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PERMIT APPLICATI�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREEI', EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.# P RMIT# <br /> 80/ (�orcl,.�4r �G�(G5- GzC/ <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> I�1CVL0.�Cl � i ,� I � !/fG�nviC F��i'II.�' / U� l (Tarclvtrr �@ g81�03 ��Z.S�3.S�-(�� <br /> TENANTNAME I CONTACTFORPERMIT PHONE <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE# <br /> ��. aox Zoso /� p <br /> PHONE �lfZs� lJ6U - �3� 3 �SSa �JOc�, , u�,4 98c�z7 /'71JD�^1_�.SJr��- <br /> PROPOSED USE OF BUILDING BUllding � Mechanical Addition HEAT SOURCE <br /> PERMIT � Combination Piumbing WORK R Alteretion � Electric <br /> TYPE Demolilion Sign TYPE � New Gas <br /> Sprinklef RepaidMaint. Other <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION Z!�_ J o u�;., t ^ T I�1 oJS R <br /> J <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 SYSTE�AS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> 3HOWER UNIT HEATERS <br /> KITCHEN SINK&DISPOSAL CLOTHES DRYER <br /> DISH�YASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WF�SHER METAL FIREPLACE/STOVE <br /> URINAL FIREPIACE 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 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 SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUM17E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION Or ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT i 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 /> CO/NTF�C)TO S+LAW 27 RCW A D 2962p70 WAC. <br /> ( �"// ���C.- . /��"1-/ S/Zd/�� <br /> / <br /> Siqn�t i1're of Owner/Contra dAuthonzed Agent Date <br /> � i <br /> DEBIT 8� CREDIT CARDS ARE NOT ACCEPTED <br />