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i <br /> PERMIT APPLIGATIC�N <br /> CITY OF EVER�TT PERMIT SFRVICES <br /> 3200 CEDAR STREET, EVERETT, V'✓A 98201 <br /> 425-257-8810— FAX 425-?5,'-8857 <br /> (3LDG Pu�'✓-t� l I30� OS- o2 <br /> SITE ADDRESS PARCEL TAX I.D.# I P[f��nl�� <br /> Ooo C- -�c G P'!A[..c.. �.�o no 3 08� oo i1�� b7' 1� <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> �/BoY� <br /> Co�oi.�z�� �qNK�'�t I3A�NASSOUR1cS 75a-S $ � a.yih �<iTci, o l`IJxr�Ts aU�zl'15 -601b <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> Coi.pwcc.` Ba�K�� r3AIN �sS. I Sccr�� �ALZILr'�. y1S-�7Y-Fl�`� I <br /> CONTRACTOR ADORESS ZIP CONTR.LICENSE# <br /> G�ympr�_ Mc.�NqN�c.A��t. �uso i ccT�4V�W- ao�'; �ouN�rltK�-irc� qJvy3 <br /> PHONE <br /> O�yin/'mrr�o�i <br /> PROPOSED USE OF BUILDING Building Mechanical I Addition HEAT SOURCE <br /> PERMIT R Combination � Plumbing WORK � Alteretion � Electric <br /> TYPE D Demolition Sign TYPE New Gas <br /> �F�C�LL� U Sprinkler Repair/Maint, Other <br /> CONTRACT PRICE OF WORK�D�n o� CITY OF EVERETT LOCAL SALES TAX CODE�5 3105 <br /> WORKDESCRIPTION�/;OV/OC.f �- M�� Su`'�'L'/!d$� I'NL'W �[/�-N A��� �?UVLr 7 f�{�/'��'�� 2 �?��i,tp.N /v . <br /> /',O� (=) C�NNuS� r=ANS ' <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. IYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) 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 FIREPL?,CE/STOVE <br /> URINAL FIREPLACEINSERT <br /> I = DRINKING FOUNTAIN = GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) �— EXHAUST FAN <br /> OTHER OTHER <br /> I <br /> i I HEREBY CERITIFY THAT I HAVE READ AND EXA671NED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> i PROVISIONS OF LAWS 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 REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> I OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CO CTORS L4W 18.27 RCIN AND 296.200 WAC. <br /> � �n� .� � � <br /> iSig ure of wnedContra or/Aulhonzed Agent Date <br /> � DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />