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I�:RMIT A►PPLICAT�JN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 <br /> �U� ��l- i5� <br /> SITE ADDRESS PARCEL TAX I.D.k PERMIT k <br /> S �4fewQ. 7e��4� � � aa3G v �� �-�� � <br /> LEGh LOT NO BLOCK TRACT �1 <br /> oesc. 36�3 �Iwo.c/ / lZ .h /cf vS eR l�c...J e Sn.�...,.�ti C. , <br /> OWNER ADDRESS ZIP PHONE <br /> �oh.�n�f� �,.�/�,��,�, r C.. 3L o� �lG.� /�,< 9Bzo� �as ZS�-�'�o� <br /> T[NANTNAME CONTACTNAME PHONE <br /> ,�a�,�� l7os�%�.c tl� y2s- so�- y��10 <br /> CONTRACTOR AODRESS ZIP CONTR.LICENSE N <br /> PHONE 5R►�It 775 �L/���,\ �0 e�N�� � ZY�K$ <br /> PROPOSED USE OF BUILDING � . Building � Mechanical Addition HEAT SOURCE <br /> DETa��Ea PERMIT � Combinatfon Plumbing WORK � Allerallon � e�ectr�c <br /> /'. � TYPE Demolition Sign TYPE New Gas <br /> ���" Sprinkler Repeir/Maint. Other <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION <br /> Cp.+sf,��H N� G'�,.� y8o s� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FOCTURE OR ITEM NO. TYPE OF FlXTURE OR REM <br /> WATERCLOSET Vj�_ A/C—A/HANDLINGUNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(W.4SH BASIN) HEAT PUMP <br /> SHOWER, 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 HEREBY CERITIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OFlAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED H"cREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAI 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 4PPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> �----_0�... ,��' .� /-/0-0 Z <br /> Sig�re of OwnedConlractor/Authorized Agenl Date �� <br /> z <br />