MNCe OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> O7/NER OF THIS PROPER?Y TO PERFORIA THE NJORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> rp`�7i2ACTORS I.AW 18.27 RCN AND y5.200 WFC. <br /> ryl - 7 i �a 3 <br /> S�gnature of Ownerl ntractor/Hulhonzed Agent Date <br /> DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />