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. — <br /> PERMIT �PPLICATI�N <br /> ClTY OF EVERE'Tl" FERMIT SERVICES <br /> 3`L00 CEDAR STRE�T, EVtRETT, WA 98201 ���/ il� <br /> 425-257-8810— �H:: 425-257-8857 J (t�'y <br /> SITEADDRESS i ?�RCEL'�AX'.0.1� P�ftMR^ <br /> �;�2q r-� ����, W,.� , �-�OG>/l� <br /> LEGA LOT N BLOCK_ TRA::1� _ <br /> DESC. —�-'`--'�--�------- <br /> OWNER � ADDRESS ZIP PHONE <br /> TE�JJtn UeS��A�1Ni1ncS� �I��� I �u `rc�('ee"` -�`r�"J <br /> AME COTJTA FOR PERMIT PHONE <br /> S� Ue'� i '-1U��tn I IJi�,� l.�,�.�� 360 . (�Z�—I�� <br /> Vv�cYA�t'SR�� c���IvA1�,y,�,.y �G�-t� �N�� `��� s��f� �'£32�3Z��{�-z.rsN �3��a� <br /> PHONE 3G0� lZ(� ` 132-� J <br /> PROPOSED US[OF BUILDING BUilding f-1 MeChanical Addilion ;iEAT SOURCE <br /> PERMIT � Combinalion �-� Plumbing WORK Altera6on n Electric <br /> u�� \�� TYPE Demolition ,Py Sign 1YPE �New �y Gas <br /> Sprinkler � RepaidMainL U Omer <br /> CONTRACT PRICE OF WORK � ��b� CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br /> i <br /> WORK DESCRIPTION <br /> ,�S��-�l I �-�-�--1 l s«�� <br /> PLUMBING MECHANICAL <br /> NO. I TYPE OF FIXTURE OR ITEM NO. TYFE O('FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) A/C-PIHANDLING UNITS <br /> BATHTUB FORCI_D AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER � UNITHEATERS <br /> KITCHEN SINK&DISPOSAL CLO'fHES DRYER <br /> DISHWASHER RAP�GE HOOD <br /> LAUNDRY TRAY WF,TER HEATER <br /> CLOTHES WASHEP. I�IFTAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOPlETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HERE6Y CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ADJD CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHURITY TO VIOLA7E OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR IOCAL LAW REGUTATING CONSTRUCTION OR THE PERFORMNNCE OF CONSTRUCTION. THAT I AM AUTHOF:IZED 8Y THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS h1ADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 FC AND 296.200 WAC. <br /> �.�`-``-�-, �����' y_ <br /> Signature of Owner/Co actodAuthonzed Agent Date � � <br /> DEBIT 8� CREDIT CARDS ARE NOT ACCEPTE� �� I <br />