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P RMIT APPLICATIO <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS PARCEI T I.D.# P M�IJ� <br /> � Z � e Oos3 0o d oo c�7�� -°� � <br /> LEGA LOT NO. BLOCK TRACT <br /> DESC. � ^� v e �� <br /> OWNERGUL� ���P� /��SK ADDRESS ZI HONE ��� <br /> �.� <br /> Do,eor-s� G�Aoo7rE �aio �.�i��'�+� ,s`, �dF.��7'7`!!��(l. 353-�3/3 <br /> TENANTNAME CON7ACTFORPERMIT PHONE <br /> �JA�2,� � n,g,p brr� I Doeat��ly � . CA�o� ��s-3sa�.�/3 <br /> CONTRACTOR ADORESS� /,/� �� ZIP r`ChNTR.LICENSEM <br /> F�.���I«*lo., C�h l ]� � o � �" r•o or CO s•� <br /> PHONEy�S � I 9 � 919 ���� y yg�°i � �c <br /> 5 - I - d� <br /> PROPOSED USE OF BUILDING �j{ Building � MeChanical �Additlon HEAT�OURCE <br /> PERMIT 'f-�Combination Plumbing WORK Alterauon RCElearic <br /> / TYPE j_� Demolition Sign TYPE New ��.,,�� Gas <br /> Ren1"¢ �� Sprinkler RepafdMainl L� Other <br /> CONTRACT PRICE OF WORK /` 3 S� ? � � CITY OF EVERETT LOCAL SALES TAX COUE IS 3105 <br /> Y' J <br /> 0 <br /> WORK DESCRIPTION <br /> F.-�BI'� Grt '�$ ��vb�'i�27Lr0 � �S���i �) <br /> � �a�r.{ rs3 � <br /> , O <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. . TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) A1C-A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOW ER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEaTER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> i <br /> II HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. .4LL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL 6E COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> iNOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONT TORS LAW 18.27 RCW AND 296.200 WAC. <br /> � ! <br /> ISig a ure of wner/ o t cto Au onze Agent a �/� <br /> � DEBIT� CREDIT CARDS ARE NOT ACCEPTED <br />