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� � <br /> P _RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-251-08�7 <br /> SITE ADDRESS I �I Oa'FVtiRC�/ZEEN Whj' pARCEL TAX I.D.# PERMIT# I / <br /> E�E2er�r-wrt� 9Ez�� �� S �{�`�'�bS <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS 21P PHONE <br /> TENA T //G�— �� ' ���_ <br /> CONTACT FOR PERMIT PHONE <br /> PR �Tf1M • S • G2E[,✓�q� �,� trAM 4�2S-21tS°- 1122. <br /> CONTRACTOR ADDRESS 21P CONTR.UCENSE p <br /> PHONE <br /> PROPOSED USE OF BUILDING BUilding � MBChanical Addition HEAT SOURCE <br /> �, ���� PERMIT R Combination Plumbing WORK R Alteretlon I7 Etectric <br /> R rrre Demolilion Sign TYPE RNew Gas <br /> B Sprinkler I� RepaidMaint. B Other <br /> CONTRACT PRICE OF WOR��s'p � QV CITY OF EVERETT LOCAL SALES TAX CODE IS 3'105 <br /> WORK DESCRIPTION <br /> 3 lN p G..c S i 4•nN ,� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) AIC—A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVAI'ORY(WASH BASIN) HEAT PUMP <br /> SHOW ER UNIT HEATERS <br /> KITChIEN SINK&DISPOSAL CLOTHES DRYER <br /> DISHVlASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTA�N GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> � <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVcRNING THIS TYPE OF N'OFtK WILL BE COMPLIED WITH WHETHFR SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NO?PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTIOPJ OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> � oy <br /> Signawre nf OwnedContrecrodAuthonzed Agent te <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED (/L <br />