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�''ERMiT APPLICA��N <br /> CI'TY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVER�Tf, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> SITE ADDRESS �S3'� E�C� PARCEL TAX I.D,q PERMI7 a <br /> EVE,��Tr, �� . 9�s o9s6os - 900 9 X uai a-oo <br /> DESC. f�1N0.. �, BLOCK TRACT�o �OO �fO2�Do ��� ) <br /> � <br /> OWNER � ADDRESS ZIP PHONE <br /> Fmo� �eyer S'1 gop�'� C'P.�rf�,,- �i9tif� .9�bov� . <br /> TENANT NAME CONTACT NAME PHONE <br /> �1a�.,'c ,Ora�o�►,. . G'/o� Y. yoo. ao6-3 6/� o��� <br /> CONTRACTOR /'� `'_ _ L. ��� ADDRESS L � /�� /J � LP CONTR.LICENSE M <br /> .7 IMSTYC( o17-r-�-V �+O`_' /�J'Vl� <br /> PHONE �0 � '_ � /.r� U3-'7 ��G� W� Wa f�oJJ 'SCoNs�p11- <br /> � <br /> PROPOSED USE OF BUILOING Building Mechanical Addition HEAT SOURCE <br /> � �i����l �Sl�R PERMIT B Combination � Plumbing WORK � Alteralion I� Electnc <br /> 8 �aT' �� '� TYFE D Demolilion Sign TYPE New � Gas <br /> U Sprinkler Repair/67airn. O�her <br /> CONTRACT PRICE OF WORK CITY OF EVEHETT LOCAL SALES TAX COOE IS 3105 <br /> WORK DESCRIPTION —/ <br /> T.�►e�" _Z"��v✓e�c.�e.� �i' /yo�',?e /�Y�'o�.. <br /> G`�:�s �s�.,.�,�. <br /> � PLUMBING MECHANICAL <br /> , NO. TYPE OF FlXTURE OR REM N0. TYPE OF FO(TURE OR ITEM <br /> I �- WATER CLOSET A/C-AlHANDLIIJG UNITS <br /> i � BATHTUB FORCED AIR SYSTEMS <br /> � �- LAVATORY(WASH BASIN) HEAT PUMP <br /> � SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 OISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> I LAUNDRY TRAY 1 WATER HEATER <br /> CLOTHES WASHER METALFIREPLACFJSTOVE <br /> � URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAW GAS FIREPIACE <br /> .3 FLOOR DRAIN _ GAS RANGE <br /> � BACKFLOW PREVENTER ( GAS PIPING <br /> � SINK(SERVICE/BAF/M�/ETC.) .�- EXHAUST FP,N <br /> L, OTHER Crma� „�o�f,, _ OTHER <br /> I HEPEBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVEfiNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFiED HEREIN OA <br /> NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORAIANCE OF CONSTFUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNEF OF THIS PROPERiV TO PERFORM THE WOFK FOR WHICH APPLICATION IS h1ADE AND I COMPLY WITH THE STATE <br /> ICONTPAC��W 18.27 RCW AND 296200 WA� / / <br /> il l�'�-�1 / ia �i o� <br /> Signalure oi Owne ontract Aulhorized Agen1 Date <br />