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t <br /> P -RMIT APPLICATIC)N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �i <br /> 425-257-8810- FAX 425-257-8857 � <br /> SITE ADCRESS PARCEL TAX I.D.# PERMIT# � <br /> / ,E� e, �0 Bdy aa-oac, � <br /> LEGA LOTNO. BLOCK TRACT � <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE � <br /> 1},t d ,';;� a i'� l�i.p��717 �n �1� fI?1P. 9SzD3 �/�S'-358-5/D Z � <br /> TENANTNAME <br /> CONTACTFOR RMIT PHONE <br /> � on ,�i�,�� ��-358 �5/a� <br /> CONTRACTOR � ADDRESS ��l �` A /��n ZIP CONTR.LICENSE# <br /> �U'��s �/�rJ�� �1'�Ill G e 5�C /'�8�0 l f•^„� C7cL4 9szyz <br /> PHONE S�Lan�oad� wn �AU/SCSD9DZ��,o20�/ <br /> ,�lO �57 ��1�-1 <br /> PROPOSED USE OF BUILDING Building MeChaniCal Addihon HEAT SOURCE <br /> PERMIT � Combination � Piumbing WORK � Aiteration � Electric <br /> TYPE Dem01iti0n Sign TYPE New Gas <br /> �xist R�sid�.nce Sprinklef Repair/MainL Other <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORKDESCRIPTIONS'tQ�jl �liL� 39 � 0� �DU/1�C1.G�DI�. �� <br /> 1n5�"all,n9 /O Cha���e .�e /ica/ fl�hars on ! %2-'� $ar, -Dr�ll�'o tor9ue- <br /> �� 3, 40o i-E. lbs; �,euz/ foef;�y� heus� u��.�9 ttie Anelor's, /3�re��:// <br /> PLUMBING ' t4 c . MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) _ A/C-AIHANDLING UNITS <br /> BATHTUB _ FORCED AIR SYSTEti1S <br /> LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER _ UNITHEATERS <br /> KITCHEN SINK&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/MOPIETC.) _ EXHAUST FAN <br /> OTHER _ OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAM11INED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> I PROVISIONS OF LAWS AND URIDINACES 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 LOCFL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> I OWNER OF THIS PROPERTY TO P FORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> � CO RACr O�S LAW�8�7 �296.20Q WAC. " � <br /> � �� �'Y d -�`- `J / a � <br /> � Signawre of OwnedCon ctor/Authonzed Agent at�— <br /> i DEBIT & CREDIT CARDS ARE NOT ACCEPTED `/L <br />