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� F�tRMIT APPLICATI�N <br /> CITY UF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS I PARCEL TAX I.D.# P RMiT# <br /> -� � e.�l� 1 � � ���xs-� <br /> IEGAL OTNO. BL CK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> TENANTNAME CONTACTF RPERMIT PHONE <br /> ►� (�. Z" l-� � I�l� e,U / � �o <br /> CONjRACTO ADDRESS <br /> P,//��/�,� y �l�G,��.l ��// ,/�`,��Q_ 'y� ZIP CONTR.LICENSEit <br /> !SC/v �J N <br /> �I' .. �1� ,� c;�` r,,,,��- /?'1i40`y5vi//� 6d/�- `G'�/ l�tFit�D';�'�j 3$� <br /> PROPOSED USE OF BUILDING I� Bwiding D MeChanical Addition HEATSOURCE <br /> PERMIT �--� Combination U Plumbing WORK � qiteration (/1 <br /> � TYPE �-� Demolition YI � Elecuic <br /> v�;,0� �r u Sign TYpE New ( Gas <br /> u Sprinkler RepairlMaint. _ Other <br /> CONTRACT PRICE OF NORK �n �� �(,� CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> (/ i <br /> WORK DESCRIPTI N <br /> T�Ja ��rY .4c�o,(� <br /> PLUMBING MECHANICAL <br /> NO. TYpE OF FIXTURE OR ITEM NO, TYpE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) A/C-A/HANDLING UNITS <br /> � BATHTUB FGRCED AIR SYSTEMS Dk�,�1r <br /> ,�- LAVATORY(WASH BASIN) HEAT PUMP J <br /> _L SHOWER UNITHEATERS <br /> _ KITCHEN S�NK 8 DISPOSAL CLOTHES DRYER <br /> __ DISHWASHER R4NGE HOOD <br /> _ LAUNDRY TRAY WATER HEATER <br /> _ CLOTHES WASHER METAL FIREPLACC/STOVE <br /> _ URINAL FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN GAS FIREPLACE <br /> _ FLOOR DRAIN GAS RANGE <br /> _ BACKFLOW PREVENTER GAS PIPING <br /> _ SINK(SERVICE/8AR/MOPIETC.) T EXHAUST FAN <br /> OTHER <br /> — 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 IAWS AND ORIDINACES GOVERNING THIS TYPE OF IVORK WILL BE COMPLIED WITH WHETHER SPECIFIcD HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORI7Y TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I A�i AUTHORIZED 8Y THE <br /> OWNER OF HIS PROPERTY TO PERFORM THE WORK FOR 6;'HICH APPLICATIO�IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACT RS lA 8.27 CW p 96.200 WFjC. <br /> S' n re of � etl rac r A onzed Agent e v i/� <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED � <br />