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-� <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 <br /> PARCEL TAX I.D.# P�RMIT# <br /> SITE ADDRESS SS Z��70�"C7I�O Z <br /> oa-a �c��-n�. � c� o0 <br /> LEGAL LOT NO. ' � BLO�CK1 TRACT <br /> DESC. f Z�p pHONE <br /> OWNER ADDRESS 2S <br /> 1'sz-�,c•�. tJ x�� t� �-a-�- �Kor� w P`! QBao�l �a-�s�'i <br /> TENANTNAME <br /> I CONTACT FOR PERMIT PHONE <br /> CONTRACTOR ADDRESS 21P CONTR.LICENSE N <br /> PHONE <br /> Buildin � Mechanical AddiUon HEATSOURCE <br /> PROPOSED USE OF BUILDING Q 9 <br /> PERMIT I_) Combinatlon Plumbing WORK Alteratian � Gas�c <br /> �-�bNuC�T ^Tp TYpE Demolition Sign TMPE RepairlMainl. Olher <br /> p���x B Sprinkler <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION S^y <br /> r t��s�-+ =1- rwD � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO.. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) _ AIC—AIHANDLING UNITS <br /> � BATHTUB _ FORCED AIR SYSTEMS <br /> � LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> �_ KITCHEN S�NK 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/BAWMOPIETC.) � EXHAUST FAN <br /> OTHER _ OTHER <br /> 1 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 WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN 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 LOCAL LAW REGUTATING CONSTRUCTION OR THE PERFORMANCE OF COPISTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY W ITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 96.?AO WAC. <br /> ,� S �!—� <br /> Si ture of Owned .l crodAu horized Agenl Date � L <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />