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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.# P MIT# <br /> !o DO h�. Ey�R�fT t�',lA�-a- i�l� 2£�0�i Bao 3a84+oo ��S- O� � <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. 5�E- E1Z t—'T DIJ �"�1'� �.+��r <br /> OWN�R ADURESS ZIP PHONE <br /> /aqo0 4��'� 5Y',svrrlE i510 <br /> Gal�!-!�iZ6 �riT��lA'tl��- ��+�-�.v�¢, wA 98ocw. 8�-�59,t b4T� <br /> TENANTNAME CONTACTNAME PHONE <br /> Lot.ut,.lEi-1— �P�^�kErt-. <br /> J3?rlhl A.Gfi��IATE.S �us4h� S"T�Gtc.1�A1`�►J. 20(O. (o8/O• '�{'I I'4' <br /> CONTRACTOR �jM�'�.F• ADDRE55 /8O I�.I. {7A�'j'Gf� 21P CONTR.LICENSEiI <br /> GoN2"TiZUL'ilOr� E�p��� �A ")�(�2C? SMITH�-S101DT' <br /> PHONE `"�Rvlc-ES , 6xp. 4/1'�/D� <br /> 9�F>.�7�. 966 B <br /> PROPOSED USE OF BUILDING .1�o�r Building D Mechanical [] Addition HEAT SOURCE <br /> PERMIT � ) Combinalion u Plumbing IWORK p(2 Alteretion�r�, [� Electric <br /> TYPE R Dcmolition U Sign TYPE D New U c�5 <br /> O�F�4�- v SFiinkler U RepaidMaint. U Other <br /> CONTRACT PRICE OF WORFC�'��, b�� CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION <br /> f.�Ma��T'lonl CF �Y tSTt�1Gr 1�1oIJ-1aRlD r�£AF�IfJG{ LcA.�.41i'� LASG:N1-0�i.�G �� <br /> 'Pir�1�Zt-4�.5 . PFtovi►7�n1G� 1JEi.! WA�.,l.5� , c,e.rS�l.cloRk. � ��N�sttas. <br /> iZE1n7:.P�Clrl� PWM81t��f . �xisT1M� �F�trir�lr? � MFl.-N�W��4... Tc� REMAai� . <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM �/� <br /> WATER CLOSET A/C-A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <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 l7RAIN GAS RANGE <br /> BACKFLOW PREVENTER � _ GAS PIPING <br /> �_ SINK(SERVICE/BAR/MOP/ETC.) r�Lp�,pY101� dF l = EXHAUST FAN <br /> _ OTHER ` E.� �s�Nc� s�rlk) 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 LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COM1IPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PFRMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTR CTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF TH PROPERTY TO PERFO TH WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTO LAW i_=27RCW�D29 00 AC. <br /> _ '�—'s� �J 2- I�O�{-_ <br /> ure oF nedCoNractor/Authori.ed A ent ate � <br /> �Z <br />