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� PtRMIT APPLICATIUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> SITE ADDRESS PARCEL TAX I.D.N PERMIT# <br /> l .]l C"�%iz�.77' 4t� . S o3a( —Oc <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS PHONE <br /> f�LLc.lv �/1.tMlT � � l� l � L�/�.1Z�'j"� 1jVE • �-l2S. '15`7•3S51 <br /> TENANT NAME CONTACT NAME � PHONE <br /> 3 ) �3�� �P� ��„�o I <br /> ���e e�o.� n��u� t-k.--�,�M r 4zr. 2sy� 3sS / <br /> CASRAH 2 �'�f <br /> CONTRACTOR I ADDRESS I CONTR. LICENSE A <br /> ��`�� SIV�'J S�ZVICCS � �o 'LIZ lS•lll�ll,-G1/GIZ��'l� ���`'fCrn1 <br /> �'[` F•'z3q � f �13 j Si5 <br /> PHONE �+Z� ���, �1 b� t` _ ` c q <br /> PROPOSED USE OF BUILDING � Building Mechanical Addition HEAT SOURCE <br /> PERMIT Combination Plumbing WORK Al�eration RElectric <br /> n��y�� _ v5� TYPE Demolition Sign�, TYPE New u Gas <br /> Sprinkler i'. �air/Maint U Other <br /> CONTRACT PRICE OF WORK CITY OF EVERE7T LOCAL SALES TAX CODE IS 3705 <br /> WORK DESCRIPTION Q��v�cv_�� E`�\'iTl� V � 1 l-,.�1 r.r�/C %��'�`.�c wi"(lt N��v SI G n1 , <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FlXTURE OR ITEM <br /> WATERCLOSET _ AIC-A/NANDLINGUNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER .�� \� _ UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL P�Ci �� _ CLOTHES DRYER <br /> LAU DRY TRAY �CiJ Q,Q� _ WA ER HEAOTER <br /> _ CLOTHeS WASHER � �� f�O I``I� _ METAL FIREPLACE/STOVE <br /> FIREPLACE INSERT <br /> DFINKING FOUNTAIN G� ��� � ` GAS RANGE CE <br /> FLOOR DRAIN J\�G�� — <br /> _ BACKFLOW PREVENSER p�, / _ GAS P�PING <br /> S�NK(SERVICE/BAR/MOP/ETE:) _ EXHAUST FAN <br /> OTHER � _ OTHER <br /> i 1 HEFEBY CEfiITIFY THAT I HAVE READ AND EXAMINED THIS APPL�CATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> IPROVI:,IONS OF LAWS AND ORIDINACES GOVERNING THIS TVPE OF\NORK WILL BE COM1IPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGUWTI4G CONSTRUCTION OR THE PERFOFMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED OY THE <br /> OWNER OF THIS PfiOPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRA�W�827 flCW AND 296200 WAC. <br /> � ���,_��,-� f�2 z�o� <br /> Signature of OwnedConiractodAu�honzed Agenl Date <br /> �a. 3/ <br />