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P�RMIT APPLICATIO�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-881G <br /> SITE ADDRESS � d PARCEL TAX I.D.N PERMIT p <br /> C <br /> t � I zo £oe.� ce�n y4 0 <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS iPHONE <br /> t�e¢ttku�ElQA Cov.)sT I t51�0-t46°t Au� wl4'., �-to1 �(yy5� 747--t7�C� <br /> SENANT NAME i CONTACT NAME I PHONE <br /> Cu.( I 1`� (yy5 l0 3-3 <br /> CONTRACTOR E`������ � ADDRESS CONTR.LICENSEN <br /> (,yaT� �'133 <br /> PHONE �N E.1Mh�57FA Q,�T-�(e�•�I SNZ <br /> E,IYA il0p6 <br /> PROPOSED USE OF BUILDING • Building �Mechanical Addition HEAT SOURCE <br /> PERMIT Combination Plumbing WORK Futeraqon [� dectr�c <br /> TYPE � Demolition Sign TYPE New L.1 �ae <br /> Sprinkler RepeidMaint. U Other <br /> CONTRACT PRICE OF WORK CITY OF EVEHE7T LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION �'�E =NTp Ex�5T11JC� CaPs�4uJ'N'tF.� <br /> 1 <br /> PL MBING MECHANICAL <br /> N0. TYPE OF flXTUpE OR ITEM N0. TYPE OF FlXTURE OR ITEM <br /> �, WATERCLOSET _ AIC-A/HANDLINGUNITS <br /> BATHTUB _ FORCED AIR SYSTEi.a <br /> ,� LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER _ UNITHEATERS <br /> KITCHEN SINK&DISPOSAL _ CLOTHES DRYER <br /> DISHWASHER RANGE�JOD <br /> LAUNDRY TRAY � WATER HEATER <br /> CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> URINA� _ FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FLOOR DRAIN _ GAS RANGE <br /> BACKFLOW PREVENSER _ GAS PIPING <br /> SINK(SERVICFJEAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHEF_ _ OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND DCAMINED THIS APPLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL <br /> PROVISIONS OF L4WS AND ORIDINACFS GOVER�JING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOUITE OR CANCEL THE PROVISION OF ANY OTHER <br /> ISTATE OR LOCAL Ll+W REGULATING CONSTRUCTION OR THE PEPFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> , OWNER OF ROPEfiN TO PERFOFM THE WORK FOR WHICN APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> I CONTRA RS W 1827 RCW AND 296.200 WAC. <br /> i <br /> � ��-- ia � o <br /> i Signature of OwneUGo ractor,�Authonzed Agent Date <br />