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- SEP-10-03 WED 09�27 AM EC� 'ETT PERflIT SERVICES FAX N0, �i5 257 BA57 P, O1 <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810-FAX 425-257-4857 �p <br /> � v/ � <br /> 517E ADDRE55 PARCEI TAX I.D.X PE�k <br /> AI I1�-1 £ W4 � G �► o <br /> LEGAL LOTNO, � BLOCK 7RACT <br /> DESC. <br /> OWNER ADORESS IP PHONE <br /> Smb�L IS(�c� I�lo�` �Ye � �loo &�0,.�.9`boo5 �b�' �4� I�'aS� <br /> TENANTNAME I CONTACTFORPERMR PHONE <br /> C.Uf'V R,S I �revJc rnptYl'o� �lo�S �'�1�-'��'oZ� <br /> CONTRACTOR �FhWD.r^ C,av+S'�'. ADDRESS � 21P CONTR.LICENSER <br /> PHONE )S�U (410� A�Y4 NY� � �'�O c1� <br /> �as �`-+� 1�ab �JcytrrN Ccags�'N <br /> PROPOSED USE OF BUILDING BUilding . Q Me0h2�iW) Q Add�tion HEAT SOURCE <br /> qxQOvnd Qkic�p� PERMIT � Combin8tbn 1 ) Plumhlnp WORK � Allention � Elactrie <br /> Gvrv¢,S ��}�y,yS �E Demolition � Sign rvPe Now Gas <br /> Sprinkler RapalUMainL Olher <br /> LONTRACT PRICE OF WORK ��p . OD CITY OF EVERETT LOCAL SALES TAX CODE lS J105 <br /> WORK DESCRIPTION �6 � ��S�.,-^ GVRV�S �r�A..t/C� <br /> --� <br /> PLUMBING MECHANICAL <br /> NO. 7YPB Of FIXTURE OR rtEM N0. TYPE OF FUfTURE OR ITEM <br /> WATEF CLOSCT(TOILE'f) A/C—A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVAI'ORY(WASII QA,SIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> _ KITCHEN SINK d DISPOSA� � CLOTHES DRYER <br /> DISHW�SHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> g CLOTHES WASEIER METAL FIFEPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINhING FOUNT/11N _ GAS FIREF'LACE <br /> FLOOR ORAIN GAS RANG= �7 <br /> „ BACKFLUW PREVENTER GAS PIPING �'il,�� �iC' <br /> __ SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN Jr <br /> _ OTHER ,__,__,__ OTHER <br /> 1 I•IERCOY CERITIFY THl1i I HAVE f�FAD AND EX�MINGD THIS/WPLICATION ANO KNOW THE 6AME TO BE TRUE AND COFREC7. ALL <br /> PR6VISIONS OF LAWS AND ORIDINACF.S GOVERNING TMIS TYPE OF WORK WILI BE COMPLIED WITM WHETHER SPECIFIED HEREIN OR <br /> PIOT. TF1E GR�NTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL THE PROVISION Of ANY OTMER <br /> STATE OR LOCAI lAW REGULATiNG CONSTRUCTION OR THE PERFORMANCE OF CONS7RUCTION. THAT I AM AUTHORiZED BY 7HE <br /> OWNER OF THIS PRQf' TO PERFORM TME WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATe <br /> CONTFAGIORStA B27 '.200 WAC. <br /> �/I�� �o3 <br /> S�gnalurc ofUwncrlConVactorlAut orizod Agcnt Dale �/� <br /> DEBIT 8 CREDIT CARDS ARE N07 ACCEPTED <br />