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. � l <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-8857 <br /> 31 DRESS PARCEL TAl(I.D.N PER IT k <br /> �� fe�e �riue O ��y9 00 00 �b�//-a0� <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS LP PHONE <br /> �'�� b�a,'/e,/ �/�0/ ��eS� D�' �vrr�.J� �z��o3CNa5ja59-.i:c� <br /> IENANTNAME � I CONTACTFORPERMIT PHONE <br /> C�ry TRACTOR ADDRE33 .'IP CONTR LICENSE/ <br /> OUt $a�k Gus�o,� a�,;ld;�ys 26�5 calb� A�c 9f zo 1 D�n��3a�b 94Scz <br /> PHONE 5fe. 3 ���� <br /> G�04 eDUSEOFBUILDING I wlding D Mechan9 I I Additlon I HEATSOURCE <br /> �, PERMIT Combinalion U Plurtiblfl WORK Alle�alion D Fieciric <br /> 7YPE Demdition U Sign 7YPE ew D Gas <br /> Sprinkler RepaidMaint. D O:har <br /> CONTRACT PRICE OF WORK /U 1—1 e LD�i}� CITY OF EVERETT LOCAL SALES TAl(CODE IS ItOS <br /> -1 [/-7 <br /> WORK DESCRIPTION <br /> �a/e 8ti�l��k� Z�� x �6' <br /> PLUMBING MECHANICAL <br /> NO. TYPE Of FUCTURE OR tTEM NO. TYPE OF FUCTURE OR ITEM <br /> WATER CLOSET —A/HANDLING UNITS <br /> THTUB F CED AIR SYSTEMS <br /> _ LA TORY(WASH BASIN) H T PUMP <br /> SHG,•h.•�i ' UNI HEATERS <br /> KITCHEt�"'INK 8 DISPOSAL CLO ES DRYER <br /> = DISHWASH�'� RANG OOD <br /> LAUNDRY TRAS'� WATER TER <br /> CLOTHES WASHEIt - � METAL FIR LAC TOVE <br /> URINAL FIREPLACE I k T <br /> DRINKING FOUNTAIN GAS FIREP <br /> FLOOR DRAIM GAS RANGE <br /> _ BACKFL0IN PREVENTER GAS PIPING <br /> _ SINK(SERVICE/BARIMOPIETC.) EXHAl7�T FAN <br /> OTHER OTHER <br /> 1 HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIF�ED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AN�D 296.200 WAC. <br /> ��/I��t,ttGC��_ //- �!-0 3 <br /> Signature of Owner/ ractor/Authorized Agent Date � <br /> 1 <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />