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�ERMIT APPLICATIVN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREFT, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.# PER T# <br /> -, Ip <br /> S C) ��� � C<<i7Nl� � DO �J S — ,l ^" / / <br /> LEGAL LOTNO. BLOCK TRACT � ��y <br /> DESC. 7 � �L i7-% , �"�GYiC•v,3 �!/j �� I/ <br /> OWNER ADDRESS (` ZIP PHONE <br /> �/ / 2 p , /-1 n <br /> YT�/7�� �1)Yl�� y�� 0 � �` � �- �li�� �� ' f"F1tC0�, _1.���i�) J� ��f' Q� <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> - - - ia�,—�-ic�,� j,.,, ,�-✓ .,?G'G - 7 3 a — v 3 z z <br /> CONTRACTOR � ADDRESS /� i ZIP CONTR.LICENSE 8 <br /> TS� �1,.! l f-�0 r/L-� %G�S�6 �� ���3�- �s 6 — �E�v� <br /> 7 I� 7 isc ��Nj�nC_�c � <br /> -�� ;= y-oc— L7dC, k� J�/ � <br /> ON Z <br /> C G�/' /L C C' li��-1 <br /> PROPOSED USE OF BUILDING pERM1T �Spf�inkleatlon u Plumbing a� WORK �j Repa r/Maint HEAT SE eotnc <br /> ��%�`! _r 7YpE Demolilion U Sign 7YPE U New B �c`„ef <br /> u <br /> CONTRACT PRICE OF WORK � .�� � CITY OF EVERETf LOCAL SALES TAX CODE IS 3105 <br /> �RK DESCRIPTION � <br /> ,( i—,'�n._: � h,9 P i �.�:�� ':��/G ��,` c7',�9a�. <br /> ,r�'� a��- , <br /> ,�c';�^�;•- , s,;� : �. ��; _\i7�,. �C'( �t�% /N c'p=•c-.,,J [ ��c.; vo�,tp, �;5� O i��e� � <br /> fii.= 4/ i/:;�,�,.: � S'Ti�s: Subjecf �a���/�f i» . <br /> PLUMBING • MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) A/C-AIHANDLING UNITS <br /> _�ATHTUB FORCED AIR SYSTEMS . <br /> LAVATORY(WASH BASIN) HEAT PUMP ' ' ' <br /> HOWER UNIT HEATERS <br /> ,I(ITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER �%" ANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> % CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FL0C1R ORAIN GAS RANGE <br /> BP.::KFLOW PREVENTER �AS PIPING <br /> SiNK(SERVICE/BAR/MOP/ETCJ !/ EXHAUST FAN <br /> 01'HER OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS A?PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF INORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERM1IIT DOES NOT PRESUh1E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTIiER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORM1IANCE OF CONSTRUCTION. TNAT I AM AUTHORIZED BY THE <br /> OWNER OF TyIS$RbPERTY TO PERFORM 7HE WORK FOR WHICH APPLICATION MADE AND I COMPLY WITH THE STATE <br /> CONTRAC s'CAW 1827 RCVy�,AND296.200 W9 C. ' <br /> !.. �i � i- -.�•,� <br /> /� f �/. ., y (S /f D ', <br /> � i a re a OwnedContract Authorized A ent ate / <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED !�L <br />