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, <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES ,�)�`! <br /> 3200 CEDAR STREET, EVERETT, WA 98201 ';�7 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.N P MIT# � <br /> 20� BUS���dEsJ� ti✓ �� <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> TENANT NAME CONTACT FOR PERMIT PNONE <br /> ���Ar/ �/�v�i�-� �'a� i�A,�N2 (2�61 �Y9 -yio9 <br /> CONTRACTOR ADORESS ZIP CON7R.LICENSE A <br /> G ���-x�: r�rs�� �n.�c.. 65y5 —�� O�vt. s s�, w� yPio� C?,��victlKz <br /> PHONE <br /> 2�6�� - yZO� <br /> PROPOSED UCE OF AUILDING R Building f� Mechanical R Additlon HEAT SOURCE <br /> �/,St�J) L/a/G /�T <br /> P�E� Ll Sp nklle non H sign�n9 TYPE U RePair�/Maint. U Othctric <br /> CONTRACT PRICE OF WORK 3OD�J l CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> WORK DESCRIPTION ��5�l� � � �� SaUN �O� / � r'�G� `Y ��—6 ~�/G� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. . TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) A/C—A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK&DISPOSAL CLOTHES DRYER <br /> DISHWASHER R,4NGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACF!STOVE <br /> URINAL FIREPIACE INS�RT <br /> DRINKING FOUNTAIN GAS FIREPLACE: <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PlPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINcD THIS APPLICATION AND KNOW THE SAME TO BE TRUF��ND CORRECT. ALL <br /> PROVISIONS OF IAWS AND ORIDIfJACES GOVERNING'(HIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED NEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PHi?VISION OF ANY qTHER <br /> STATE OR LOCAI.LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM P.UTHORIZED BY THE <br /> OWNE 'JF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH i'HE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> %%�i�✓�� -= � ,jJ- ��! <br /> Sign e of Owner/ConlractodAulhorized Agent Dsie (� <br /> DEBIT� CREDIT CARDS ARE NOT A(:CEPTED <br />